Job Description
Description
Concentrix is a technology-enabled global business services company specializing in customer engagement and improving business performance. We partner with ambitious, progressive executives around the world to future-proof their business and stay ahead of the competition and customer expectations.
- Role Summary:
The Quality Analyst (QA) for Prior Authorization ensures accuracy, compliance, and quality of all PA requests processed by the team. The role focuses on auditing cases, identifying defects, and driving performance improvements.
- Key Responsibilities:
- Audit prior authorization cases for accuracy, completeness, and adherence to payer guidelines.
- Review clinical documentation and decision rationale for compliance.
- Identify quality gaps and provide clear, constructive feedback to associates.
- Maintain QA logs, scorecards, and trend reports.
- Participate in cal...