What are the responsibilities and job description for the Healthcare Quality Assurance Analyst - Long Term Contract - Hybrid position at Experienced Recruiting Partners?
Long Term Contract
Length: Currently until 12/2029
Location: Albany – Hybrid – Onsite as needed - Typically onsite 1-2 times per month
Travel: None
Responsibilities:
- Provide quality assurance testing and analytical support to evaluate hospital data and healthcare claims from multiple payers, including Medicare, Medicaid, and commercial plans.
- Working closely with a SQL-proficient team, help ensure data completeness and verify that business and program rules are met according to vendor-provided technical documentation.
- Work independently while contributing to solutions as part of a quality assurance and strategic advisory team.
- Complete assigned duties on time and proactively manage expectations with the team leader when timelines or deliverables are at risk.
Requirements:
- Bachelor's Degree in a technical, scientific, or related field.
- 6 years of relevant experience.
- Relevant healthcare industry experience required
- Candidates must be highly proficient in SQL, understand relational database principles, and have experience analyzing large data sets, preferably in healthcare.
- Proficiency with Microsoft Office is required.
- A graduate degree in health informatics, public health, statistics, computer science, or a related field may also qualify as relevant experience.
- An equivalent combination of advanced education, training, and experience will be considered.
Preferred Qualifications:
- Experience with claims data across multiple Lines of Business (LOB), Extract, Transform, and Load (ETL) processes, Master Data Management (MDM) concepts, ANSI EDI X12 healthcare transaction sets, and/or NCPDP transaction sets is preferred.
- Strong documentation, critical thinking, problem-solving, and analytical skills.
- The ability to build effective relationships with team members and stakeholders.
- Ability to build effective relationships with colleagues and clients through collaboration and a customer-focused approach.
Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.