Analyst

• Assist higher-level auditors/leads with assigned field work, including special and targeted audits
• Participate in pre- and post-implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment and billing transactions, and corrective action plans
• Analyze and interpret data
• Make recommendations for change based on judgment and experience
• Apply audit policy and assess risks to minimize exposure and mitigate risks
• Document audit results and findings
• Suggest appropriate remediation
• Evaluate the quality of services and interactions provided by enterprise organizations across enrollment, billing, claims processing, and customer service inquiries

Explore Performance Quality Analyst I at Elevance Health. Review requirements and application details.