Offer summary
Qualifications:
7-10 years of Quality Assurance experience, Experience in CMS and commercial claims, Knowledge of healthcare claims regulations, Proficient in claims auditing platforms, Strong analytical and problem-solving skills.Key responsabilities:
- Lead Claims Quality Assurance team
- Implement quality and compliance reviews
- Collaborate on claims best practices documentation
- Develop metrics for continuous improvement
- Establish key relationships with stakeholders