Performance Quality Audit III
Core
Evaluates the quality and accuracy of transactions, communications, enrollment, billing, and claims processing to ensure prompt resolution of errors and systemic issues.
Role type
Senior IC performance quality auditor
Builds
Audit reports, feedback loops, and process improvements for enterprise service organizations
Domain
Healthcare administration and insurance claims processing
Deliverable
dashboards & analysis
Required skills
Transaction auditing, error identification, trend analysis, report generation, client facilitation, mentoring
Preferred skills
Insurance industry knowledge, medical terminology, complex system navigation, progressive skill acquisition
Technologies
Enterprise systems for enrollment, billing, and claims processing
Responsibilities
Evaluate quality of transactions and communications; document and report transaction errors; track and trend audit results; identify systemic quality issues; generate monthly audit reports; provide training and mentoring to quality staff
Seniority
Senior, hands-on IC
