What are the responsibilities and job description for the Senior Quality (Operations) Analyst position at Quartz?
Overview
Quartz is seeking a highly motivated, problem solver to join our Provider Quality Audit (QA) and Claims QA team as a Senior Quality Analyst. This position will be primarily responsible for auditing Quartz's provider network maintenance updates against business operating rules, as well as Quartz's claims operations. In addition, this role will be responsible for developing complex audit plans that ensure that business requirements have been met, and thoroughly understanding business unit activities, goals and critical success factors that influence systems applications, financial statements, and regulatory compliance. This role will also design complex audit procedures of applications and resolving system problems, utilizing business knowledge and instructions.
Benefits:
Starting salary based upon skills and experience: $65,300 - $81,700 plus robust benefits package
Responsibilities
- Perform audit so that errors or process issues not identified by the departments audited are identified during quality audits.
- Ensure all findings impacting external customers are identified and corrected to improve customer experience. Document findings accurately to support all audit observations to withstand critical scrutiny.
- Complete root cause analysis by reviewing findings and formulate recommendations to mitigate future risk of trends.
- Establish complex audit plans to effectively identify and mitigate compliance, operational and reputational risk.
- Lead meetings to discuss audit findings, trends, and process improvements.
Qualifications
- Bachelor's degree in Business, Accounting, Health Care Administration, Medical Informatics, or Information Technology or an equivalent field of study with 4 years of experience of analyst experience or relevant experience
- OR Associate degree with 7 years of analyst experience or relevant experience
- OR High school equivalency with 10 years of analyst experience or relevant experience
- Advanced ability to use personal computer and understand complex programs (MS Excel, MS Access, SQL, Query Ability).
- Fluent with data querying tools such as Business Objects and modeling tools such as MS Visio.
- Meticulous, responsible, helpful, conscientious, prompt, and creative in analytical approach.
- Strong communication skills – must be able to translate auditing steps, key findings, and recommendations to management in a narrative report and verbal discussion as well as interact with individuals at all levels within the organization.
Quartz offers an excellent benefit and compensation package, opportunity for career advancement and a professional culture built upon the foundations of Respect, Responsibility, Relationships, and Resourcefulness. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.
Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
