Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
The Quality & Integrity Analyst position is responsible for the Quality Assurance (QA) review of system configuration changes made to VPHP’s claims processing, editing and pricing systems. The Quality & Integrity Analyst plays a key role in identifying, reviewing, and documenting all results related to the QA review of these system changes. In addition, the analyst will perform pre /post payment random and focus audits.
The analyst will develop a working knowledge of the system configuration of business rules that support coverage of services, as well as the system configuration of contracts and fee schedules that support reimbursement.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!