Quality Business Analyst
1901 Market Street Mid City West, PA 19103 US
Job Description
Seeking a Quality Business Analyst with experience in claims processing, auditing, and compliance to manage Federal Employee Program (FEP) transactions, support audits, ensure adherence to FEP performance metrics, and develop process improvements in a production environment.
RESPONSIBILITIES/COMPANY HIGHLIGHTS:
- Process claims tasks, including inquiries, reconsiderations, and adjustments, to meet FEP performance metrics.
- Review FEP procedures, regulations, and controls, incorporating them into specifications or documentation.
- Identify and implement process improvements, including developing workflows and system recommendations.
- Communicate effectively with internal and external stakeholders.
- Engage in ongoing training to stay updated on systems and regulations.
QUALIFICATIONS:
- High School Diploma/GED with 4+ years in claims/service operations, or Associate degree with 2+ years in Federal Employee Health Benefits Plan (Bachelor's preferred).
- In-depth knowledge of FEP policies, processing standards, and guidelines.
- Experience in auditing, quality review, or transaction processing.
- Team-oriented, adaptable, with a proven ability to identify and assess process improvement opportunities.
Meet Your Recruiter
Alexa Scalzi
Co-Founder & Senior Vice President
Alexa has spent over 20 years in the staffing industry, sourcing and building new business relationships. Prior to Top Stack, Alexa served as VP of Client Development with a focus on Fortune 100 strategic accounts. Alexa’s CV includes a variety of positions including Account Manager, Sales Director, Managing Director, VP of Premier Partner Accounts, and Director of Strategic Sales. After starting her career in the New York/New Jersey Market, Alexa relocated to the Philadelphia area to help build out a strategic market for a top 10 staffing firm. Alexa has been consistently recognized as a top performer and praised for her outstanding customer service. Today, Alexa is co-Founder of Top Stack and serves as the Chief Revenue Officer where she is responsible for sales, marketing, and customer success. She holds a Bachelor of Science in Business Management from Rutgers College in New Brunswick, NJ.
Alexa resides in Philadelphia with her husband, Liam, and son, Clark. Alexa until recently served on the board of The Caring Center where she chaired the fundraising committee. She is an active member of the Jewish Federation of Philadelphia and participates in their Women’s Leadership Development Program. In addition, Alexa serves on the Germantown Friends School Parents Committee. She enjoys travel, working out, cooking, and an excellent single malt scotch.
