Jr QA (Entry Level)

Key Responsibilities Process Auditing & Record Review:

• Conduct routine, structured audits of patient case files, member records, and documentation to verify accuracy, completeness, and compliance with institutional standards.

Data Collection & Entry:

• Accurately extract, compile, and maintain data from various health information systems to support quality scorecards and performance monitoring.

Regulatory Compliance Support:

• Assist in gathering documentation and prepping audit trails for scheduled state and federal reviews (CMS, DOH, NCQA HEDIS).

Trend Identification:

• Help monitor operational workflows and flag inconsistencies, documentation gaps, or deviations from established protocols to senior QA team members.

Reporting & Tracking:

• Maintain internal tracking logs, compile compliance spreadsheets, and as...