Quality Review and Audit Lead Analyst
Location
Alabama + 17 moreAll locations: Alabama, Alaska, Arizona, Florida, Hawaii, Idaho, Iowa, Kansas, Nebraska, Ohio, Maryland, Massachusetts, Michigan, Pennsylvania, Texas, Utah, Vermont, Washington
Posted
11 days ago
Salary
$68.7K - $114.5K / year
Bachelor Degree3 yrs expEnglish
Job Description
• Facilitate root cause investigations and develop actionable recommendations for systemic improvements
• Review, analyze, and appropriately disposition tickets for root cause/corrective action analysis
• Collaborate with business partners to establish correct root causes and implement solid corrective/preventive actions
• Utilize system platforms (e.g., Service Now, RSAM, Polaris) to manage tickets and capture trend information
• Support projects and initiatives that drive department and enterprise strategy
• Partner with Service Operations and Customer Services to execute action plan deliverables
• Share and communicate pertinent information with internal partners
• Design and implement corrective action plans in collaboration with enterprise stakeholders
• Build strong relationships across teams to achieve shared goals.
Job Requirements
- 3–5 years’ experience in root cause and corrective/preventive action analysis
- Bachelor’s degree preferred, advanced degree or equivalent experience a plus
- Extensive knowledge of claims adjudication processes and issue management methodologies
- Strong proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint, SharePoint)
- Knowledge of ESI platforms preferred (Service Now, RSAM, Polaris)
- Demonstrated experience in financial reconciliations and compliance standards
- Excellent verbal and written business communication skills
- Ability to adapt to a dynamic work environment, solve problems, and make decisions with minimal oversight
- Demonstrated initiative, commitment, and ability to work under pressure and meet tight deadlines
- Ability to collaborate effectively across teams and manage multiple priorities.
Benefits
- health-related benefits including medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
- annual bonus plan
