Healthcare Claims 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 u2013 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: u2022Conduct detailed quality reviews on claim files to ensure compliance with company guidelines, regulatory requirements, and best practices. u2022Identify error trends and deliver clear, actionable feedback to claims examiner/processors, team leaders, and cross-functional partners. u2022Partner with training and operations to support coaching and process updates. u2022Maintain QA scoring standards, documentation, and audit reports. u2022Analyze root causes and recommend process improvement opportunities. u2022Perform other duties as assigned. What you need to have to be considered: u20221+ years of hands-on experience working with Medicaid and commercial claims. u2022Experience performing quality assurance (QA) or auditing of medical claims. u2022High school diploma or equivalent. u2022Strong organizational, time management, and communication skills. u2022Excellent attention to detail. u2022Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA, and UB92 codes, and standard of billing guidelines required. u2022Strong Medicaid knowledge. u2022Proficient in Microsoft Office (Excel, Word, and Outlook) and ability to navigate multiple systems using dual monitors. u2022Ability to work at a high pace while maintaining quality and productivity target. These will help you stand out: u2022Prior 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 u2013 $19.00 per hour depending on the experience and other qualifications of the successful candidate. This position is also eligible for Cognizantu2019s discretionary annual incentive program, based on performance and subject to the terms of Cognizantu2019s applicable plans. Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: u2022Medical/Dental/Vision/Life Insurance u2022Paid holidays plus Paid Time Off u2022401(k) plan and contributions u2022Long-term/Short-term Disability u2022Paid Parental Leave u2022Employee Stock Purchase Plan Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.Cognizant 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: 2026-02-27