Our direct end-client a large healthcare insurance provider is seeking to hire a Client Set Up Quality Analyst for a 3 months (possible contract-to-hire) role to work in Philadelphia, PA 19103 (need locals only, Must be onsite Tues-Thurs.). | W2 only.
Job Title: Client Set Up Quality Analyst - Auditing, quality review, transaction processing
Contract: 3 months (possible conversion to perm.)
Location: Philadelphia, PA 19103 (need locals only, Must be onsite Tues-Thurs.).
Pay rate: $22/HR W2- $27/HR W2 (negotiable)
Will be auditing medical plans so any candidates with that previous experience would be preferred!
Job Description:
Job Category: Office, Admin, Clerical, & Customer Service

Relevant experience required; Audit experience preferred. Auditing, quality review or transaction processing experience required.

Description:
Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate, and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you.
Job Summary

• Auditing Client Benefit Setup and Changes.
• Performs comprehensive group setup audits to identify processor accuracy and/or compliance issues to ensure quality setup for clients.
• Responsible for quality review of medical product/benefit accuracy, pharmacy, and other ancillary products.
• Oversee and review audit results from business vendor to ensure products are compliant with set up requirements and Client's contracted benefits.
• Identify new audit areas by trend analysis or audit samples.

Education

• Bachelor's Degree preferred. In lieu of degree, must have 3-4 years relevant experience.

Alternate Job Titles:
Client Benefit Quality Auditor
Client Setup Compliance Analyst
Client Implementation Quality Specialist
Health Plan Audit Specialist
Quality Assurance Analyst - Client Setup
Benefit Setup Quality Assurance Specialist
Healthcare Client Setup Auditor
Client Services Quality Analyst
Client Setup Verification Specialist
Insurance Client Setup Quality Analyst
Please apply with your interest. You may also reach out to me directly at abaranwal@alphambe.com
Thank you!
Ashu