Quality Assurance Specialist

Post Date

Aug 27, 2024

Location

Saint Paul,
Minnesota

ZIP/Postal Code

55121
US
Nov 18, 2024 Insight Global

Job Type

Contract,Perm Possible

Category

Claims/Denials

Req #

MSP-729738

Pay Rate

$19 - $24 (hourly estimate)

Job Description

Insight Global is seeking Quality Assurance Specialists (QAS) to join a large healthcare client. The QAS will be responsible for the configuration and quality testing of new and revised benefit plans, determining if claims are adjudicating properly, and take appropriate steps once testing is completed. You will also be responsible for submitting ServiceNow requests when testing templates need to be updated along with provide expertise on Projects, including testing claims provided by pharmacists, verifying that claims are processing correctly and identifying reasons a claim may be processing differently than expected.

Successful candidates:
-Have experience managing complex data and comfortability with technology.
-Diligent attention to detail and a commitment to delivering high quality work.
-Willingness to learn and interest in engaging with new information.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

-Experience in Microsoft Office Suite, especially Excel
-Experience using web-based applications and database tools
-Ability to work independently
-Strong ability to follow a complex/detailed process
Analytical problem-solving skills with strong aptitude in attention to detail
-Organizational skills with ability to work on multiple projects simultaneously and under strict timelines
-Ability to utilize and seek out resources
-Someone interested in understanding the 'Why' versus "this is what I do" attitude.

Nice to Have Skills & Experience

-Background or experience in PBM, claims, benefits, billing, testing, etc.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.