Senior Quality Analyst

Job Summary

To drive operational excellence and ensure regulatory compliance, the full-time Senior Quality Analyst will design and execute complex audits, analyze findings for improvement opportunities, and serve as a subject matter expert while working remotely.

Key responsibilities

• Design and perform complex operational and compliance audits across multiple business areas
• Analyze audit findings to identify trends and develop recommendations to reduce risk and improve quality
• Serve as a trusted advisor, presenting audit findings and leading discussions on process improvements

Required qualifications

• Bachelor's or Associate's degree in Finance, Business, Accounting, Health Care Administration, Medical Informatics, or Information Technology
• 4+ years in an analyst position in the healthcare/health plan field
• Experience with auditing, regulatory compliance, and MAR and/or SOX audits
• Advanced skills in data querying tools such as BusinessObjects and modeling tools such as MS Visio
• Strong understanding of medical coding standards and provider reimbursement methodologies