Senior Quality Analyst, Claims *Remote*

Talentify.io; United States; Remote; USD 46,000 - 102,000; Full time

Job summary

A leading non-profit healthcare system seeks a Senior Quality Analyst to ensure compliance with legal standards in claims handling and to provide training and support for healthcare caregivers. This role offers competitive pay, comprehensive benefits, and opportunities for career growth in a supportive environment that values diversity.

Benefits

Comprehensive benefits package including health care

Retirement savings plan

Paid time off

Opportunity for career advancement

Qualifications

• 5 or more years of experience handling healthcare professional liability and/or civil tort claims.
• Experience reporting third-party liability settlements to regulatory agencies.
• Strong ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Ensure compliance with laws and regulations related to liability claims handling.
• Develop and deliver training and technical support for caregivers on Medicare Secondary Payer reporting.
• Facilitate internal audits and analyze claims data.

Skills

Analytical skills

Communication skills

Interpersonal skills

Education

Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance

Job description

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Base pay range

$45.14/hr - $70.07/hr

Employer Industry: Healthcare Services

Why Consider This Job Opportunity

• Salary up to $81.94 depending on location
• Comprehensive benefits package including health care, retirement savings plan, and paid time off
• Opportunity for career advancement and growth within a leading non-profit healthcare system
• Supportive and inclusive work environment that values diversity and collaboration
• Chance to make a positive impact on compliance and quality assurance in healthcare claims management
  
  

What To Expect (Job Responsibilities)

• Ensure compliance with laws and regulations related to liability claims handling
• Develop and deliver training and technical support for caregivers on Medicare Secondary Payer reporting and insurance regulations
• Facilitate internal audits and analyze claims data to identify trends and propose improvements
• Provide quality assurance recommendations to claims leaders based on monthly data reports
• Assist in developing policies and procedures related to claims management
  
  

What Is Required (Qualifications)

• Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance, or a related discipline, or equivalent education and work experience
• 5 or more years of experience handling healthcare professional liability and/or civil tort claims
• 5 or more years of experience reporting third-party liability settlements to regulatory agencies
• Strong analytical skills with the ability to manage multiple priorities in a fast-paced environment
• Excellent communication and interpersonal skills
  
  

How To Stand Out (Preferred Qualifications)

• Coursework or training in liability claims within the insurance industry
• Experience in claims data analytics and project management
• Experience creating and facilitating claims management training
• Familiarity with quality assurance processes and procedures
• Ability to develop and implement policies and procedures
  
  

#HealthcareServices #QualityAssurance #CareerOpportunity #CompetitivePay #HealthcareCompliance

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Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Analyst

• Industries

  Staffing and Recruiting

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