Quality Assurance Analyst

State of North Carolina

2d

About The Position

The Quality Assurance Analyst is responsible for assisting with the execution of State required audit projects. This position will assist the Eligibility Audit Manager with tracking audit data and criteria to ensure the timely and successful completion of the audit. Requires a detailed approach to capture and log audit data in addition to calculating statistical rates. This position will assist with case auditing as needed. Support team of auditors by answering questions and conducting policy research.

Requirements

• Bachelor’s degree from appropriately accredited institution and one year of experience related to the area of assignment; or an equivalent combination of training and experience.

Nice To Haves

• Demonstrated knowledge of Medicaid policy to research, evaluate, and analyze eligibility determinations for all Medicaid programs.
• Demonstrated knowledge and skill in utilizing the Medicaid eligibility system to evaluate beneficiary eligibility determinations and the MMIS claims system to obtain Medicaid payment amounts in an eligibility segment.
• Demonstrated knowledge of statistical procedures including data collection, analysis, and report preparation.
• Compliance monitoring experience for overseeing and managing quality assurance testing on an organization's day-to-day activities to ensure that compliance procedures are fully compliant with all regulatory requirements.

Responsibilities

• Assisting with the execution of State required audit projects.
• Assisting the Eligibility Audit Manager with tracking audit data and criteria.
• Capturing and logging audit data.
• Calculating statistical rates.
• Assisting with case auditing as needed.
• Supporting team of auditors by answering questions and conducting policy research.

Benefits

• Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis).
• Employees also receive paid vacation, sick, and community service leave.
• In addition, paid parental leave is available to eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees