Senior Quality Verification Specialist

The Senior Quality Verification Specialist conducts independent, second-level quality reviews to protect member and provider information by reassessing completed verification reviews and retesting underlying evidence, controls, and processes. This role ensures requests are handled accurately, securely, and in compliance with established procedures, confidentiality requirements, and conflict-of-interest standards. The position serves as an objective quality resource, providing clear reporting, risk identification, and compliance guidance while maintaining independence from operational decision-making.