Quality Assurance Analyst, Sr. - Healthcare jobs in Columbus, GA

Compiles and analyzes statistical data for Managed Care Contract decision making. Works with internal and external customers to interpret contract terms.

>FLSA: Exempt>EEO: 01 Officials and Managers 02 Professionals 03 Technicians 04 Sales Workers X 05 Administrative Support Workers 06 Craft Workers 07 Operatives 08 Laborers and Helpers 09 Service Workers

Develops, writes, and maintains profitability testing for all companies with an assigned insurance code.>Provides financial and utilization data to the Medical Director, Department Directors, and Case Management as requested.>Assists with provision and research of comparative regional and severity-adjusted data via PLM and other sources.>As needed, prepares reimbursement research to the CFO, the Controller, and department heads.>Verifies accuracy of Managed Care payments.>Reviews and works with the CFO on contract language on all renewed and new insurance contracts.

Minimum Education

X bachelor's degree in business with Accounting or Finance concentration X Required

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Minimum Work Experience
Three (3) years in a related position. Prefer experience in Cost Accounting or as Financial Analyst.