QUALITY&RECONCILIATION SPECIALIST

A Quality & Reconciliation Specialist ensures operational quality and data integrity across eligibility and insured registration processes under Medicaid and regulatory standards. This role involves detailed transaction reconciliation of eligibility and membership to validate information accuracy, consistency, and completeness throughout the insured lifecycle. The specialist collaborates with Sales, Finance, IT, and delegated operations to analyze data, develop reports, and monitor electronic transactions for contractual and compliance adherence.