Senior Healthcare Operations Analyst

Job Summary

A company is looking for a Sr. HCS Operations Inventory & Quality Analyst (Eligibility).

Key Responsibilities

• Ensure accurate and efficient distribution of inventory across operations teams
• Conduct audits of operations to validate compliance with internal and regulatory standards
• Utilize SQL for data analysis and reporting, supporting operational workflow and quality improvement

Required Qualifications

• 5+ years of experience in claims, billing, or healthcare eligibility
• Bachelor's degree in a relevant field or equivalent experience
• Minimum 1 year of experience with large volumes of healthcare data
• Experience in roles involving workflow contributions and quality/auditing
• Knowledge of Medicaid/Medicare Coordination of Benefits and Third-Party Liability