California Licensed Quality Analyst - job 1 of 2

Job Summary

A company is looking for a Senior Quality Analyst, Claims to manage a quality assurance program for compliance in a self-insured healthcare environment.

Key Responsibilities

• Ensure compliance with laws and regulations related to liability claims handling
• Develop and provide training and technical support for caregivers on relevant regulations
• Conduct internal audits and analyze claims data to identify improvement opportunities

Required Qualifications

• Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance, or related discipline, or equivalent education and work experience
• 5 or more years of experience in healthcare professional liability and/or civil tort claims handling
• Experience reporting third-party liability settlements to CMS and regulatory agencies
• Experience in claims data analytics and quality assurance reviews
• Project management experience and developing policies and procedures