Remote Quality Audit Analyst | Data & Process Improvement

Embedded Shishya; United States; Remote; USD 42,000 - 93,000; Full time

Job summary

Health Care Service Corporation is seeking a detail-oriented professional to plan and conduct training, perform audits, and manage programs within the health insurance space. You will develop procedural documents (DLP) for provider data entry and drive process improvements across teams.

The role requires strong analytical skills, reporting experience, and the ability to work independently in a remote setting. Excellent communication and project management capabilities are essential.

Qualifications

• Bachelor degree and health insurance experience or 4 years in health insurance.
• Analytical and mathematical skills.
• Experience preparing reports and analyzing data.
• Interpersonal, written and verbal communication skills.
• Ability to make decisions independently with minimal supervision.
• Project management and presentation skills.
• Organizational and multitasking abilities to meet deadlines.
• Proficiency with Word, Excel and databases.

Responsibilities

• Plan and conduct training and keep the training program aligned with standards.
• Perform detailed audits and analyze programs to ensure compliance and efficacy.
• Manage projects and coordinate cross-functional efforts.
• Create desk level procedures (DLP) documents for provider data entry.

Skills

Analytical skills

Interpersonal skills

Communication skills

Decision making

Project management

Presentation skills

Organizational skills

Data analysis

Education

Bachelor’s degree in health insurance

Tools

Word

Excel

Databases

Job description

Health Care Service Corporation is seeking a detail-oriented professional to plan and conduct training, perform audits, and manage programs within the health insurance space. You will develop procedural documents (DLP) for provider data entry and drive process improvements across teams.

The role requires strong analytical skills, reporting experience, and the ability to work independently in a remote setting. Excellent communication and project management capabilities are essential.