Provider Enrollment Internal Quality Analyst

The Provider Enrollment Internal Quality Analyst will export and import data for applicable quality auditing databases and conduct quality assurance audits as assigned within the specified due dates in order to improve daily processing of applications and/or file maintenance transactions.


Responsibilities include:


Conduct targeted audit reviews as assigned within the specified due dates

Conduct specialized audit reviews as assigned within the specified due dates

Review and respond to quality audit disputes within the specified due dates and escalate to leadership as necessary

Respond to escalation requests as assigned within the specified due dates

Ensure data and information are sufficiently accurate and reliable

Perform trending and root cause analysis on quality assurance data to identify training or enhancement needs

Interact professionally with leadership and ancillary staff to provide appropriate ...