Healthcare Quality Assurance Analyst

TEKsystems; Fairfax (VA); Remote; Full time

Job summary

TEKsystems is hiring a Health Insurance Quality Assurance Specialist for a renowned health insurance company. This fully remote role focuses on quality testing of benefit plans, ensuring accuracy and compliance with client specifications. Ideal candidates will have a degree and experience in healthcare insurance. Benefits include medical coverage, retirement plans, and paid time off.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Paid Time Off (PTO)

Qualifications

• Requires at least 1 year of Excel experience.
• Preference for degrees in Math, Biology, Business, Healthcare Admin, or History.

Responsibilities

• Quality testing of benefit plans for accuracy.
• Coordinate with AIS counterparts to resolve discrepancies.

Skills

Excel

Research

Attention to Detail

Education

Two or four-year degree

Job description

TEKsystems is actively hiring for Health Insurance Quality Assurance Specialists for a renowned health insurance company in Minnesota! Fully Remote Non-IT Position

Start Date: July 7th, 2025

Description

This role involves quality testing of benefit plans. The specialist will collaborate with the Account Install Specialist team during plan development. They will verify the accuracy of the plan across various systems, ensuring it meets client specifications. If discrepancies such as incorrect deductibles, out-of-pocket limits, or pricing are found, they will coordinate with their AIS counterparts to resolve issues. The role requires high attention to detail, with no phone work involved. Communication is primarily internal, and performance will be monitored via a scorecard after training. The expected workload is 25 plans per week.

Skills & Qualifications

Minimum requirements:

• Two or four-year degree (Preference for degrees in Math, Biology, Business, Healthcare Admin, or History, with strong research experience)
• At least 1 year of Excel experience (excluding VLOOKUPs or Pivot Tables)

Preferred experience:

• 3+ years of healthcare insurance experience
• Knowledge of medical terminology, deductibles, copays, and provider language
• Experience in a production environment is a plus

Pay and Benefits

The pay rate is $24.00/hr. Benefits, subject to eligibility and plan specifics, may include:

• Medical, dental & vision
• Critical Illness, Accident, Hospital coverage
• 401(k) Retirement Plan (Pre-tax and Roth options)
• Life Insurance (Voluntary for employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Paid Time Off (PTO, Vacation, Sick Leave)

Workplace Type

Fully remote.

Application Deadline

May 28, 2025.

About TEKsystems

TEKsystems is a leading provider of business and technology services, working with over 6,000 customers including 80% of the Fortune 500. We focus on strategy, design, execution, and operations to deliver business value. With a team of 80,000, we help organizations adapt to change and leverage technology effectively. TEKsystems is an Allegis Group company. Learn more at TEKsystems.com.

We are an equal opportunity employer, considering all applications regardless of race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, or any other protected characteristic.