
Quality Analyst
3 days ago
Job Title: Specialist – Quality (US Healthcare Claims)
Experience: 3.5+ years in US Healthcare Claims Adjudication
Qualification: Any Graduate
Interview - Walkin drive on
Job Description:
We are hiring a Quality Specialist with expertise in US Healthcare claims adjudication. The role involves conducting audits, ensuring compliance, identifying errors, and driving process improvements using quality tools and methodologies.
Key Responsibilities:
- Perform quality audits for healthcare claims processing.
- Ensure compliance with client and regulatory requirements (HIPAA, CMS).
- Apply 7 QC tools, RCA, CAPA, and Six Sigma for error reduction.
- Prepare reports and share feedback with operations teams.
- Support process improvement initiatives to enhance accuracy and efficiency.
Mandatory Skills:
- US Healthcare claims adjudication knowledge.
- Quality audit and compliance expertise.
- Strong analytical and problem-solving skills.
- Good communication and documentation abilities.
Location: [Indore]
Shift: [Rotational Shift]
If interested candidates Apply At - -
Thanks & Regards,
Ashika
Executive-Tag
Job Type: Full-time
Work Location: In person
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