Healthcare Quality Assurance Specialist

TEKsystems; Charleston (SC); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative firm is seeking Health Insurance Quality Assurance Specialists for a fully remote position. This role focuses on quality testing of benefit plans, ensuring accuracy across systems while collaborating with internal teams. Ideal candidates will have a strong educational background and experience in healthcare insurance, along with proficiency in Excel. The company offers competitive pay and a comprehensive benefits package, making this an excellent opportunity for those looking to make a meaningful impact in the healthcare sector.

Benefits

Medical, Dental, and Vision Insurance

401(k) Plan with Pre-tax and Roth Options

Voluntary Life Insurance and AD&D

Short and Long-term Disability

Employee Assistance Program

Paid Time Off (PTO), Vacation, and Sick Leave

Qualifications

• Degree in relevant fields with strong research skills required.
• 1+ years of Excel experience needed.

Responsibilities

• Conduct quality testing of benefit plans ensuring accuracy.
• Collaborate with the Account Install Specialist team.

Skills

Excel

Research Skills

Medical Terminology

Healthcare Insurance Knowledge

Education

Two or Four-Year Degree in Math, Biology, Business, Healthcare Administration, or History

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:

June 9th, 2025

Description

This role involves quality testing of benefit plans. The specialist will collaborate with the Account Install Specialist team during plan development, ensuring accuracy across various systems according to client specifications. They will identify and resolve issues such as incorrect deductibles, out-of-pocket limits, or pricing discrepancies. The role requires high attention to detail, with no phone work involved. Internal communication is limited to team and AIS representatives. Post-training, a scorecard will be used, and the expectation is to process 25 plans weekly. 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, with strong research skills.
• At least 1 year of Excel experience (excluding VLOOKUPs or Pivot Tables).

Preferred experience:

• 3+ years in healthcare insurance.
• 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 per hour. Benefits may include:

• Medical, dental, and vision insurance
• Critical illness, accident, and hospital coverage
• 401(k) plan with pre-tax and Roth options
• Voluntary life insurance and AD&D
• Short and long-term disability
• HSA
• Transportation benefits
• Employee Assistance Program
• PTO, vacation, and sick leave

Workplace Type

This is a fully remote role.

Application Deadline

May 9, 2025

About TEKsystems

TEKsystems is a leading provider of business and technology services, partnering with over 6,000 clients, including 80% of the Fortune 500. We focus on strategy, design, execution, and operations to deliver business value and help our clients adapt to technological change. We are committed to diversity and equal opportunity employment.