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Remote Claim Quality Assurance jobs

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CLAIMS QUALITY ASSURANCE SPECIALIST

Conduct comprehensive claim file audit reviews with precision and attention to detail. Provide prompt feedback on emerging trends and critical observations, empowering continuous improvement. Monitor QA review activities at multip...

CompanyPlymouth Rock Assurance
AddressBoston, MA
CategoryManufacturing
Salary$84.8K - $107K a year
Job typeFull-time
Date Posted 22 hours ago See detail

Claims Quality Assurance Specialist New

Plymouth Rock Assurance

Boston, MA

$84.8K - $107K a year

Conduct comprehensive claim file audit reviews with precision and attention to detail. Provide prompt feedback on emerging trends and critical observations, empowering continuous improvement. Monitor QA review activities at multip...

22 hours ago seen See more...

Business Operations Analyst I- Claims Quality Assurance - Phoenix, United States - USAA

Usaa

United States

Partners with the business and Information Technology to meet the needs for COSA data reporting, analytics and project deliverables. Performs advanced compilation, analysis and reporting of COSA data; delivers key insights and rec...

a week ago seen See more...

Clinical Quality Assurance Manager - Remote

Olympus Corporation Of The Americas

Center Valley, PA

Maintain, and monitor Olympus GCP processes and procedures for compliance with applicable regulations and industry best practices, participate in clinical process improvement projects and initiatives for development, enhancement a...

2 weeks ago seen See more...

Quality Assurance Analyst, Compliance (Remote or Glastonbury, CT)

Crum & Forster

Glastonbury, CT

Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles. Works with the Claim Review Lead to aggregate and a...

3 weeks ago seen See more...

Claims Quality Assurance Auditor

Altais

Remote

$80,000 - $95,000 a year

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

a month ago seen See more...

Claims Quality Assurance Analyst

San Joaquin County Health Commission

Modesto, CA

Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...

2 months ago seen See more...

Claims Quality Assurance - Temp

Corvel Corporation

Folsom, CA

$67,086 - $111,634 a year

Model ethical behavior and executes job responsibilities in accordance with CorVels core values, ethics, and information protection policies. Serve as technical QA lead to assigned offices or various departments within assigned o...

2 months ago seen See more...

Business Analyst + Quality Assurance (Remote)

Applied Imagination

Atlanta, GA

Understand technically complex projects, changes, and business processes. Gather requirements, define them into outlines, flowcharts, functional wireframes (no design needed). Gather feedback and close any gaps found on these requ...

a month ago seen See more...

Contact Center Operations Quality Assurance (QA) Specialist - National Remote

Optum

Dallas, TX

$19.47 - $38.08 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Conduct call monitoring and/or Audit the Auditor evaluations against defined quality scorecards. Provide concise written analysis of the in...

a month ago seen See more...

Quality Assurance Manager in Remote Anywhere in the U.S. at TeamHealth

Teamhealth

Remote

Ensure the timely research of assigned CRM cases involving the Patient Coordinator role. Collaborate with Quality, Client Relations, and Operations personnel to identify process improvement opportunities based on aggregate CRM cas...

a month ago seen See more...

Clinical Quality Assurance Coordinator (100% Remote)

Mes Solutions, Inc.

Little Rock, AR

$43.6K - $55.3K a year

Performs Quality Assurance review of peer review reports, correspondences, addendums or supplemental reviews. Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinat...

a month ago seen See more...

Lead Systems Quality Assurance Analyst - Data Office - Remote

Prime Therapeutics

Remote

$80,920 - $129,480 a year

Review and analyze incoming data warehouse or reporting requests and provide documentation in the form of SQL validation for defects and new requests. Work with Data and BI Development Engineers to ensure requests are remediated a...

a month ago seen See more...

Lead, Quality Assurance-Remote

Navitus Health Solutions Llc

Madison, WI

Develop and implement a robust testing strategy encompassing all aspects of the modernization project. Participate in teams to develop comprehensive test strategies, plans, impact analysis, specifications, and test cases for effec...

2 months ago seen See more...

Quality Assurance Engineer - USA Remote Role

Oneplan Solutions Llc

San Diego, CA

1+ years of experience in a qa engineering, or engineering position. Experience with manual and automated frontend and backend testing. BS in Computer Science or related technical field experience. Experience with cloud and mobile...

2 months ago seen See more...

Quality Assurance Associate (Remote)

Mcci

Tallahassee, FL

Use project requirements and project goals to produce deliverables. Review functional and design specifications to ensure full understanding of system test requirements. Develop and execute formal test plans to ensure the delivery...

2 months ago seen See more...

Quality Assurance Manager | Remote

Icf

San Antonio, TX

$52,488 - $89,230 a year

Oversee and manage the following: Design and operate quality control measures for call center and program oversight. Ensure accuracy and timeliness in execution of all training, QA, and reporting project deliverables. Provide dire...

2 months ago seen See more...

Quality Assurance Documentation Specialist, Remote

Aledade

Remote

$63.1K - $79.9K a year

Develop documents to help maintain an effective set of policies, procedures, and work instructions (consistent with CMS guidelines). Support Creation and Maintain Risk adjustment / Clinical Documentation Curriculum ( consistent wi...

2 months ago seen See more...

Quality Assurance Specialist - Part Time - Remote

Human Coalition

Plano, TX

$34.7K - $43.9K a year

Listen to inbound calls flag the calls for any incorrect information. Complete the call list for scheduled days worked within a 2448-hour time frame. Complete the correct outcome of the call. Be willing to communicate with manger...

2 months ago seen See more...

Director Quality Assurance - Remote

Orsini Pharmaceutical Services

Illinois, United States

$95.7K - $121K a year

Undergraduate degree in Business, Healthcare, or related field required. 5 + years Quality Assurance experience with specialty pharmacy or healthcare related area. 3+ years management experience required. Experience in healthcare...

2 months ago seen See more...

Director Quality Assurance - Remote

Orsini Specialty Pharmacy

Illinois, United States

$96.6K - $122K a year

Undergraduate degree in Business, Healthcare, or related field required. 5 + years Quality Assurance experience with specialty pharmacy or healthcare related area. 3+ years management experience required. Experience in healthcare...

2 months ago seen See more...

Claims Quality/Audit Representative - Remote in CA

Optum

San Jose, CA

$16.54 - $32.55 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertis...

2 months ago seen See more...

Quality Assurance Specialist (Remote-New York)

Maximus

New York, NY

Key competencies include actively participating in the oversight of work quality for the OPWDD CANS Assessment project, ensuring adherence to specified standards and performance measures. Responsibilities include executing quality...

2 months ago seen See more...

Senior Quality Assurance Engineer - Remote

Center For Internet Security, Inc.

United States

$94,400 - $142,900 a year

Base salary is determined on a number of factors including, but not limited to, education, experience and skills. Health (PPO, EPO, HSA), Dental & Vision Insurance eligibility starting from the first day of hire $500 wellness card...

2 months ago seen See more...

Salesforce Quality Assurance Engineer - Remote

Center For Internet Security, Inc.

United States

$80,900 - $122,500 a year

Base salary is determined on a number of factors including, but not limited to, education, experience and skills Health (PPO, EPO, HSA), Dental & Vision Insurance eligibility starting from the first day of hire $500 wellness card...

2 months ago seen See more...

Quality Assurance Analyst - Remote CA

Gainwell Technologies

Roseville, CA

$53,900 - $77,000 a year

Establishes and documents a tailored strategy quality plan in collaboration with the project manager, for the performance of Quality Assurance activities for assigned project or task. Develops and maintains Quality Assurance docum...

2 months ago seen See more...

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People who searched for Remote Claim Quality Assurance jobs also searched for Supplier Quality Assurance Engineer, Claim Quality, General Liability Claim Adjuster, Home Claim Adjuster, Clinical Quality Manager, Claim Business Analyst, Quality Control Analyst, Medical Claim, Senior Quality Analyst, Quality System, Supplier Quality Manager, Healthcare Quality, Quality Program Manager, Quality Assurance Test Lead, Quality Assurance Supervisor, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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