quality specialist

Aegan Technologies Private Limited

4 - 9 years

0 - 1 Lacs

indore madhya pradesh india

Posted:1 month ago| Platform: Foundit logo

Apply

Skills Required

claim adjudication auditing compliance six sigma

Work Mode

On-site

Job Type

Full Time

Job Description

Job Title:

Location:

Experience Required:

Job Summary:

Quality Specialist

Key Responsibilities:

Perform audits of healthcare claims adjudication to ensure accuracy, compliance, and adherence to policies.
Identify process gaps, recommend corrective actions, and track implementation for continuous improvement.
Utilize
7 QC tools, Root Cause Analysis (RCA), Corrective & Preventive Actions (CAPA), and Six Sigma methodologies
to analyze issues and reduce errors.
Ensure compliance with US healthcare guidelines, regulations, and organizational standards.
Provide feedback, training, and support to claims processing teams to enhance quality and performance.
Develop and maintain reports, dashboards, and metrics to monitor process quality and compliance.
Collaborate with cross-functional teams to implement quality initiatives and achieve business objectives.

Key Skills & Competencies:

Strong knowledge of
US healthcare claims adjudication
processes and compliance standards.
Proven experience in
auditing, compliance, and quality improvement
.
Proficiency in
7 QC Tools, RCA, CAPA, and Six Sigma
practices.
Excellent analytical, problem-solving, and process improvement skills.
Strong communication and interpersonal skills.
Ability to work independently as well as part of a team.

Qualifications:

Any degree
Certification in Six Sigma (Green Belt / Black Belt preferred)
will be an added advantage.

Interested Apply At - [HIDDEN TEXT] / 9677254444.

More Jobs at Aegan Technologies Private Limited

Senior Python Developer

Chennai, Tamil Nadu, India

5.0 - 8.0 yrs

INR 96 - 186 Lacs

Charge Capture

hyderabad, telangana, india

3.0 - 5.0 yrs

INR 3 - 7 Lacs

Senior AR Collections Agent

hyderābād

5.0 - 7.0 yrs

Salary: Not disclosed

senior claims processing specialist

hyderābād

3.0 - 5.0 yrs

Salary: Not disclosed

Account Executive

coimbatore, tamil nadu

4.0 - 4.0 yrs

Salary: Not disclosed

Mock Interview

Practice Video Interview with JobPe AI

Start Job-Specific Interview

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.