Quality Analyst - Grievance Appeals

A company is looking for a Grievance and Appeals Quality Analyst, fully remote.

Key Responsibilities

Prepares and participates in external and internal audits

Analyzes quality and completeness of complaints and appeals documentation for compliance

Compiles reports on quality metrics to improve service delivery and customer satisfaction

Required Qualifications

1+ years of Compliance experience

1+ years of External Audit Experience

1+ years of Grievance and Appeals Experience

1+ year of Medicare and / or Medicaid experience

High School Diploma or GED