Were Hiring: Quality Analyst (Healthcare Process)

- Location: Malad (Mumbai)
- Experience: Minimum 1 year as Quality Analyst (Healthcare process)
- Work Mode: 5 Days Working
- CTC: Up to 7.5 Lakhs

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 / Hospital Process (Mumbai)
🏢 Hiresquad
📍 Mumbai