Performance Analyst

A company is looking for a Performance Analyst responsible for audit functions related to FEP Plan performance.

Key Responsibilities

Audits FEP claims, customer service inquiries, and enrollment activities per Plan Incentive Program guidelines

Completes Performance Guarantee audits and supports IA and SIU as needed

Utilizes internal tools to document audit findings and ensure corrective actions are taken

Required Qualifications, Training, and Education

High School diploma or GED

Minimum of 5 years' experience in Claims, Membership, or Customer Service

Knowledge of FEP and audit / analytical experience required

Understanding of healthcare industry and claims processing

Familiarity with Microsoft Office applications, especially Excel