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Open nowPosted 140 days ago

Professional, Quality Analysis (PES)

Advantum Health Private Limited52 open roles

Where
Hyderabad
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Your applicationOpen nowProfessional, Quality Analysis (PES)Advantum Health Private Limited · Hyderabad

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Advantum Health Private Limited's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market. Advantum Health Private Limited postings stay open a median of 1 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 58.1%60 days
This job: posted 140 days ago

Advantum Health Private Limited median: 1 days open

The posting

Job Summary

The Provider Enrollment Services (PES) Quality Analyst is responsible for monitoring, auditing, and

improving the quality and accuracy of provider enrollment processes across multiple payors and clients.

The role focuses on ensuring compliance with client guidelines, reducing errors, improving turnaround

time, and driving continuous process improvement through detailed quality reviews and feedback

sessions.

The analyst will work closely with Operations, Training, and Leadership teams to maintain high-quality

standards and support operational excellence.

Key Responsibilities

Quality Audits & Compliance

• Conduct quality audits for provider enrollment and credentialing cases.

• Review enrollments for accuracy, completeness, and compliance with client and payor

requirements.

• Ensure adherence to SOPs, workflows, turnaround time (TAT), and quality benchmarks.

• Identify documentation gaps, submission errors, and process deviations.

Error Analysis & Reporting

• Track and categorize quality errors and trends.

• Prepare daily, weekly, and monthly quality reports.

• Maintain audit scorecards and quality dashboards.

• Perform root cause analysis (RCA) for recurring issues.

Feedback & Coaching

• Provide timely and constructive feedback to operations teams.

• Conduct calibration sessions with operations and training teams.

• Support refresher training initiatives based on audit findings.

• Assist in improving employee performance through coaching recommendations.

Process Improvement

• Identify opportunities for process optimization and automation.

• Recommend updates to SOPs, audit templates, and quality guidelines.

• Participate in client calls and internal quality discussions when required.

• Collaborate with stakeholders to improve accuracy and operational efficiency.

Documentation & Governance

• Maintain audit documentation and quality records.

• Ensure data integrity and reporting accuracy.

• Support internal and external audits as needed.

Internal Hiring Eligibility

Candidates applying internally should:

• Meet minimum performance expectations.

• Have no active disciplinary actions.

• Demonstrate strong process knowledge and communication skills.

• Show interest in quality management and process improvement.

Required Qualifications

Education

• Bachelor’s degree preferred.

• Equivalent work experience in healthcare operations may be considered.

Experience

• 2–5 years of experience in:

o Provider Enrollment Services (PES)

o Credentialing

o Quality Assurance / Auditing

Preferred Experience

• Experience working with:

o CAQH

o PECOS

o NPPES

o Commercial and Government Payors

Required Skills

Technical Skills

• Strong understanding of provider enrollment workflows.

• Knowledge of healthcare payors and credentialing requirements.

• Proficiency in:

o Microsoft Excel

o PowerPoint

o Reporting dashboards

o Audit tracking tools

Analytical Skills

• Strong attention to detail.

• Ability to identify trends and process gaps.

• Good problem-solving and analytical thinking abilities.

Communication Skills

• Strong verbal and written communication.

• Ability to provide professional feedback and coaching.

• Good stakeholder management skills.

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