2 Openings
Taguig
Role description
The A&G Quality Analyst is responsible for assisting and in organizing and facilitating strategic program creation and implementation. This role assists in researching and compiling appropriate and relevant data and feedback for risk activities.
Assists in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues
Maintains comprehensive knowledge of business, products, programs (including Utilization and Case Management,) corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
Assists in monitoring initiatives, outcomes, and objectives to ensure goal attainment within defined parameters
Assists in development of lines of communication to discuss/review results of analysis to management via reports/presentations and assists management in implementing programs that provide solutions
Assists leadership by investigating, reviewing, and recommending innovative solutions which identify problems/root cause of issues
Assists in identifying resolution of challenges and issues to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities
Assists in development of plans, reports, papers, and/or other material creation as needed
Assists with research and correction of authorization rejects
Attends and participates in a variety of meetings and committees to provide perspective for a business analysis perspective
Research and evaluate data from different sources to identify discrepancies and patterns
Technical tasks such as creating business requirements documents and user training manuals and guides.
Verifies accuracy, consistency and integrity of data; consults with the operations teams to validate content of reports and documents
Assists with UAT and other tasks as needed
Requirements:
Registered Nurse with current unrestricted US Registered Nurse license
Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged
EXPERIENCE:
Three years experience in a related field, typically in at least two of the following areas is preferred: financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management.
Experience in healthcare is required, experience in Jira, Jiva, IKA and/or Symphony is strongly preferred
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
Strong analytical, planning, problem solving, verbal, and written skills to communicate complex ideas
Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.)
Ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels
Flexibility and ease with changing tasks and priorities
Detail-oriented
Skills
USRN,Appeals and Grievances,Quality
About UST
UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world's best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients organizations. With over 30,000 employees in 30 countries, UST builds for boundless impacttouching billions of lives in the process.
