QA Analyst

Job Description

QA Analyst

Lead I – BPM

Who We Are

UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States. **

You Are**

The QA Analyst is responsible for assisting in organizing and facilitating strategic program creation and implementation. This role assists in researching and compiling appropriate and relevant data and feedback for risk activities. **

The Opportunity**

• Assists in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues
• Maintains comprehensive knowledge of business, products, programs (including Utilization and Case Management,) corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
• Assists in monitoring initiatives, outcomes, and objectives to ensure goal attainment within defined parameters
• Assists in the development of lines of communication to discuss/review results of analysis to management via reports/presentations and assists management in implementing programs that provide solutions
• Assists leadership by investigating, reviewing, and recommending innovative solutions that identify problems/root causes of issues
• Assists in identifying resolution of challenges and issues to fulfill key corporate objectives responds to the demands of change management and initiates actions needed to plan, organize, and control team activities
• Assists in the development of plans, reports, papers, and/or other material creation as needed
• Assists with research and correction of authorization rejects
• Attends and participates in a variety of meetings and committees to provide perspective for a business analysis perspective
• Research and evaluate data from different sources to identify discrepancies and patterns
• Assists with UAT and other implementation tasks as needed
• Performing technical tasks such as creating business requirements documents and user training manuals and guides.
• Verifies accuracy, consistency, and integrity of data; consults with the operations teams to validate the content of reports and documents.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. **

What You Need**

• Bachelor’s degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field.
• A relevant combination of education and experience may be considered in lieu of a degree.
• Continuous learning, as defined by the Company’s learning philosophy, is required.
• Three years of experience in a related field, typically in at least two of the following areas is preferred: financial analysis, planning, healthcare economics, healthcare policy, statistical modeling, business decisions, analysis, or business management.
• Experience in healthcare is required, experience in Jira, Jiva, IKA, and/or Symphony is strongly preferred.
• Strong analytical, planning, problem-solving, verbal, and written skills to communicate complex ideas.
• Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
• Ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels.
• Flexibility and ease with changing tasks and priorities
• Detail oriented

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by local law, UST provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York, or Washington as set forth below. **

Role Location: Remote

Compensation Range:** $42,000-$64,000

Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits. **

What We Believe**

We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do. **

Humility**

We will listen, learn, be empathetic and help selflessly in our interactions with everyone. **

Humanity**

Through business, we will better the lives of those less fortunate than ourselves. **

Integrity**

We honor our commitments and act with responsibility in all our relationships. **

Equal Employment Opportunity Statement**

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

#USTHealthproof

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