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Job Information
Elevance Health Performance Quality Analyst I in Austin, Texas
The Performance Quality Analyst I is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to Sales Compensation and Licensing & Credentialing of Broker/Agents, as well as customer service written and verbal inquiries.
How you will make an Impact:
Assists higher level auditor/lead on field work as assigned, including performing special audits and targeted audits as requested by internal management.
Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those risks.
Documents audit results, documents findings, and suggests appropriate remediation.
Minimum Requirements:
- Requires a BS/BA; 2+ years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Knowledge, and Experience:
- Bilingual in Spanish preferred
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