Base: $90,000.00 - $165,750.00; bonus/equity: not ...
Fully remote
Working knowledge of medical terminologies and coding
Proven experience in a claim's environment
Understanding of hipaa confidentiality laws
Yale University is seeking a Quality Improvement Analyst to work remotely, focusing on ensuring accurate claims processing and network compliance within its health services department. The ideal candidate will possess a strong background in claims adjudication and auditing, along with excellent analytical and communication skills
Job Summary
Yale Health is seeking a Quality Improvement Analyst to collaborate with operational leaders on accurate claims processing and network compliance.
The role involves auditing system configurations against provider contract requirements and identifying fee schedule discrepancies.
This is a full-time remote position requiring a Bachelor's degree and at least 5 years of advanced claims adjudication experience.
Matching Summary
Match Score: 85
Yale University is seeking a Quality Improvement Analyst to work remotely, focusing on ensuring accurate claims processing and network compliance within its health services department. The ideal candidate will possess a strong background in claims adjudication and auditing, along with excellent analytical and communication skills.
Salary
Base: $90,000.00 - $165,750.00; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
Working knowledge of medical terminologies and coding
Proven experience in a claim's environment
Understanding of HIPAA Confidentiality laws
Experience building and running SQL queries
Minimum 5 years advanced claims adjudication experience
Nice-to-have
Excellent written and oral communication skills
Strong analytical aptitudes and problem-solving
Enthusiastic attitude and cooperative team player
Demonstrated ability to adapt to changing circumstances
Experience with Microsoft Office suite
Key Requirements
Bachelor's degree required
Minimum 5 years advanced claims adjudication experience
Minimum 3 years experience auditing claims adjudication
Facility, professional, and ancillary claims experience