Performance Analyst

A company is looking for a Performance Analyst.

Key Responsibilities

Conducts audits on claims, customer service inquiries, and enrollment activities, supporting internal audit functions

Maintains documentation for audit reviews and collaborates with team members to resolve audit issues

Utilizes internal tools to communicate findings and ensures corrective actions are documented and followed up on

Required Qualifications, Training, and Education

High School diploma or GED

Minimum of 5 years' experience in Claims, Membership, or Customer Service

Familiarity with healthcare industry practices and claims processing

Experience with audit and analytical functions is preferred

Knowledge of FEP and related tools is desired