CGS Administrators, LLC · 5 hours ago
Senior Quality Assurance Analyst
Nashville, TN
Full-time
Remote
Mid, Senior Level
2+ years exp
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Responsibilities
Conduct focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are followed
Document analysis findings and prepare recommendations for implementing new systems, procedures, or organizational changes to reduce errors
Identify weaknesses and communicate recommendations on changes and improvements to training materials
Provide feedback to management on errors detected, ensure errors are resolved, and provide long-range solutions to causes
Develop and implement a quality control and improvement program based on targets identified through the quality reviews
Monitor and evaluate the implementation of corrective action plans
Compile data, provide feedback, and generate reports on quality performance for operations and/or training areas
Train new employees and remain current with all guideline changes, work instructions, etc. Writes or assists in writing desk procedures and training materials for departments
Assist with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, and statistical reports, assisting co-workers, etc.
Qualification
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Required
High School Diploma OR equivalent
One (1) year of related claims processing, customer service, auditing, training, analysis, or operations experience
Two (2) years of experience performing quality audits.
Microsoft Office
Strong analytical, presentation, customer service, persuasion, and organization skills
Strong business math proficiency
Able to document problems and assist in their resolution
Able to document processes and identify areas for improvement
Strong written and verbal communication skills
Preferred
1-2 years auditing, claims processing, or customer service experience
Benefits
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave – the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Tuition assistance
Service recognition
Incentive Plan
Merit Plan
Continuing education funds for additional certifications and certification renewal
Company
CGS Administrators, LLC
CGS Administrators is a government administration company offering health care administrative and claim processing services.
501-1000 employees
H1B Sponsorship
CGS Administrators, LLC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (6)
2021 (1)
Funding
Current Stage
Late StageLeadership Team
Meredith Loveless, MD, FACOG
Chief Medical Officer A/B MAC Jurisdiction 15
Neil Sandler, MD
Chief Medical Officer
Company data provided by crunchbase
