Job Title - Quality Assurance Analyst
Contract Duration - 12+ Months
Remote or Onsite:
WI residency required. No relocation allowed. This position will be mostly remote. During the first six months of employment, the selected candidate will be required to work onsite every Wednesday to support onboarding, training, and integration with the team. After the initial six-month period, the position will require onsite attendance on the 1st and 3rd Wednesdays of the month, as well as for board meetings, onsite training or other required in-person meetings or business needs
Top Skills & Years of Experience:
Qualified applicants will have a minimum of three (3) years of professional experience in each of the following areas:
· Benefits administration, eligibility and enrollment operations, insurance operations, or a closely related field, including interpretation and application of statutes, administrative code, policies, procedures, and business rules.
· Data analysis, reconciliation, and validation across files, reports, and systems to identify discrepancies, inconsistencies, and trends, including use of Microsoft Excel for comparison and analysis.
· Research and resolution of eligibility, enrollment, billing, or vendor file discrepancies, including root cause identification, corrective action coordination, and documentation of findings and outcomes.
Serving as a liaison between internal staff, technical teams, vendors, and stakeholders to communicate issues, exchange information, and support resolution of complex eligibility and enrollment issues