Healthcare Quality Assurance Analyst

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Two or four-year degree required, preferably in Math, Biology, Business, Healthcare Administration, or History., 1 year of Excel experience is necessary, though advanced functions like V lookups or Pivot Tables are not required., 3+ years of healthcare insurance experience is preferred, along with knowledge of medical terminology., Experience in a production-based environment is a plus..

Key responsibilities:

  • Quality testing of all benefit plans to ensure they meet client specifications.
  • Collaborating with the Account Install Specialist team during the plan building process.
  • Identifying and resolving issues related to deductibles and out-of-pocket setups.
  • Maintaining a scorecard and managing the workload of 25 plans per week post-training.

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TEKsystems Large https://www.teksystems.com
10001 Employees
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Job description

TEKsystems is actively hiring for Health Insurance Quality Assurance Specialists for a renowned health insurance company in Minnesota! **Fully Remote Non-IT Position**

Start Date: July 7th, 2025

Description

This role will have the responsibility of quality testing all of the benefit plans . They will work in tandem with the Account Install Specialist team as they build the plan. This person will then be working within a few systems to make sure the plan is built out correctly and to the specs of the client. If the plan is missing something or plan is built incorrectly they will then work with their counterpart in the AIS group to get it fixed. The most common issues they find are deductibles and out of pockets not being set up correctly, mail pricing being different etc. This role has a very high level of attention to detail, there is no phone work. They may communicate internally back and forth with their team / AIS reps but that will be it. They will have a scorecard once out of training and will be expected to work 25 plans a week. This is a non-IT position.

Skills & Qualifications

Minimum requirements:

  • Two or Four year degree required (Preference given to Math, Biology, business, healthcare admin, or History degrees. Heavy research experience)
  • 1 year of Excel experience (No V lookups or Pivot Tables)


Preferred Experience

  • 3+ years of health care insurance experience.
  • Knowing medical terminology, deductible, copay, provider language will help them stand apart.
  • Experience in a production based environment is a plus


Pay And Benefits

The pay range for this position is $24.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

Available For This Temporary Role May Include The Following

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)


Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on May 28, 2025.

About TEKsystems And TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Excel
  • Detail Oriented
  • Communication

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