Client Setup Quality Analyst

Innova Solutions
US - Pennsylvania - Philadelphia
December 25, 2024

Innova Solutions is immediately hiring for a Client Setup Quality Analyst.

Position type:
Full time - Contract

Duration:
3+ Months

Location:
Philadelphia, PA

As a Client Set Up Quality Analyst, you will:

Be auditing Client Benefit Setup and Changes
Be performing comprehensive group setup audits to identify processor accuracy and/or compliance issues to ensure quality setup for clients
Be responsible for quality review of medical product/benefit accuracy, pharmacy, and other ancillary products.
Oversee and review audit results from business vendor to ensure products are compliant with set up requirements and Clients contracted benefits.
Identify new audit areas by trend analysis or audit samples.

The ideal candidate will have:

Bachelors Degree preferred. In lieu of degree, must have 3-4 years relevant experience.
Minimum 4 years relevant experience required; Audit experience preferred. Auditing, quality review or transaction processing experience required.
Considerable knowledge of audit processes and requirements, including organization and storage of documentation.
In-depth knowledge of healthcare products, benefits, and systems.
Ability to audit client documents to ensure benefits and products are set up correctly.
Knowledge of systems, process flows, regulatory impacts, and timelines to ensure requirements and implementation are complying across operational disciplines.
High level technical aptitude required - ability to use Microsoft Office and to learn proprietary and vendor systems. Demonstrated experience with Microsoft products (Word, Excel and Power Point.)

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.

Thank you!

Garv Bhalla

Lead - Recruitment

***

PAY RANGE AND BENEFITS:

Pay Range
• :
$25.50- $26.50 per hour

• Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits:
Innova Solutions offers benefits( based on eligibility) that include the following:
Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS:
Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

One of Largest IT Consulting Staffing firms in the USA Recognized as #4 by Staffing Industry Analysts (SIA 2022)
ClearlyRated Client Diamond Award Winner (2020)
One of the Largest Certified MBE Companies in the NMSDC Network (2022)
Advanced Tier Services partner with AWS and Gold with MS

Website:
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Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at *** or ***. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. 1324b.

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Read the full job description and apply online on the recuiter's web-site

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