Montana Licensed Senior Quality Analyst

Job Summary

A company is looking for a Senior Quality Analyst, Claims to manage a quality assurance program for liability claims.

Key Responsibilities

• Ensure compliance with laws and regulations related to liability claims handling
• Develop training and provide technical support for caregivers on Medicare Secondary Payer reporting and related regulations
• Conduct internal audits of claims files and provide quality assurance recommendations based on data analysis

Required Qualifications

• Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance, or a related discipline, or equivalent education and work experience
• 5 or more years of experience handling healthcare professional liability and/or civil tort claims
• Experience reporting third-party liability settlements to CMS and regulatory agencies
• Experience reviewing claims files for quality assurance purposes
• Experience in project management and developing policies and procedures