Oregon 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 regarding Medicare Secondary Payer reporting and relevant 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 experience
• 5 or more years of experience in handling healthcare professional liability and/or civil tort claims
• Experience in reporting third-party liability settlements to regulatory agencies
• Experience in claims data analytics and project management
• Experience in developing policies and procedures related to claims management