Quality Analyst

March 30

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Logo of Highmark Health

Highmark Health

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

health care

10,000+ employees

Founded 1852

βš•οΈ Healthcare Insurance

🀝 Non-profit

🌍 Social Impact

πŸ’° $5M Grant on 2021-05

πŸ“‹ Description

β€’ Compile and analyze data related to complex adjusted claims. β€’ Conduct reviews of organizational activities related to fraud/abuse. β€’ Ensure compliance with adjustment processes based on SOX and regulatory guidelines. β€’ Identify vulnerabilities and generate reports for analysis/sampling. β€’ Train staff on processes and recommend process changes.

🎯 Requirements

β€’ High School Diploma/GED β€’ 3-5 years of relevant, progressive experience in the area of specialization. β€’ Experience in claims and/or inquiry processing or equivalent experience in quality β€’ Experience with Microsoft Office Products β€’ Preferred Bachelor’s Degree

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March 30

The Compensation Analyst supports compensation practices and policies at MasterBrand for informed business decisions.

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