Healthcare Quality Assurance Analyst - Long Term Contract - Hybrid

Job Description

Job Description

Long Term Contract

Length: Currently until 12/2029

Location: Albany – Hybrid – Onsite as needed - Typically onsite 1-2 times per month

Travel : None

Responsibilities:

• Provide quality assurance testing and analytical support to evaluate hospital data and healthcare claims from multiple payers, including Medicare, Medicaid, and commercial plans.
• Working closely with a SQL-proficient team, help ensure data completeness and verify that business and program rules are met according to vendor-provided technical documentation.
• Work independently while contributing to solutions as part of a quality assurance and strategic advisory team.
• Complete assigned duties on time and proactively manage expectations with the team leader when timelines or deliverables are at risk.

Requirements:

• Bachelor's Degree in a technical, scientific, or related field.
• 6 years of relevant experience.
• Relevant healthcare industry experience required
• Candidates must be highly proficient in SQL, understand relational database principles, and have experience analyzing large data sets, preferably in healthcare.
• Proficiency with Microsoft Office is required.
• A graduate degree in health informatics, public health, statistics, computer science, or a related field may also qualify as relevant experience.
• An equivalent combination of advanced education, training, and experience will be considered.

Preferred Qualifications:

• Experience with claims data across multiple Lines of Business (LOB), Extract, Transform, and Load (ETL) processes, Master Data Management (MDM) concepts, ANSI EDI X12 healthcare transaction sets, and/or NCPDP transaction sets is preferred.
• Strong documentation, critical thinking, problem-solving, and analytical skills.
• The ability to build effective relationships with team members and stakeholders.
• Ability to build effective relationships with colleagues and clients through collaboration and a customer-focused approach.

Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.