Repricing Quality Assurance Analyst I

Job overview

The Repricing Quality Assurance Analyst I is a fully remote role. The listed pay range is $19.21–$28.73 per hour. CERiS, a CorVel division, provides clinical expertise and cost-containment solutions focused on accuracy and transparency in healthcare payments. The analyst reviews repricing audit data to support accurate, compliant, and efficient processes. The role helps maintain contractual and organizational standards, address discrepancies, and improve operational effectiveness and client satisfaction.

What you'll do

• Identify and resolve repricing quality issues
• develop and implement QA policies and procedures
• monitor compliance with pricing guidelines and contracts
• investigate discrepancies and apply corrective actions
• prepare reports and documentation
• collaborate with stakeholders
• provide training and guidance
• conduct risk assessments
• protect confidential client data, PHI, and PII.

What we're looking for

Skills & competencies

remote

repricing

quality assurance

healthcare claims

claims processing

contractual rates

audit data

compliance

risk assessment

client data

ceris

$19.21–$28.73/hr

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, disability, health savings and flexible spending accounts, life and other insurance options, 401(k), Roth 401(k), and paid time off.

Why this role

Fully remote position; requires 5+ years in medical or insurance repricing, claims processing, or auditing and 3+ years in quality assurance or equivalent experience.

About the employer

CorVel Healthcare Corporation is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.