Claims Quality Audit Director jobs in Saint Louis, MO

AUDIT ANALYST – CHESTERFIELD, MO

About Us

For over 35 years, TAG has proudly dedicated itself to partnering with healthcare systems nationwide to save money and make better purchasing and payment decisions through process assessment and data analytics. Our Team Members are intelligent, detail oriented, process driven, and dependable people motivated by a common company mission: Being Health Systems’ Trust-WORTHY partner.

About You

This entry-level role is your chance to make a significant impact for our clients by ensuring accurate billing and recovering thousands in potential discrepancies. You'll be an independent investigator with a keen eye for detail, unraveling complexities in data, invoices, purchase orders, and payments.

Sharp analytical skills and the ability to collaborate effectively are key. You'll leverage TAG's proprietary analytics software to dissect client transactions and vendor statements, verify data integrity by comparing anomalies to source client records in various ERP systems, and meticulously document findings for handoff. Effective communication with all levels of the TAG organization, vendors, and clients is essential to success.

Thriving in a fast-paced environment, you'll work multiple projects with excellent organization and prioritize tasks efficiently. You will leverage your organizational and problem-solving skills to prioritize tasks, maintain clear documentation, and contribute to team efforts. A commitment to continuous learning is highly valued, and TAG offers opportunities to advance your skills and stay ahead of the curve.

This is the perfect role for an energetic self-starter who thrives on challenge and enjoys making a tangible difference for our clients.

**This position is a hybrid (in office & remote) role. Candidates must be able to work in the corporate office in Chesterfield, MO a minimum of three (3) days per week. During an approximate 30-day probationary period, in-office attendance will be full-time.

Duties & Responsibilities

1. Work independently on multiple projects to:
   1. Identify Purchasing and Payment Discrepancies
      1. Leverage TAG's proprietary analytics software to investigate anomalies in purchasing and payment data
      2. Analyze variances between transaction data, contracts, and invoices
      3. Research pricing errors, overpayments, or statement credits
   2. Collect Vendor Statements to Perform Credit Analysis
      1. Document open credits and unapplied payments
      2. Identify credit root cause(s) and original invoice records
   3. Vendor Communication and Relationship Management
      1. Maintain positive relationships with vendors through clear and professional communication
      2. Clarify discrepancies with vendors and gather additional information as needed
      3. Escalate appropriate matters to management and/or Account Executive
   4. Collect Supporting Documentation
      1. Gather relevant data and documents from various client and internal databases
      2. Document process breakdown(s)
      3. Communicate findings and logic to Resolution Team
   5. Contribute to team efforts as needed
2. Project Management & Process Improvement:
   1. Maintain proper project documentation
   2. Proactively suggest improvements to operational processes
   3. Work with implementation teams to ensure enhancements are effectively integrated internally
3. Continuous Learning – Participate in required training and individual development opportunities to enhance skills and stay ahead of the curve
4. Exercise strict care when handling confidential client information

Qualifications, Skills, & Abilities

Required:

• Bachelor’s degree with strong academic record
• Ability to decipher invoices, account statements, and other purchasing and payment documents
• Strong Attention to Detail – crucial to spotting errors and inconsistencies
• Moderate knowledge and understanding of Excel and Power BI software
• Initiative in problem solving, with strong logic and reasoning skills
• Excellent oral and written communication skills to interact with vendors and clients courteously and professionally
• Able to prioritize, organize, and complete multiple tasks as directed

Preferred:

• Knowledge of procurement processes, including purchase orders and invoices
• Familiarity with goods and services acquired in the supply chain
• Understanding of accounts payable processes, aging reports, and payments

Performance Metrics

• Meet monthly/quarterly/annual targets
• Complete analyses within expected timelines
• Achieve project anomaly creation and conversion rate goals

CORE VALUES
Dedication - Devoted to helping hospitals serve.
Integrity - Trusted to do the right thing, even when no one is looking.
Initiative – Driven. Above and Beyond.
Excellence - Exceed expectations.
Tenacity - Never, ever give up.

TAG is proud to offer full benefit packages, bonus, and performance incentives, professional development opportunities, and remote work flexibility! 

TAG, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.