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Quality Auditing Sr. Analyst

Job Location: TX - Austin

Regional Description: Southwest

Job Number: 00668548

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- Job description

Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions – underpinned by the world’s largest delivery network – Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 425,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com.

 

People in our Client Delivery & Operations career track drive delivery and capability excellence through the design, development and/or delivery of a solution, service, capability or offering. They grow into delivery-focused roles, and can progress within their current role, laterally or upward.

 

Business Process Specialization professionals apply expertise in a specific business process delivery capability (or capabilities) to ensure services are delivered in a manner consistent with our Standard Delivery Solutions and Service Level Agreements and drive continuous improvement.

 

Job Description

 

The Quality Auditing Senior Analyst will perform quality reviews for the HMDO, Key Measures, Prior Authorization, and Long Term Care . The Quality Auditing Senior Analyst will review, confirm and report compliance with process procedure requirements, quality certifications and Accenture delivery methodology. They will perform quality inspections, document findings using required audit process procedures. This role will ensure quality standards are met by creating error trend analysis and scorecards and proposing immediate action plans.

 

Key Responsibilities: 

  • Perform in depth quality reviews on assigned areas.
  • Perform analysis and trending of data.
  • Assign daily work for assigned areas.
  • Gather data and provide input for required monthly reports
  • Assist Quality Auditing Specialists as required
  • Other duties as assigned.

Basic Qualifications

  • High School diploma or GED
  • LVN or Registered Nurse License in the State of Texas
  • Minimum of 1 year of experience with Texas Medicaid or other healthcare or insurance programs

Preferred Qualifications

  • Experience with Excel
  • Experience with Lean Six Sigma
  • Strong verbal and written communication skills

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Accenture.

 

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

 

Accenture is a federal contractor and an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.

 

Equal Employment Opportunity

All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

 

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.

 

Accenture is committed to providing veteran employment opportunities to our service men and women.

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