- Review, analyze, and appropriately disposition tickets for RC/CA Analysis
- Collaborate with Business Partners to ensure correct root cause is established and a solid corrective action/preventive action is in place
- Utilize system platform to manage tickets and accurately capture/categorize all necessary trend information
- Review submitted data for quality and accuracy
- Support projects and initiatives which drive department strategy
- Assist in training, documentation, and other duties required to sustain and improve process performance
- Partner with Service Operations & PBM Customer Services to execute on action plan deliverables
- Share and communicate pertinent information with internal partners
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Quality Review and Audit Lead Analyst - St Louis, United States - Randstad
Description
The Quality Review and Audit Lead Analyst is responsible for facilitating the analysis, research, and risk assessment of claims/system processing issues.
The lead analyst will use an in depth understanding of technical principles, theories, and concepts in the field of quality to perform a thorough root cause and corrective action analysis.
In addition to supporting tickets for root cause analysis, the lead analyst will be engaged in strategic initiatives to drive continuous improvement in the process to support our enterprise business.
salary:
$32 - $33.82 per hour
shift:
First
work hours: 8 AM - 5 PM
education:
Bachelors
Responsibilities
Qualifications Years of experience: 3 years
Experience level:
Experienced
Randstad is a world leader in matching great people with great companies.
Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company.
Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.Equal Opportunity Employer:
Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc.
In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
Experience
Experienced
3 years
Education Bachelors
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