Quality Assurance Auditor

Consolidated Health Plans, Inc. is a Berkshire Hathaway company with an impressive record of growth.  CHP was established in 1993 as a Preferred Provider Organization (PPO) and Third Party Administrator (TPA) and is headquartered in Springfield, Massachusetts. Our mission is to provide superior insurance solutions by being accessible, responsive and flexible.  CHP offers competitive compensation and benefits packages.  Currently, we are seeking qualified applicants for Quality Assurance Auditor. 

Responsibilities and Duties include:

  • Develop and perform QA testing against business requirements, for application development and customer reporting
  • Work with operational leaders on Quality/Continuous Improvement initiatives: assess defect root cause; improve and standardize process
  • Structure and perform audit engagements for third party health insurance administrative partners (TPA)
  • Support fully-insured carrier audit reviews of company TPA
  • Other duties as assigned

Candidate must:

  • Have 5+ years of work experience in audit, quality assurance or data analysis
  • Be analytical with advanced Excel proficiency and data analysis skills
  • Have excellent skills in following areas: organization, communication, process improvement
  • Health insurance or health care industry experience
  • Bachelor’s degree or equivalent experience
  • Be self-motivated, organized, detailed, diligent, and methodical
  • Be proficient with MS Office products to include Excel, Outlook, Access, and Word; Visio, Project, SharePoint and PowerPoint are a plus.

Additional preferred qualifications are:

  • Experience with: SSAE-16, SOC1, SOC2, ISO-9001
  • Six Sigma and/or Lean certification

 

Please send your resume and completed application to CHP Human Resources at:

Mail: Consolidated Health Plans, Human Resources, 2077 Roosevelt Avenue, Springfield, MA 01104-3503

Fax: (413) 452-5329 Attn. Human Resources

Email: human_resources@consolidatedhealthplan.com

Phone: (413) 733-4540 ext. 120

 

Employment Application

Download Employment Application

 

For more information contact us at human_resources@consolidatedhealthplan.com or call us at (413) 733-4540 ext. 120