Claims Quality Assurance Analyst

3 months ago

Elkridge, United States Conduent Full time

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

As the Claims Quality Assurance Analyst , you will be responsible for monitoring and auditing access to all internal systems, conducting various audits related to claims, systems, business, and project requirement rules.

Responsibilities:

  • Monitoring and auditing access to all internal systems.

  • Conducting audits related to claims, system business, and project requirement rules.

  • Monitoring projects for defects or potential errors.

  • Managing RCA and CAP for the project during audits.

  • Ensuring that documented policies, procedures, and workflows are maintained.

  • Utilizing experience with data warehouse to enhance data quality and analysis.

  • Performing outreach and education sessions for Maryland Medicaid Providers.

Qualifications:

  • Possess bachelor’s degree in information technology, Computer Science, or a related field.

  • Have a minimum of 3 years of experience in IT Quality Assurance or a related role.

  • Show strong knowledge of Change and Release Management processes.

  • Possess experience with data warehouse and its applications.

  • Demonstrate proficiency with MS Office Suite.

  • Have excellent analytical and problem-solving skills.

  • Exhibit strong communication and interpersonal skills.

  • Show experience with PBM (Pharmacy Benefit Management), Medicaid, and Medicare desired.

  • Able to travel and attend in-person state meetings as required.

Flexible Working

At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.

In this role, you can expect the following working conditions:

Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.

Working For You

Perks and rewards designed for you:

  • Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.

  • Retirement Savings: We will support you as you save for your future.

  • Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.

  • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.

  • Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.

  • Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.

  • Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.

Join Us

At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can:

  • Bring your authentic self to work

  • Grow and thrive, both personally and professionally

  • Make a difference with our clients, in our communities, and with the millions of people we support

When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 60,000 associates across 24 countries, we will provide you with the opportunity to grow with a team of people who will challenge and inspire you to be the best

Pay Transparency Laws in some locations require disclosure of compensation-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time. The approximate compensation for this position is $70-85k per year .

  • Claims Quality Assurance Specialist

    1 month ago

    Elkridge, Maryland, United States Conduent Full time

    Claims Quality Assurance AnalystConduent is seeking a highly skilled Claims Quality Assurance Analyst to join our team. As a Claims Quality Assurance Analyst, you will play a critical role in ensuring the accuracy and quality of claims processing.Responsibilities:Monitor and audit access to all internal systems to ensure compliance with company policies and...

  • Quality Assurance Specialist

    2 weeks ago

    Elkridge, Maryland, United States Piper Companies Full time

    Piper Companies is seeking an experienced Quality Assurance Specialist to join their team in Baltimore, MD. This hybrid role will involve conducting internal and external vendor audits, initiating new SOPs, and tracking quality records.Responsibilities for the Quality Assurance Specialist include:Executing and following up on internal and external vendor...

  • Quality Assurance Specialist

    4 weeks ago

    Elkridge, Maryland, United States Piper Companies Full time

    Piper Companies is seeking an experienced Quality Assurance Auditor to join their team in Baltimore, MD. This hybrid role will involve conducting internal and external vendor audits, initiating new SOPs, and tracking quality records.Key Responsibilities:Prepare and execute audits of internal and external vendors and suppliersDevelop and implement new SOPs as...

  • Quality Assurance Specialist

    3 weeks ago

    Elkridge, Maryland, United States Piper Companies Full time

    Job Title: Quality Assurance SpecialistPiper Companies is seeking a highly skilled Quality Assurance Specialist to join our team in Elkridge, MD. This is a 100% on-site role that requires a strong background in quality assurance and regulatory compliance.Responsibilities:Conduct internal and external audits of vendors and suppliers to ensure compliance with...

  • Quality Assurance Specialist

    4 days ago

    Elkridge, Maryland, United States Piper Companies Full time

    Piper Companies is seeking a skilled Quality Assurance Specialist to join their team. The ideal candidate will have a strong background in pharmaceutical quality control and assurance. Key responsibilities include:• Conducting internal and external vendor audits to ensure compliance with established procedures and regulations.• Initiating and revising...

  • Quality Assurance Specialist

    1 week ago

    Elkridge, Maryland, United States Piper Companies Full time

    Job Summary:Piper Companies is seeking a highly skilled Quality Assurance Specialist to join their team in Elkridge, MD. As a Quality Assurance Specialist, you will be responsible for ensuring the quality of our products by conducting audits, reviewing batch records, and implementing quality control measures.Responsibilities:Conduct internal and external...

  • Quality Assurance Specialist

    4 weeks ago

    Elkridge, Maryland, United States Piper Companies Full time

    Job Title: Quality Auditor IIPiper Companies is seeking a highly skilled Quality Auditor II to join our team in Elkridge, MD. This is a 100% on-site role that requires a strong background in quality assurance and regulatory compliance.Responsibilities:Conduct internal and external vendor audits to ensure compliance with established procedures and...

  • Senior Quality Assurance Specialist

    4 days ago

    Elkridge, Maryland, United States Sia Partners Full time

    Job OverviewSia Partners is seeking a highly skilled Quality Assurance Specialist to join our team on a contract basis. As a key member of our Quality Assurance team, you will be responsible for ensuring the compliance and efficiency of computerized systems within our new facility at West Point, PA.This is a temporary position with an expected duration of 12...

  • Senior Quality Assurance Specialist

    1 week ago

    Elkridge, Maryland, United States Sia Partners Full time

    Job DescriptionSia Partners is a next-generation management consulting firm offering a unique blend of AI and design capabilities. We optimize client projects worldwide through our Consulting for Good approach, developing innovative CSR solutions for profitable transformation.Key ResponsibilitiesEnsure compliance and efficiency of computerized systems within...

  • Computer Systems Analyst

    1 week ago

    Elkridge, Maryland, United States General Dynamics Full time

    Job Title: Computer Systems AnalystJob Summary:We are seeking a skilled Computer Systems Analyst to join our team at General Dynamics Information Technology. As a Computer Systems Analyst, you will be responsible for monitoring and controlling electronic computer and peripheral electronic data processing equipment to process business, scientific,...

  • Computer Systems Analyst

    1 month ago

    Elkridge, Maryland, United States General Dynamics Information Technology Full time

    Job Title: Computer Operator/AnalystTransform technology into opportunity as a Computer Operator/Analyst with GDIT. A career in enterprise IT means connecting and enhancing the systems that matter most.At GDIT, people are our differentiator. As a Computer Operator/Analyst, you will help ensure today is safe and tomorrow is smarter.Key Responsibilities:Apply...

  • Computer Systems Analyst

    2 weeks ago

    Elkridge, Maryland, United States General Dynamics Full time

    Job Title: Computer Operator/AnalystJoin General Dynamics Information Technology (GDIT) as a Computer Operator/Analyst and play a critical role in ensuring the safety and security of our nation's most sensitive systems.About the Role:We are seeking a highly skilled and motivated individual to join our team as a Computer Operator/Analyst. In this role, you...

  • Computer Systems Analyst

    4 days ago

    Elkridge, Maryland, United States General Dynamics Full time

    Job Title: Computer Operator/AnalystJob Summary:General Dynamics Information Technology (GDIT) is seeking a skilled Computer Operator/Analyst to join our team. As a Computer Operator/Analyst, you will play a critical role in ensuring the smooth operation of our enterprise IT systems. Your primary responsibility will be to monitor and control electronic...

  • Computer Systems Analyst

    3 weeks ago

    Elkridge, Maryland, United States General Dynamics Information Technology Full time

    Job Title: Computer Operator/AnalystAt General Dynamics Information Technology, we're seeking a skilled Computer Operator/Analyst to join our team. As a key member of our enterprise IT team, you'll play a critical role in ensuring the smooth operation of our systems and infrastructure.Key Responsibilities:Monitor and control electronic computer and...

  • Computer Systems Analyst

    5 days ago

    Elkridge, Maryland, United States General Dynamics Information Technology Full time

    Job Summary:General Dynamics Information Technology is seeking a skilled Computer Operator/Analyst to join our team. As a Computer Operator/Analyst, you will play a critical role in ensuring the smooth operation of our enterprise IT systems.Key Responsibilities:Monitor and control electronic computer and peripheral electronic data processing equipment to...

  • Computer Systems Analyst

    1 month ago

    Elkridge, Maryland, United States General Dynamics Information Technology Full time

    Job Summary:General Dynamics Information Technology (GDIT) is seeking a skilled Computer Operator/Analyst to join our team. As a Computer Operator/Analyst, you will play a critical role in ensuring the smooth operation of our enterprise IT systems.Key Responsibilities:Monitor and control electronic computer and peripheral electronic data processing equipment...

  • Mission Assurance Engineer

    2 weeks ago

    Elkridge, Maryland, United States Northrop Grumman Full time

    Job SummaryWe are seeking a highly skilled Mission Assurance Engineer to join our team at Northrop Grumman Mission Systems. As a key member of our Land and Maritime Sensors Business Unit, you will be responsible for ensuring the quality, reliability, and safety of our programs and products.Key ResponsibilitiesPerform or assure quality, risk management,...

  • Mission Assurance Engineer

    2 weeks ago

    Elkridge, Maryland, United States Northrop Grumman Full time

    Job Title: Sr. Principal Mission Assurance EngineerAt Northrop Grumman, we're committed to delivering innovative solutions that make a difference in the world. As a Sr. Principal Mission Assurance Engineer, you'll play a critical role in ensuring the quality, safety, and reliability of our programs.Responsibilities:Lead the development and implementation of...

  • Computer Systems Analyst

    2 weeks ago

    Elkridge, Maryland, United States General Dynamics Information Technology Full time

    Job Title: Computer Operator/AnalystTransform technology into opportunity as a Computer Operator/Analyst with GDIT. A career in enterprise IT means connecting and enhancing the systems that matter most. At GDIT, you'll be at the forefront of innovation and play a meaningful part in improving how agencies operate.Key Responsibilities:Apply fundamental...

  • Mission Assurance Engineer

    2 weeks ago

    Elkridge, Maryland, United States NORTHROP GRUMMAN Full time

    Unlock Your Potential at Northrop GrummanAs a Sr. Principal Engineer Mission Assurance, you will play a critical role in ensuring the quality, safety, and reliability of our cutting-edge systems. Our team is dedicated to delivering innovative solutions that make a real impact on the world.About the RoleWe are seeking a highly skilled and experienced engineer...