Top 130 Qa analyst intermediate Jobs

QA Analyst, Intermediate (Hybrid)- Pittsburgh, PA
UPMC —Pittsburgh, PA
- $27.89 - $48.21 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- High school
- Writing skills
- Dental insurance
- Vision insurance
HCS Operations Inventory & Quality Analyst (Eligibility)
Performant Financial Corporation —Remote
- $61,300 - $73,000 a year
- Full-time
- Inventory management
- Computer literacy
- Pass drug screening
- Health savings account
- Paid holidays
Quality Assurance Engineer
OneDome —Arizona
- $1,000 - $1,500 a month
- Contract
- Remote
- English
- Mid-level
- Analysis skills
Quick Apply
Senior Analyst
Movate —Remote
- Mid-level
- Analysis skills
- Experience equivalent to degree accepted
Quick Apply
Data Analyst
NCD —Dallas, TX
- Full-time
- Remote
- Mid-level
- SQL
- Continuous improvement
- Disability insurance
- Health insurance
Quick Apply
Business Analyst - Data Insights
CRISP Shared Services, Inc. —Columbia, MD
- $90,000 - $105,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- SQL
- 403(b) matching
- Disability insurance
Technical Support Analyst
FacilityOS —Annapolis, MD
- Full-time
- Hybrid work
- Mid-level
- Office
- Microsoft Office
- Health insurance
- Work from home
Quick Apply
Business Analyst: *Little Rock Only: No Relocation*
PerfectVision —Little Rock, AR
- Full-time
- Salesforce
- Mid-level
- Windows
Quick Apply
QA Lead Analyst
Concept Plus —Dayton, OH
- Full-time
- Remote
- Azure
- Oracle
- 5 years
- Paid holidays
- Dental insurance
Quick Apply
Intermediate Business Systems Analyst - Real Estate Financials
Publix Super Markets, Inc. —Lakeland, FL
- $1 - $10,400 a month
- Full-time
- Hybrid work
- Mid-level
- Office
- Analysis skills
13d
QA Proofreader
Fanatics Collectibles —Coppell, TX
- Call employer
- Microsoft Excel
- English
- Mid-level
Quick Apply
Sr. Business Analyst
Sovereign Technologies —St. Louis, MO
- Microsoft Word
- 5 years
- Office
Equis Analyst
Roux Associates, Inc. —Logan Township, NJ
- $75,000 - $95,000 a year
- Full-time
- Microsoft Access
- Mid-level
- Office
- Profit sharing
- Paid parental leave
QA Analyst
Eastern Shipbuilding Group —Panama City, FL
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Flexible schedule
Business Analyst, Voice of Customer & Retail Experience
Walgreens —Deerfield, IL
- $63,100 - $101,200 a year
- Mid-level
- 3 years
- High school diploma or GED
M-10/9 - 8367 - Quality Assurance Analyst - Phoenix, AZ (Hybrid) - Must be Local to AZ Only
FHR —Phoenix, AZ
- $40 - $50 an hour
- Hybrid work
- Oracle
- Microsoft Outlook
- Computer Science
Quick Apply
Sr Business Systems Analyst - (Dole Fresh Fruit)
Dole Food Company Inc —Charlotte, NC
- Full-time
- Computer science
- Computer Science
- 5 years
Quick Apply
Analyst, Menu Management (POS)
Inspire Brands —Atlanta, GA
- Microsoft Excel
- Microsoft Outlook
- SQL
Equis Analyst
Roux —Logan Township, NJ
- $75,000 - $95,000 a year
- Full-time
- Microsoft Access
- Mid-level
- Office
- Profit sharing
- Paid parental leave
13d
Business Analyst (B. Intermediate or C. Advanced)
Tech Army —Tallahassee, FL
- Full-time
- Computer Science
- 5 years
- Bachelor's degree
Quick Apply
5d

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QA Analyst, Intermediate (Hybrid)- Pittsburgh, PA

UPMC -
Pittsburgh, PA

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Job Details

Full-time
$27.89 - $48.21 an hour

Benefits

Dental insurance
Vision insurance

Qualifications

Customer communication

Full Job Description

The QA Analyst, Intermediate conducts quality assurance and operational integrity assessments across the Insurance Services Divisions’ portfolio of products, services, and functional departments. This auditor also participates in higher level auditing activities such as focused audits of operational, regulatory and other controls.

Candidates that have experience in Archer or another GCR system will be highly considered. We are also looking for candidates with CDAG, ODAG, SNP model of Care, CPE and Medicare Enrollment audit. Pharmacy experience is a plus.

This is a Full time position working Monday through Friday daylight hours. This is a hybrid position requiring working 3 days in office and 2 days at home. This position is located in downtown Pittsburgh, PA.

Responsibilities:

Designs and maintains reports, auditing tools, databases and related documentation.
Maintains employee/insured confidentiality.
Participates in higher level auditing activities such as focused audits of operational, regulatory or other controls.
Devises sampling methodology and retrieves audit samples from appropriate sources.
Assists in the development and revision of QA department policies and procedures.
Compiles and reports statistical data to internal and external customers.
Assesses, investigates and resolves difficult issues to ensure customer satisfaction.
Identifies root causes and associated error trends to determine appropriate training needs and suggest modifications to policies and procedures.
Serve as a QA Department representative at internal and external meetings, document and present findings to QA Staff.
Participates in all training programs to develop a thorough understanding of the materials presented to the claim and service staff.
Leads process improvement activities, target potential problems.
Understands customers including internal Health Plan Departments (i.e. claims staff, customer service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) and respond to customers' requests.
Partners with the ISD’s compliance teams to mitigate risk across all government products
Performs regular operational audits on the following products and operational environments:
- Medicare Organization and Coverage Determinations, Appeals, and Grievances (CDAG and ODAG)
- Medicaid and CHC Pharmacy
- Medicare Formulary Administration
- Medicare and SNP Medical, Dental, Vision, and Pharmacy claims and direct member reimbursements
Serves as a representative on Second Level Appeal and Grievance hearing committees
Utilizes source documentation to assess appropriate outcomes, integrity, and root cause on assigned targeted and focused audits
Performs root cause analysis and recommends appropriate remedial actions to mitigate future risk

High school and 5 years of claims processing, experience in physician, ancillary and/or hospital reimbursement delivery systems or insurance reimbursement, including subrogation and overpayment recovery
or a Bachelor's degree and 1 year of experience required.
Basic understanding of managed care delivery systems.
Experience and knowledge of reimbursement mechanisms, Medicare products, and/or five years of claims processing, enrollment, and/or pharmacy operations experience, including government health insurance plans.
Experience with CDAG, ODAG, SNP Model of Care, CPE, and Medicare Enrollment audits is highly preferred
Basic understanding of SOC1, SSAE, and SOX controls
Excellent analytical skills and familiarity with basic statistical analysis
Detail-oriented individual with excellent organizational skills.
High level of oral and written communication skills with demonstrated business writing experience highly preferred
Intermediate to advanced proficiency with MS Office products and extensive PC skills, particularly in Microsoft Word and Excel.
Experience with Archer or another GCR system preferred

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Apply Now

Refine Your Search

qa analyst intermediate jobs

QA Analyst, Intermediate (Hybrid)- Pittsburgh, PA

HCS Operations Inventory & Quality Analyst (Eligibility)

Quality Assurance Engineer

Senior Analyst

Data Analyst

Business Analyst - Data Insights

Technical Support Analyst

Business Analyst: Little Rock Only: No Relocation

QA Lead Analyst

Intermediate Business Systems Analyst - Real Estate Financials

QA Proofreader

Sr. Business Analyst

Equis Analyst

QA Analyst

Business Analyst, Voice of Customer & Retail Experience

M-10/9 - 8367 - Quality Assurance Analyst - Phoenix, AZ (Hybrid) - Must be Local to AZ Only

Sr Business Systems Analyst - (Dole Fresh Fruit)

Analyst, Menu Management (POS)

Equis Analyst

Business Analyst (B. Intermediate or C. Advanced)

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