• Medical Quality Assurance/Risk Analyst

    Robert Half Accountemps (Los Angeles, CA)


    Description

    A National Healthcare Organization is seeking a knowledgeable and detail-oriented Quality Assurance/Risk Analyst to join its Los Angeles Team. This position is a vital role focused on managing insurance programs and driving key risk management initiatives within a dynamic healthcare environment. This opportunity positions you to work closely with cross-functional teams to safeguard organizational assets and maintain compliance with healthcare regulations while contributing to a collaborative and mission-driven workplace.

    + Key Responsibilities:Insurance Operations Oversight: Manage daily insurance operations, including issuing policies, coordinating binder management, and monitoring exposures critical to insurance requirements.

    + Stakeholder Collaboration: Build and maintain strong relationships with insurance brokers, consultants, and key stakeholders to ensure comprehensive and reliable coverage strategies.

    + Policy Renewal and Strategy Development: Lead the development and execution of renewal strategies while addressing coverage issues and ensuring timely application submissions.

    + Documentation Management: Oversee the preparation, review, and accuracy of insurance policies, endorsements, and evidence of coverage documents.

    + Policy and Procedure Implementation: Establish and enforce policies and procedures to enhance the effectiveness of insurance and risk management programs.

    + Claims Management: Collaborate with the Risk Management team to process and resolve insurance claims efficiently and effectively.

    + Financial Oversight: Manage the insurance budget to align with organizational financial objectives, ensuring fiscal responsibility.

    + Data Analysis and Reporting: Evaluate insurance and claims data to provide insights that guide strategic decision-making and comprehensive reporting.

    + Team Training: Coordinate and execute staff training sessions to promote awareness of risk management and compliance best practices.

    + Committee Facilitation: Organize and facilitate Risk Management Committee meetings, including agenda preparation, minute-taking, and tracking actionable follow-ups.

     

    Requirements EMR (Electronic Medical Records), Healthcare regulations, Audit Management, Medi-Cal, Excel Formulas, Health Care Audits - Medicare - Medicaid, Medical Insurance, Risk Management, QA - Quality Assurance

     

    Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

     

    Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

     

    Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

     

    • 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .