Healthcare Claims QA

Claims Quality Analyst (Qa) The Claims Quality Analyst (QA) has a key role in ensuring accuracy, compliance, and continuous improvements across claims processing. You will conduct detailed audits, identify trends, assess root causes, and partner closely with training, leadership, and operations to strengthen processes and support examiner performance. Location Phoenix, Az (Remote) Work Schedule: Monday-Friday shifts from 8am-4:30pm EST. Training Schedule: Monday-Friday 8am-4:30pm EST. In this role, you will: Conduct detailed quality reviews on claim files to ensure compliance with company guidelines, regulatory requirements, and best practices. Identify error trends and deliver clear, actionable feedback to claims examiner/processors, team leaders, and cross-functional partners. Partner with training and operations to support coaching and process updates. Maintain QA scoring standards, documentation, and audit reports. Analyze root causes and recommend process improvement opportunities. Perform other duties as assigned. What you need to have to be considered: 1+ years of hands-on experience working with Medicaid and commercial claims. Experience performing quality assurance (QA) or auditing of medical claims. High school diploma or equivalent. Strong organizational, time management, and communication skills. Excellent attention to detail. Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA, and UB92 codes, and standard of billing guidelines required. Strong Medicaid knowledge. Proficient in Microsoft Office (Excel, Word, and Outlook) and ability to navigate multiple systems using dual monitors. Ability to work at a high pace while maintaining quality and productivity target. These will help you stand out: Prior FACETS experience or similar claims platforms. Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future. We are excited to meet people who share our mission and can make an impact in a variety of ways. Do not hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role. Hourly Rate and Other Compensation: Applications will be accepted until March 2, 2026. The hourly rate for this position is between $18.00 $19.00 per hour depending on the experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cogniant's applicable plans. Benefits: Cogniant offers the following benefits for this position, subject to applicable eligibility requirements: Medical/Dental/Vision/Life Insurance Paid holidays plus Paid Time Off 401(k) plan and contributions Long-term/Short-term Disability Paid Parental Leave Employee Stock Purchase Plan Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cogniant reserves the right to modify this information at any time, subject to applicable law. Cogniant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Created: 2026-03-04