QA & Controls Analyst, PBM Operations

Liviniti; St. Louis, Northern (MO, KY); Híbrido; USD 65.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental and Vision insurance

Disability and Life insurance

Employee Assistance Program

Generous Paid-Time Off

Retirement Plan with company match

Descripción de la vacante

Liviniti is seeking a Controls and QA Analyst in St. Louis, MO to develop and monitor quality controls across claims processing.

The role emphasizes analytical thinking, strong QA expertise, and collaboration with the Claims Processing Director and team to enhance procedures and ensure compliance with company policies. The candidate will be responsible for identifying inefficiencies, training internal teams, and supporting continuous improvement initiatives.

Formación

• Proven QA experience in a PBM/healthcare environment.
• Ability to assess processes and implement improvements.
• Strong documentation and reporting skills.

Responsabilidades

• Develop, monitor, and improve quality and control procedures.
• Define performance and quality standards for Claims Processing.
• Conduct root cause analyses and recommend corrective actions.
• Assist with HIPAA-related training and compliance.
• Coordinate with internal teams and external partners on QA initiatives.
• Document results and communicate findings to stakeholders.

Conocimientos

Problem Solving/Analysis

Critical Thinking

Time Management

Communication

Objectivity

Technical Expertise

Root cause analysis

Written and verbal communication

Listening and analytical skills

MS Office (Word, Excel, PowerPoint)

Descripción del empleo

Liviniti is seeking a Controls and QA Analyst in St. Louis, MO to develop and monitor quality controls across claims processing.

The role emphasizes analytical thinking, strong QA expertise, and collaboration with the Claims Processing Director and team to enhance procedures and ensure compliance with company policies. The candidate will be responsible for identifying inefficiencies, training internal teams, and supporting continuous improvement initiatives.