Quality Assurance Analyst II

Quality Assurance Analyst II (Remote)
Primary Location: Remote

V-Soft Consulting is currently hiring for a Quality Assurance Analyst II (Remote) for our premier client.

Education and Experience »
Top Skills & Years of Experience:
Qualified applicants will have a minimum of three (3) years of professional experience in each of the following areas:

• Benefits administration, eligibility and enrollment operations, insurance operations, or a closely related field, including interpretation and application of statutes, administrative code, policies, procedures, and business rules.
• Data analysis, reconciliation, and validation across files, reports, and systems to identify discrepancies, inconsistencies, and trends, including use of Microsoft Excel for comparison and analysis.
• Research and resolution of eligibility, enrollment, billing, or vendor file discrepancies, including root cause identification, corrective action coordination, and documentation of findings and outcomes.
• Serving as a liaison between internal staff, technical teams, vendors, and stakeholders to communicate issues, exchange information, and support resolution of complex eligibility and enrollment issues.

• Advanced Microsoft Excel skills, including use of formulas, pivot tables, lookup functions, filtering, and sorting to analyze and compare large or complex data sets.
• Experience performing data reconciliation and file comparison across multiple systems to identify discrepancies and support data integrity and issue resolution.
• Knowledge of eligibility, enrollment, and benefits administration processes, including understanding of data exchange between employers, vendors, and internal systems.
• Strong analytical and problem-solving skills, including ability to investigate data issues, identify root causes, and support resolution in collaboration with technical and business partners.
• Strong communication, organization, and documentation skills, including ability to clearly convey complex information, manage multiple priorities, and document findings and resolutions.

• Support program managers and EIU case managers in addressing vendor queries related to historical member benefits enrollment and eligibility information.
• Support life insurance program manager and Benefits Initiation Section 3 staff in administering life insurance enrollment and eligibility, handling escalated eligibility and enrollment questions resulting from discrepancies between My Insurance Benefits system, Securian Financial billing system, and employer records.
• Support the Life Insurance Premium Waiver interim process.
• Assist in the development and documentation of new ETF procedures related to eligibility and enrollment administration for the life insurance program.
• Conduct the life insurance salary audit, verifying consistency between employer reported salary information and current on file information; work with EIU case managers to resolve errors.
• Support the vendor file discrepancy process following MIBs implementation - reviewing error reports returned from Benefit focus, determining updates needed in system, from employers, or by plans.
• Conduct full-file comparisons and data reconciliation activities between vendor, employer, and ETF systems to identify discrepancies and ensure data integrity.
• Research, analyze, and troubleshoot eligibility and enrollment discrepancies, coordinating with ETF technical staff, vendors, and business teams to identify root causes and implement corrective actions.
• Assist with monitoring and resolving vendor file transmission issues, including 834 file processing and SFTP connectivity concerns.
• Support testing and validation activities related to eligibility, enrollment, and vendor file changes or system updates.