Quality Analyst

About the role

Quality Analyst at Guidehouse. Conduct quality audits on inpatient and observation accounts requiring Notification on Admission (NOA), in line with sampling guidelines.

What you'll do

• Conduct quality audits on inpatient and observation accounts requiring Notification on Admission (NOA), in line with sampling guidelines
• Validate accurate submission of notifications through portals, EDI, fax, or calls, and ensure timely initiation of non-clinical authorizations
• Review documentation accuracy, including reference numbers, authorization numbers, payer timelines, and compliance requirements
• Perform root cause analysis on identified defects, develop CAPA plans, and track recurring trends such as missed NOAs, delays, and documentation gaps
• Provide actionable feedback on audit findings, support process clarifications, lead performance improvement discussions, and participate in periodic team reviews

What you need

• 3–6 years in customer support & success
• Root cause analysis
• Problem solving
• Diploma