Provider Enrollment Internal Quality Analyst, L11
Location: Austin, TX
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent and innovation led company with 738,000 people serving clients in more than 120 countries.
Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Accenture Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients succeed and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners, and communities.
The Provider Enrollment Internal Quality Analyst will audit enrollment applications via client online application system for all provider types & programs which are measured against state approved criteria.
Responsibilities:
Audit provider enrollment applications submitted via TMHP's online application system for all provider types & programs.
Document all audit findings and email to enrollment staff.
Review and process quality disputes received from enrollment staff.
Dispatch inventory daily for QA staff.
Identify areas of improvement in work instructions and reference material for enrollment staff to help ensure the minimum quality score of 98% is met.
Suggest systematic modifications to current application systems and manual operational processes.
Maintain a minimum quality score of 98% or higher.
The programs used in the enrollment department are:
Microsoft Word, Teams, Outlook, Access, Excel (some PowerPoint but mostly review of documents in PowerPoint such as training presentations)
Internal client systems for Medicaid enrollment (online enrollment system, provider database)
Microsoft Edge and Google Chrome