The IEHP Foundation is seeking a Product Configuration Quality Analyst to ensure the integrity of claims system configurations. This hybrid role involves auditing configurations, supporting testing, and collaborating with teams to uphold quality standards
Job Summary
The role focuses on ensuring the integrity of claims system configuration to support accurate adjudication and regulatory compliance within a mission-driven healthcare organization.
Key responsibilities include auditing team output, conducting root cause analysis on claims errors, and collaborating with leadership to define quality standards and process improvements.
The position offers competitive benefits including medical insurance, CalPERS retirement, and flexible spending accounts while operating in a hybrid work model based in Rancho Cucamonga, CA.
Matching Summary
Match Score: 85
The IEHP Foundation is seeking a Product Configuration Quality Analyst to ensure the integrity of claims system configurations. This hybrid role involves auditing configurations, supporting testing, and collaborating with teams to uphold quality standards.
Salary
Base: $80,059.20 - $106,059.20 per year; Bonus/Equity: Not specified; Benefits: Medical, Dental, Vision, Life, Disability, CalPERS, 457(b) match, Pet care
Skills & Requirements
Must-have
3 years auditing complex system configuration
3 years managed care experience
Claims review and analysis expertise
Knowledge of CPT HCPCS ICD-10 coding rules
Understanding of CMS DHCS DMHC NCQA regulations
SQL Excel Access proficiency
Nice-to-have
Experience with major managed care system migration
Strong presentation and written communication skills
Ability to identify training gaps
Experience with automated test scripts
Key Requirements
Bachelor's degree in IT or Business
Three years of auditing complex system configuration
Three years of managed care experience
In lieu of degree: 4 years relevant experience (1 healthcare + 3 claims analysis)