Appeals and Grievances Quality Assurance Auditor

The Quality Assurance Auditor is responsible for performing Internal Quality Assurance Audits of Operational processes to ensure compliance with policies, procedures, and quality standards. The incumbent will investigate, audit, conduct root cause analysis, handle processing of determinations, track and trend findings.

Requirements

• Experience with the investigation, resolution, and reporting of appeal and grievance processes
• Experience in Microsoft Office suite of applications including Excel, Word, and PowerPoint
• High School Diploma or GED from an accredited institution

Benefits

• Medical, dental, and vision coverage
• Incentive and recognition programs
• Life insurance
• 401k contributions

Originally posted on Himalayas