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Client Setup Quality Assurance Specialist

2 months ago

Philadelphia, Pennsylvania, United States Volt Full time
Job Title: Client Setup Quality Analyst

Innova Solutions is seeking a highly skilled Client Setup Quality Analyst to join our team. As a Client Setup Quality Analyst, you will play a critical role in ensuring the quality and accuracy of client benefit setups and compliance with regulatory requirements.

Key Responsibilities:
  • Audit client benefit setups to ensure accuracy and compliance with regulatory requirements
  • Perform comprehensive group setup audits to identify processor accuracy and/or compliance issues
  • Review and analyze audit results from business vendors to ensure products are compliant with set up requirements and client contracted benefits
  • Oversee and review quality review of medical product/benefit accuracy, pharmacy, and other ancillary products
Requirements:
  • Bachelor's Degree preferred
  • Minimum 4 years relevant experience required; audit experience preferred
  • Considerable knowledge of audit processes and requirements, including organization and storage of documentation
  • In-depth knowledge of healthcare products, benefits, and systems
  • Ability to audit client documents to ensure benefits and products are set up correctly
  • Knowledge of systems, process flows, regulatory impacts, and timelines to ensure requirements and implementation are complying across operational disciplines
  • High level technical aptitude required - ability to use Microsoft Office and to learn proprietary and vendor systems
What We Offer:
  • Competitive pay range: $25.50-$26.50 per hour
  • Benefits package including medical, dental, vision, 401(k), HSA, FSA, life insurance, pet insurance, short-term and long-term disability, accident and critical illness coverage, pre-paid legal and ID theft protection, sick time, and other paid leaves
About Innova Solutions:

Innova Solutions is a global technology and business transformation solutions provider with a strong presence in North America, Asia, and Europe. We deliver strategic solutions to our clients, enabling them to operate as leaders in their fields.

We are an equal opportunity employer and prohibit any kind of unlawful discrimination and harassment. We are committed to providing a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where we operate.