Claims Quality Analyst

A company is looking for an Analyst, Claims Quality. Key Responsibilities Audit claim data for Medicare Part D, Medicaid, and Exchange lines of business to validate their accuracy Assist with post-implementation monitoring to ensure adjudication-related fixes/enhancements are functioning as expected Collaborate with Technical Operations Business Analysts and Product Managers to manage process changes, including defining requirements and executing test plans Required Qualifications Bachelor/Associate Degree in a business-related field or equivalent combined education and experience preferred 1 - 3 years of related work experience, preferably in pharmaceutical claims adjudication systems or health plan organizations Participation in and support for compliance program objectives Ability to interact cooperatively and respectfully with other employees