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ASCENSION is seeking an experienced Insurance Verification Quality & Reporting Analyst to serve as the quality, performance analytics, rejection-resolution, and operational reporting specialist supporting a nationwide Department of Veterans Affairs healthcare insurance verification program.

This position is intended for a detail-oriented healthcare operations professional who understands that successful insurance verification involves much more than processing transactions. The ideal candidate can examine work for accuracy, identify patterns in errors and rejected entries, investigate operational causes, monitor production trends, maintain defensible quality-control records, and translate operating data into clear reports for program leadership.

The position plays an important role in protecting the accuracy and integrity of Veteran insurance information while helping the program meet stringent timeliness, accuracy, rejection-resolution, privacy, and reporting requirements. VA’s objective is accurate, timely, and compliant establishment, updating, verification, and maintenance of third-party insurance information across its nationwide CPAC operations.

We are particularly interested in candidates who combine healthcare revenue-cycle knowledge with strong analytical discipline. The successful candidate should be comfortable independently investigating discrepancies, communicating findings to supervisors, identifying recurring process weaknesses, maintaining multiple reporting cycles, and working with sensitive Protected Health Information and Personally Identifiable Information.

This position is a good fit for someone whose background may include healthcare revenue cycle operations, insurance verification, quality assurance, revenue integrity, denial or rejection management, healthcare operations analytics, or payer/eligibility operations.

Position Summary

The Insurance Verification Quality & Reporting Analyst will provide independent quality assurance, operational analysis, rejected-entry review, performance reporting, workforce reporting, and compliance support for insurance entry and verification activities performed for VA CPAC Revenue Operations.

The Analyst will review completed insurance transactions and supporting records to determine whether work meets applicable CPAC guidebooks, VA policies, Task Order requirements, and defined quality standards. The draft PWS establishes significant performance expectations, including at least 93% on-time completion, individual data-entry quality that does not fall below 95%, and 100% review and action on rejected entries within five business days.

The position will also support the program’s recurring reporting requirements. These include a monthly itemized statement documenting completed and rejected entries, staff-level production, CPAC and facility-level activity, and applicable costs; a monthly staffing report documenting personnel changes, assignments, training, and updates; and a weekly pending workload report showing facility, received date, and remaining workload.

The Analyst will work closely with the Insurance Verification Supervisor and Program Manager to identify quality trends, isolate root causes of performance deficiencies, recommend corrective actions, and provide management with reliable information for workforce and workload decisions.

Because this position will work with healthcare insurance information, the Analyst must consistently follow HIPAA, VA privacy and information-security requirements, nondisclosure requirements, and controls governing PII and PHI.

Position’s Day-to-Day Activities

The Insurance Verification Quality & Reporting Analyst will:

• Conduct independent quality-control reviews of completed insurance entries and verification transactions to determine accuracy, completeness, timeliness, and compliance with applicable requirements.
• Evaluate insurance records against CPAC guidebooks, VA procedures, established business rules, Task Order requirements, and quality-control criteria.
• Monitor individual and team quality results against applicable performance thresholds, including data-entry accuracy and timely completion requirements.
• Review rejected or erroneous insurance entries and determine whether required corrective actions have been completed within established timeframes.
• Investigate recurring rejected-entry patterns, incomplete transactions, inaccurate information, access-related issues, and workflow deficiencies.
• Perform root-cause analysis to distinguish isolated errors from systemic process, training, workload, access, or procedural issues.
• Document quality findings, rejected-entry disposition, corrective actions, recurring error types, and identified trends in established QA records.
• Track defect rates, rejection rates, production volume, timeliness, pending workload, staff productivity, and other contract performance indicators.
• Analyze individual, team, CPAC, facility, and VAMC production data to identify trends, anomalies, bottlenecks, or emerging performance risks.
• Prepare the Monthly Itemized Statement showing completed insurance entries, rejected transactions, production by employee and facility, access issues, performance issues, and other required information.
• Compile the Monthly Staffing Report identifying personnel assigned to the contract, personnel additions and departures, anticipated staffing changes, CPAC assignments, and applicable training or procedural updates.
• Develop the Weekly Pending Workload Report identifying facility, received date, remaining insurance entries, and workload status required for Government monitoring.
• Reconcile reporting data across operational trackers, QA records, staffing records, production data, and other authorized sources before Government submission.
• Validate report calculations and underlying source data to reduce inconsistencies between production, QA, staffing, and workload reports.
• Identify adverse productivity or quality trends and escalate potential performance risks to the Supervisor or Program Manager.
• Recommend targeted corrective actions such as refresher training, procedural clarification, workload redistribution, workflow modification, or increased quality sampling.
• Coordinate with Insurance Verification Specialists and supervisors to obtain information needed to resolve rejected transactions and quality findings.
• Support corrective-action planning when performance falls below contractual quality standards or internal thresholds.
• Maintain organized QA documentation and supporting records sufficient to demonstrate completion of internal quality reviews.
• Assist management in preparing responses to Government questions concerning production, quality, rejected entries, staffing, workload, or performance trends.
• Participate in internal performance reviews and Government-required meetings or conference calls when QA, reporting, or operational analysis support is required.
• Maintain strict confidentiality when reviewing records containing PII, PHI, insurance information, or other sensitive Veteran information.
• Follow established information-handling, access-control, secure-remote-work, records-management, and nondisclosure requirements.
• Coordinate routine privacy and information-security compliance documentation with ASCENSION management and designated corporate security resources.
• Support internal audits, Government QA reviews, external audits, or investigations by retrieving and organizing relevant QA and performance documentation when authorized.
• Monitor changes to operating procedures, reporting requirements, performance measures, and insurance verification guidance and incorporate approved changes into QA and reporting processes.
• Maintain strong working knowledge of authorized VA systems, provider portals, Microsoft Office applications, reporting tools, and contract-specific tracking mechanisms necessary to perform assigned duties.