Healthcare Quality Assurance Analyst

TEKsystems; Sully Square (VA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking Health Insurance Quality Assurance Specialists for a fully remote role. The job involves quality testing of benefit plans, ensuring accuracy and compliance with client specifications. Ideal candidates should have a degree and experience in healthcare insurance, with strong Excel skills and attention to detail. This position offers a competitive pay rate and comprehensive benefits, including medical and 401(k) options.

Benefits

Medical, dental & vision insurance

401(k) plan with pre-tax and Roth options

Paid time off (PTO), vacation, or sick leave

Qualifications

• 1 year of Excel experience required.
• Heavy research experience is a plus.

Responsibilities

• Quality testing all benefit plans for accuracy.
• Collaborate with Account Install Specialist team.
• Coordinate with AIS group to resolve discrepancies.

Skills

Excel

Attention to Detail

Communication

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 all benefit plans. The specialist will collaborate with the Account Install Specialist team during plan development. They will verify the accuracy of the plan within various systems, ensuring it meets client specifications. If discrepancies are found, they will coordinate with the AIS group to resolve issues. Common issues include incorrect deductibles, out-of-pocket limits, or mail pricing discrepancies. The role demands high attention to detail; there is no phone work involved. Communication is primarily internal, with a scorecard to monitor performance after training. The workload is approximately 25 plans per week. This is a non-IT position.

Skills & Qualifications

Minimum requirements:

• Two or Four-year degree required (preferably in Math, Biology, Business, Healthcare Administration, or History; heavy research experience is a plus)
• 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 advantageous

Pay and Benefits

The pay range is $24.00/hr. Eligibility for benefits depends on employment classification and duration. Benefits may include:

• Medical, dental & vision insurance
• Critical illness, accident, and hospital coverage
• 401(k) plan with pre-tax and Roth options
• Life insurance (voluntary for employees and dependents)
• Short and long-term disability
• Health Savings Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Paid time off (PTO), vacation, or sick leave

Workplace Type

This is a fully remote position.

Application Deadline

The position is expected to close on May 28, 2025.

About TEKsystems

TEKsystems is a leading provider of business and technology services, helping accelerate business transformation for clients across the globe. With over 80,000 employees and partnerships with over 6,000 customers, including 80% of the Fortune 500, TEKsystems offers extensive expertise in strategy, design, execution, and operations. We are committed to building tomorrow by delivering impactful business outcomes and supporting our communities. TEKsystems and TEKsystems Global Services are part of Allegis Group. Learn more at TEKsystems.com.

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