California Quality Assurance Analyst

Supporting quality and compliance activities across healthcare operations for the Medi-Cal account, the remote Quality Assurance Compliance Analyst will conduct audits, analyze claims data, and collaborate with various teams to enhance operational accuracy and compliance. Key responsibilities Conduct quality reviews and audits of healthcare claims and operational processes for compliance and accuracy Analyze claims data to identify trends, anomalies, and opportunities for improvement Document audit findings and communicate results to operational and non-technical stakeholders Required qualifications High school diploma or GED required; bachelor's degree or equivalent professional experience preferred Three or more years of experience in quality assurance, compliance, or healthcare operations Experience with healthcare claims adjudication, validation, and related operational processes Knowledge of Medicaid or Medi-Cal operations and regulatory requirements preferred Experience analyzing data and supporting process improvement initiatives Virtual Vocations Inc