Job Information
Job Order ID :
WI3824355
# of Positions :
1
Minimum Education Level :
High School Diploma/GED
Experience Required :
Training :
High School Diploma/GED Equivalent
Duration :
Shift :
Unspecified
Hours per week:
40
Job Description
JOB REQUIREMENTS: Senior Quality (Operations) Analyst Job Locations
US-WI-Madison ID 2025-2227 Category Audit - (Internal), Enterprise Risk
Management, & Quality Audit Type Regular Full-Time Overview Quartz is
seeking a highly motivated, problem solver to join our Provider QA and
Claims QA team as a Senior Quality (Operations) 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. The Sr.
Quality (Operations) Analyst will utilize the following skills on a
regular basis: Advanced logic and problem skills to design complex audit
procedures within provider network Advanced MS Excel and query
experience using SQL and Business Objects Time management skills
Benefits: Collaborative work environment with leader that promotes team
collaboration and learning 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 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 Analyst experience can be defined as
audit, configuration, and/or business operations analyst experience
Healthcare insurance experience is preferred Advanced ability to use
personal computer and understand complex programs (MS Excel, MS Access,
SQL, Query Ability). Fluent with data querying tools such as\... For
full info follow application link. Equal Opportunity Employer of
Minorities, Females, Protected Veterans, and Individual with
Disabilities \*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/02D537C0EB0E4EFC
Company Information
Name :
QUARTZ HEALTH SOLUTIONS INC
Application Information