Senior Quality Analyst, Remote

Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million unique patients across 51 hospitals and 800+ clinics. Our locations range from metropolitan centers to rural settings across seven states: Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion, Dignity, Justice, Excellence, and Integrity.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ensure compliance with laws and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual learning, data integrity, settlement and excess reporting, payor contracting and other regulatory reporting requirements governing liability claims handling. The candidate selected for this position will be expected to effectively manage multiple priorities at a time, work autonomously in a fast-paced claims environment, and respond positively to change. 

The Senior Quality Analyst performs all duties in a manner that promotes Providence's Mission, values, and philosophy. In all aspects, they serve as a role model for the values and Mission of the organization.

Required Qualifications:

• Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance, or a related discipline -OR- a combination of equivalent education and work experience

Preferred Qualifications:

• Coursework/Training: Liability claims training within the insurance industry
• 5 or more years of experience handling healthcare professional liability and/or other types of civil tort claims within the insurance industry or similarly structured self-insured organization
• 5 or more years of experience reporting third party liability settlements to Centers for Medicare and Medicaid Services (CMS), and federal and state licensing and/or regulatory agencies, including the National Practitioner’s Database (NPDB)
• Experience reviewing claims files …