Talent.com
Senior Claims Quality Analyst
Senior Claims Quality AnalystVirtualVocations • Salt Lake City, Utah, United States
Senior Claims Quality Analyst

Senior Claims Quality Analyst

VirtualVocations • Salt Lake City, Utah, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Senior Claims Quality Analyst.

Key Responsibilities

Analyze and investigate behavioral health claims

Provide explanations and interpretations to internal operations teams

Communicate claims testing results and insights to internal stakeholders

Required Qualifications

High School Diploma / GED or equivalent work experience

2+ years of experience processing behavioral health claims or working in claims quality

2+ years of experience in healthcare

Intermediate proficiency in Microsoft Excel and PowerPoint

Flexibility to work any of the 8-hour shift schedules during normal business hours

Create a job alert for this search

Quality Analyst • Salt Lake City, Utah, United States

Related jobs
Claims Quality Analyst

Claims Quality Analyst

VirtualVocations • Salt Lake City, Utah, United States
Full-time
A company is looking for a Claims Quality Analyst.Key Responsibilities Review, research, investigate, and audit claims while providing feedback on audit results Analyze trends and provide feedba...Show more
Last updated: 30+ days ago • Promoted
Claims Analyst

Claims Analyst

VirtualVocations • Salt Lake City, Utah, United States
Full-time
A company is looking for an RRT Anthem Analyst.Key Responsibilities Review and process adjustment claims for Anthem and Blue Cross Blue Shield Handle communications and inquiries from internal d...Show more
Last updated: 30+ days ago • Promoted
Business Systems Analyst - Claims

Business Systems Analyst - Claims

AmTrust Financial • South Jordan, UT, United States
Full-time
Business Systems Analyst - Claims.US-OH-Cleveland | US-UT-South Jordan | US-TX-Dallas.The Business Analyst is a part of the Claims Product Management / Execution group that supports outlining and imp...Show more
Last updated: 30+ days ago • Promoted
Senior Claims Quality Analyst

Senior Claims Quality Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Senior Claims Quality Analyst.Key Responsibilities Analyze and investigate behavioral health claims Provide explanations and interpretations to internal operations tea...Show more
Last updated: 2 days ago • Promoted
Senior Data Quality Analyst

Senior Data Quality Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Data Quality Analyst.Key Responsibilities Support the establishment of Authoritative Data Sources (ADS) for key data domains Perform data analysis and data cleansing i...Show more
Last updated: 30+ days ago • Promoted
Senior Analyst, Provider Data Management

Senior Analyst, Provider Data Management

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Senior Analyst, Provider Data Management - SQL / QNXT - Remote.Key Responsibilities Maintain accurate provider information across claims and provider databases Develop a...Show more
Last updated: 3 days ago • Promoted
Risk Adjustment Audit Senior Analyst

Risk Adjustment Audit Senior Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Quality Review and Audit Senior Analyst for Individual & Family Plans (IFP), focusing on Risk Adjustment Data Validation (RADV) audits. Key Responsibilities Coordinate d...Show more
Last updated: 30+ days ago • Promoted
Quality Systems Analyst

Quality Systems Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Quality Systems Analyst - eChart.Key Responsibilities Review and validate test cases for alignment with ASC workflows and operational processes Translate business and ...Show more
Last updated: 21 hours ago • Promoted • New!
AR Follow Up Team Lead

AR Follow Up Team Lead

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for an AR Follow Up Team Lead to manage A / R workflow and communication between insurance operations and the pathology team. Key Responsibilities Supervise the account resoluti...Show more
Last updated: 30+ days ago • Promoted
Senior Software Quality Analyst

Senior Software Quality Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Senior Quality Analyst to ensure quality across their Resident Experience platform.Key Responsibilities Lead end-to-end testing across mobile and web platforms to ensur...Show more
Last updated: 2 days ago • Promoted
Follow-Up Specialist

Follow-Up Specialist

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Follow-Up Specialist to ensure timely and effective follow-ups with insurance companies.Key Responsibilities : Follow up on unpaid claims with insurance carriers after s...Show more
Last updated: 2 days ago • Promoted
Risk Adjustment Quality Analyst

Risk Adjustment Quality Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst.Key Responsibilities Conduct medical records reviews and accurate diagnosis code abstraction following...Show more
Last updated: 30+ days ago • Promoted
Senior Quality Analyst

Senior Quality Analyst

VirtualVocations • Salt Lake City, Utah, United States
Full-time
Quality Analyst who will ensure products and services meet high-quality standards while collaborating with cross-functional teams. Key Responsibilities Drive quality strategy for assigned product ...Show more
Last updated: 30+ days ago • Promoted
Quality Assurance Compliance Analyst

Quality Assurance Compliance Analyst

VirtualVocations • Salt Lake City, Utah, United States
Full-time
A company is looking for a Quality Assurance & Compliance Analyst.Key Responsibilities Conduct audits of case files, billing, and service delivery for compliance with Medicaid waiver and DMAS reg...Show more
Last updated: 15 days ago • Promoted
Mortgage Quality Analyst

Mortgage Quality Analyst

VirtualVocations • Salt Lake City, Utah, United States
Full-time
A company is looking for a Mortgage Quality / Process Improvement Analyst.Key Responsibilities Conducts performance analysis to enhance risk mitigation processes Measures and monitors processes, p...Show more
Last updated: 30+ days ago • Promoted
Colorado Licensed Claims Team Lead

Colorado Licensed Claims Team Lead

VirtualVocations • Salt Lake City, Utah, United States
Full-time
A company is looking for a Claims Team Lead - Liability.Key Responsibilities Supervise multiple teams of examiners and technical staff for liability claims Provide technical direction and monito...Show more
Last updated: 4 days ago • Promoted
Healthcare Claims Manager

Healthcare Claims Manager

VirtualVocations • Salt Lake City, Utah, United States
Full-time
A company is looking for a Healthcare Claims Manager to lead the ingestion of healthcare claims data and ensure data integrity across systems. Key Responsibilities Serve as primary liaison with he...Show more
Last updated: 1 day ago • Promoted
Senior Claims Analyst

Senior Claims Analyst

VirtualVocations • Provo, Utah, United States
Full-time
A company is looking for a Senior Claims & Encounters Analyst.Key Responsibilities Support day-to-day operational tasks related to claims processing and Encounter Data submissions Oversee error ...Show more
Last updated: 30+ days ago • Promoted