A client of Innova Solutions is hiring a Sr. Client Setup Quality Analyst.
Position type: Full time - Contract Duration: 3+ Months Location: Philadelphia, PA
As a Sr. Client Setup Quality Analyst, you will:
Participate in pre and post implementation audits of client benefits and setup.
Prepare accurate and complete claims test scenarios.
Perform comprehensive group setup audits to validate setup accuracy and/or compliance issues to ensure quality setup for clients.
Be Responsible for reviewing claims and systems to validate benefit setup accuracy for Medical products including Ancillary Setup as required.
Effectively document and review audit results to ensure benefits are compliant with set up requirements and Client's contracted benefits.
Assist Configuration team with building of benefit plans.
The ideal candidate will have:
Bachelor's Degree preferred. In lieu of degree, have 3-4 years relevant experience.
Minimum 4 years' relevant experience required; Benefits and Claims experience preferred. Auditing and quality review experience required.
Experience with HealthRules Manager/Designer preferred.
Proficiency with HealthEdge applications (HealthRules) or some other benefits/claims processing software.
Qualified candidates should APPLY NOWfor immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. Thank you!
Pay Range: $40 - $41 per hour Pay range 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.
Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Recent Recognitions:
Named One of America's Best Employers for New Grads by Forbes (2024
Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
AWS Advanced Tier Services Partner with 100+ certifications.
Website: https://www.innovasolutions.com/
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. ยง 1324b.The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.
