Provider Enrollment Internal Quality Analyst

The Provider Enrollment Internal Quality Analyst will export and import data for applicable quality auditing databases and conduct quality assurance audits as assigned within the specified due dates in order to improve daily processing of applications and/or file maintenance transactions. Responsibilities Conduct targeted audit reviews as assigned within the specified due dates Conduct specialized audit reviews as assigned within the specified due dates Review and respond to quality audit disputes within the specified due dates and elevate to leadership as necessary Respond to escalation requests as assigned within the specified due dates Ensure data and information are sufficiently accurate and reliable Perform trending and root cause analysis on quality assurance data to identify training or enhancement needs Interact professionally with leadership and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and/or file maintenance transactions for the client’s Health Care programs Make recommendations to management to improve efficiency and effectiveness of current manual processes through systemic modifications Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements Perform other duties as assigned by leadership Basic Qualifications A minimum of 6 months combined experience working in Provider Enrollment and Internal Quality Assurance Preferred Qualifications Experience using Microsoft Office Suite in a professional setting Experience using healthcare terminology Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We anticipate this job posting will be posted until 07/17/2026. Salary Ranges by Location California $70,350 to $103,100 Cleveland $44,500 to $82,500 Colorado $57,800 to $89,100 District of Columbia $51,200 to $94,900 Illinois $44,500 to $89,100 Maine $45,350 to $75,900 Maryland $48,100 to $89,100 Massachusetts $48,100 to $94,900 Minnesota $48,100 to $89,100 New York $66,300 to $103,100 New Jersey $51,200 to $103,100 Virginia $44,500 to $94,900 Washington $80,200 to $94,900 Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. Requesting an Accommodation Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired. Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities. For details, view a copy of the Accenture Equal Opportunity and Affineative Action Policy Statement. Accenture is an EEO and Affineative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities. Accenture is committed to providing veteran employment opportunities to our servicemen and women. Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration. Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment. The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. California requires additional notifications for applicants and employees. 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