Quality Analyst III

$71,614 – $119,953 · Posted 11 days ago

San DiegoLast seen 9 days ago

Summary

Quality Analyst III serves as a Subject Matter Expert in Quality Management for healthcare programs (Medicaid and Fee-for-Service), establishing enterprise quality standards, governance frameworks, and SOPs. The role involves leading complex Root Cause Analysis investigations, overseeing quality activities across multiple implementations, and providing expert consultation to cross-functional teams on compliance and process improvement. Responsibilities include evaluating regulatory requirements, championing continuous improvement initiatives, developing training materials, and acting as an escalation point for complex quality issues. The position requires 5+ years of experience with a BS/BA, proficiency in Microsoft Office (Word, Excel, Access, Project) and SQL, and strong analytical and communication skills.

Data Science Quality Assurance SQL Fee For Service Medicaid Microsoft Access Microsoft Excel Microsoft Project Microsoft Word Process Improvement Quality Management Regulatory Compliance Root Cause Analysis Sops