JobMesh

Senior Health Plan Quality Control Associate

Collective Health · Lehi, Utah, US

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology,...

Job description

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design. As part of the Group Administration team within Health Plan Operations, the Plan Operations team owns specialized processes that require close collaboration with finance, legal, product, and other internal teams. The Plan Operations -- Plan Structure, Launch & Design team (PSL&D) will be responsible for owning and further developing key processes that support and enable the Member Claims team and successful client implementations. PSL&D owns, builds, and maintains Collective Health’s core business logic and system while implementing our clients’ healthcare plans onto the Collective Health platform. What you’ll do: - Be a FT member of the PSLD Structure team. - Have full familiarity with PSLD workflows in order to provide fully accurate quality assurance guidance and feedback as well providing quality assurance insight for developing projects within the plan operation department ad hoc. - Responsible for the systematic monitoring and evaluation of the performance of...