Quality Analyst - CareBridge

Anticipated End Date:

Performance Quality Analyst I – Care Bridge

Nashville, TN – Onsite. Full‑time work is required at the posted location. Candidates who are not within a reasonable commuting distance will not be considered unless accommodation is granted.

• Assists higher‑level auditor/lead on field work as assigned, including performing special audits and targeted audits as requested by internal management.
• Participates in pre‑ and post‑implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
• Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize exposure and mitigate those risks.
• Documents audit results, findings, and suggests appropriate remediation.

• BS/BA degree.
• At least 2 years of related experience in an enrollment and billing, claims, and/or customer contact automated environment, or a combination of education and experience that provides an equivalent background.

Non‑Management, Non‑Exempt. Workshift:
Not specified. Job Family: QLT >
Analysis.

Elevance Health is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.