Current jobs related to Performance Quality Analyst II - St Louis, Missouri - Elevance Health
-
GPO Analyst II
2 days ago
St Louis, Missouri, United States Affordable Dentures & Implants Full timeJOB PURPOSE:Reporting to the Senior Manager of GPO Analytics at Sevāredent Sourcing Solutions, the GPO Analyst II role is responsible for the ongoing analysis, transformation, and optimization of data as well as supporting Sourcing, Strategic Accounts, and Business Development initiatives to generate efficiencies and reduce costs for member dental...
-
Treasury Analyst II
1 week ago
St Louis, Missouri, United States Edward Jones Full timeWant a meaningful career where you can make a difference? Edward Jones sounds perfect for you. Collaboration. Autonomy. Opportunity. Words our headquarters associates use when talking about working at Edward Jones. Words that describe what it's like being part of a firm where everyone is aligned toward a singular focus: serving the client. And everyone is...
-
EHR Application II Analyst
23 hours ago
St Louis, Missouri, United States BJC HealthCare Full time*Additional Information About The Role*BJC is hiring for an EHR Application II Analyst. Beaker AP or CP is required. This role will be focused on molecular workflows within the labs. This is a remote position.*OverviewBJC HealthCare*is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in...
-
AML CIU Sanctions Analyst II
12 hours ago
St Louis, Missouri, United States Stifel Full timeWhy Stifel:Stifel strives for a culture that puts its clients and associates first: a culture where everyone belongs, everyone is welcome, and everyone contributes to the success of our clients, their careers, and the firm as a whole.Let's talk about how you can find your place here at Stifel, where success meets success.What You'll Be Doing:The Sanctions...
-
Quality Assurance Product Release Analyst
2 weeks ago
St Louis, Missouri, United States Cell Marque Corporation Full time $24 - $43Work Location: St. Louis, MissouriShift: NoDepartment: LS-SC-PMLQD Cell Marque Quality Recruiter: Guadalupe BarraganHiring Manager: Cheryl Prichard This information is for internals only. Please do not share outside of the organization.Your Role: The Quality Assurance Product Release Analyst plays a role in ensuring the timely release of...
-
Quality Assurance Product Release Analyst
23 hours ago
St Louis, Missouri, United States The businesses of Merck KGaA, Darmstadt, Germany Full time $24 - $43Work Your Magic with us Start your next chapter and join MilliporeSigma.Ready to explore, break barriers, and discover more? We know you've got big plans – so do we Our colleagues across the globe love innovating with science and technology to enrich people's lives with our solutions in Healthcare, Life Science, and Electronics. Together, we dream big and...
-
IT Specialist II Test Analyst
1 week ago
St Louis, Missouri, United States Metropolitan St Louis Sewer District Full timeDESCRIPTION:Essential Functions:•Develop and execute test plans and test cases using white-box, black-box, and exploratory testing methods.•Perform functional, regression, integration, and usability testing across various platforms and environments.•Facilitate user acceptance testing (UAT), track defects, and verify fixes through...
-
Quality Tech II
4 days ago
St Louis, Missouri, United States Endo Full timeWhy Us?We want the best and brightest people to help us achieve our mission to develop and deliver life-enhancing products through focused execution. Our nearly 3,000 global team members understand the important role we play in delivering healthcare and are dedicated to supporting each other as we work to bring the best treatments forward. Our shared values...
-
Financial Quantitative Analyst
2 weeks ago
St Louis, Missouri, United States Roeslein & Associates Full timeAccounting & FinanceSt. Louis, MOID: Full-Time/RegularEmployer: Roeslein & Associates, Inc.Position Title: Financial Quantitative AnalystLocation of Employment: 9200 Watson Rd., Ste. 200, St. Louis, MO 63126Position Duties SummaryDevelop, implement, and maintain financial models to support budgets, cost control initiatives, and production planning.Analyze...
-
Quality Shopfloor Analyst
2 weeks ago
St Louis, Missouri, United States Haleon Full timeWelcome to Haleon. We're a purpose-driven, world-class consumer company putting everyday health in the hands of millions. In just three years since our launch, we've grown, evolved and are now entering an exciting new chapter – one filled with bold ambitions and enormous opportunity.Our trusted portfolio of brands – including Sensodyne, Panadol, Advil,...
Performance Quality Analyst II
2 weeks ago
Anticipated End Date: Position Title:Performance Quality Analyst IIJob Description:Performance Quality Analyst IILocation: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The Performance Quality Analyst II is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries.How you will make an impact: Assists higher level auditor/lead on field work as assigned and acts as auditor in charge on small and less complex audits.Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.Demonstrates ability to audit multiple lines of business, multiple functions, and multiple systems.Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those risks.Works closely with the business to provide consultation and advice to management related to policy and procedure identified as out of date or incomplete and investigates, develops and recommends process improvements and solutions.Functions as a subject matter expert for discrepancy review, questions from team and business partners, and interpretation of guidelines and audit process.Acts as a mentor to peer auditors, providing training and managing work and projects as necessary.Minimum Requirements:Requires a BS/BA; a minimum of 3 years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Capabilities and Experiences:WGS Commercial Claims processing experience strongly preferred.Experience/knowledge with local claim processing.Understanding of individual member benefits and cost shares preferred.Understanding of small, large and national group benefits and cost shares preferred.Understanding of provider contract language.Job Level:Non-Management ExemptWorkshift:1st Shift (United States of America)Job Family:QLT > AnalysisPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
