Were Hiring: Quality Analyst (Healthcare Process)
- Location: Gurgaon
- Experience: Minimum 1 year as Quality Analyst (Healthcare process)
- Work Mode: 5 Days Working
- CTC: Up to 5.5 Lakhs
- Process: International Process
Key Responsibilities:
- Audit prior authorization cases for accuracy, completeness, and adherence to payer guidelines.
- Review clinical documentation and decision rationale for compliance.
- Identify quality gaps and provide transparent, constructive feedback to associates.
- Maintain QA logs, scorecards, and trend reports.
- Participate in calibration sessions to ensure scoring consistency.
- Recommend process improvements to reduce errors and improve turnaround time.
- Support training needs based on audit insights.
Required Skills:
Strong understanding of prior authorization workflows and payer policies.
- Good knowledge of medical terminology and documentation review.
- High attention to detail and analytical skills.
- Effective communication and feedback delivery
Apply Now
Call: (phone hidden) Email:
[email protected]
📌 Quality Analyst - healthcare process (Haryana)
🏢 Hiresquad
📍 Haryana