Top 5 quality assurance analyst Jobs in exeter nh

Medical Claims Quality Assurance Analyst
Cobalt Benefits Group LLC —Exeter, NH
- $51,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
QC Analyst Level IV - Environmental Monitoring
Lonza —Portsmouth, NH
- Full-time
- 5 years
- Bachelor of Science
- Bachelor's degree
- Health insurance
- Dental insurance
Analyst - Quality
Microchip Technology —Lawrence, MA
- $46,000 - $128,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
- Employee stock purchase plan
- Health insurance
14d
QC Analyst III – Environmental Monitoring (Cell Therapy, 2nd Shift)
Lonza —Portsmouth, NH
- Full-time
- 3 years
- Continuous improvement
- Mentoring
- Health insurance
- Dental insurance

More jobs to discover

Find similar jobs that you might be interested in.

QC Analyst Level IV - Environmental Monitoring
Lonza —Portsmouth, NH
You will be responsible for leading complex investigations, driving continuous improvement projects, and ensuring our EM program remains in a permanent state of…

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

QA Analyst I - 2nd Shift Weekday
The Marzetti Company —Columbus, OH
Bachelor’s degree in food science, Microbiology, or related field. Serve as a Qualified Individual as part of the plant’s Food Safety Plan, including monitoring…
7d
Analyst, Quality Audit Control II
CVS Health —Columbus, OH
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$21.10 - $49.08 an hour
3d

Show more jobs in cities nearby

I want to receive the latest job alert for quality assurance analyst in exeter nh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

quality assurance analyst jobs near exeter nh

Quality Assurance Analyst jobs in Exeter, NH

Healthcare Quality Assurance Specialist jobs in Chicago, Il

Cost Analyst jobs in Huntsville, Al

Quality Analyst jobs in Newport News, Va

Quality Analyst jobs in Glendale Heights, Il

Quality Analyst jobs in Wisconsin

Quality Control jobs in Greenville, Sc

Quality Analyst jobs in Little Rock, Ar

Monitor Technician jobs in Stockton, Ca

Monitor Technician jobs in Tampa, Fl

Environmental Monitor jobs in Syracuse, Ny

Environmental Monitor jobs in Allendale, Nj

Environmental Monitor jobs in Saint Paul, Mn

Remote Patient Monitor jobs in Houston, Tx

Environmental Monitor jobs in Nevada

Environmental Scientist jobs in Minnesota

Monitor Technician jobs in New York, Ny

Environmental jobs in Jacksonville, Fl

Environmental Monitor jobs in Kent, Wa

Environmental Monitor jobs in King Of Prussia, Pa

Medical Claims Quality Assurance Analyst

Cobalt Benefits Group LLC -
Exeter, NH

Quick Apply

Job Details

Full-time
$51,000 a year

Benefits

Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Vision insurance

Qualifications

Microsoft Excel
Customer relationship building
Client onboarding
Microsoft Outlook
Handling customer inquiries
Customer engagement
Data interpretation
Claims data entry processing

Full Job Description

Description:

Job Type Full-time

Classification Exempt

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Medical Claims Quality Assurance Analyst, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.
The Medical Claims Quality Assurance Analyst plays a critical role in ensuring the accuracy and compliance of claims processing in alignment with plan-specific and company guidelines. This position involves enforcing quality procedures, monitoring performance, identifying and addressing quality issues, and conducting both internal and external audits. The ideal candidate is a skilled communicator who excels in verbal, written, and electronic correspondence and thrives in a dynamic, team-oriented environment. The role also demands high levels of accuracy, problem-solving, and flexibility to adapt to changing priorities.

Responsibilities

Quality Standards and Auditing: Perform audits on production, company guidelines, and system configurations to maintain quality standards. Conduct internal Prepay and Post-pay audits to identify discrepancies and ensure compliance. Execute LDLA (Licensee Desk-Level Audit) processes. Perform MTM (Member Touchpoint Measures) audits and prepare monthly reports.
Collaboration and External Engagement: Work closely with external auditors to support their review processes and ensure audit readiness. Respond promptly and professionally to email correspondence from internal and external stakeholders.
Process Improvement and Problem-Solving: Identify and address quality issues, proposing solutions to enhance claims processing workflows. Actively participate in the development and enforcement of quality assurance procedures and guidelines.

Requirements:

Associate’s degree or 2+ years of relevant experience in quality assurance, auditing, or claims processing.
Minimum 2 years of internal claims processing experience, preferably in a healthcare benefit or TPA environment.
Strong working knowledge of Microsoft Office Suite (Outlook, Word, Excel).
Proven expertise in claims processing and an in-depth understanding of related systems and workflows.
Demonstrated customer service skills with the ability to manage both internal and external relationships effectively.
Exceptional problem-solving and analytical skills to evaluate data and identify patterns.
Ability to work independently, prioritize tasks, and meet deadlines in a high-pressure environment.
Strong organizational skills with the capacity to plan and manage multiple assignments concurrently.
Creating/Requesting claim test files that involve file load transfers with multiple systems.
Creating test claims to test Deductible and Out-of-Pocket Accumulators.
Collaborate with multiple departments to help bring clients onboard in a timely manner to help meet compliance standards.

Preferred Qualifications

Familiarity with auditing tools or software.
Knowledge of healthcare regulations and compliance requirements, including HIPAA.
Experience with TPA operations and plan administration processes.

Benefits
After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including:

Fantastic medical, dental, and vision insurance*
Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
Company provided Basic Life and AD&D
Company paid Short-Term and Long-Term Disability**
Flexible Spending Accounts*
401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years)
10+ paid holidays
Generous paid vacation and sick time
Annual Volunteer Paid Day
Annual Tuition Reimbursement
Annual Health and Wellness Reimbursement
- 60 day waiting period
**90 day waiting period

Who We are
As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.
With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https://www.cobaltbenefitsgroup.com/careers/.

Quick Apply

Refine Your Search

quality assurance analyst jobs in exeter nh

Medical Claims Quality Assurance Analyst

QC Analyst Level IV - Environmental Monitoring

Analyst - Quality

QC Analyst III – Environmental Monitoring (Cell Therapy, 2nd Shift)

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for quality assurance analyst in exeter nh

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected