Remote QA Lead - Medicaid Eligibility
State of Arizona
- Remote job
AHCCCS in Phoenix, AZ is seeking a Quality Assurance Supervisor to lead a team of QA Reviewers evaluating eligibility determinations and ensuring policy compliance. You will mentor staff, review performance, and generate reports to identify error trends and improve outcomes. The role emphasizes data analysis, coordination of projects, and adherence to state regulations. A remote-work option within Arizona is available, with opportunities for collaboration across the Division of Member and #J-18808-Ljbffr State of Arizona
- ...Technologies is seeking a Senior Drug Rebate Quality Assurance to lead QA for Medicaid Drug Rebate solutions. You will plan, execute, and refine... ...role emphasizes collaboration, process improvement, and delivering product excellence in a remote-friendly #J-18808-LjbffrRemote work
- ...a Senior Drug Rebate Quality Assurance professional to lead quality strategies for the Medicaid Drug Rebate solution, ensuring compliance and guiding junior... ...include developing test plans, maintaining QA docs, analyzing defect metrics, and driving process improvements...Remote job
- ...Description The Eligibility Manager is responsible for overseeing the... ...staff member Complete and send QA Reviews Audit accounts File... ...and understanding of Florida Medicaid and Social Security Disability... ...record and active auto insurance *Remote/Hybrid – at any point, if...Remote workTemporary workWork from homeWeekend workAfternoon shift
- ...Role Summary We are seeking a QA Lead with strong domain expertise in healthcare claims... ...full claims lifecycle: intake, edits, eligibility checks, pricing, adjudication, payment,... ...Experience with Medicare Advantage, Medicaid managed care, ACA/Marketplace, or commercial...Remote workDaily paidContract work
$190k - $240k
...Senior Fellow - Medicaid (Remote Eligible) About Mathematica Mathematica applies expertise at the intersection of data, methods, policy, and... ...is searching for a recognized expert with experience leading research and/or operating the Medicaid and or CHIP program...Remote workContract workLocal areaWork from home- ...Georgia Department of Human Services is seeking an Eligibility Specialist 1 for the Right From the Start Medicaid (RSM) unit. The role determines initial and renewal Medicaid eligibility and processes applications in a fast-paced state government setting. You'll use Georgia...Remote work
- ...Centauri Health Solutions, Inc. is hiring a Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate). The role focuses on empathetic member support to determine eligibility for Medicaid, MSP, and LIS, while ensuring accurate enrollment and adherence to HIPAA...Remote workMonday to Friday
- ...Services (HSS) in Baltimore, MD, is seeking a Case Manager – Medicaid Eligibility to oversee eligibility determinations for hospital-referred... ...role offers a Monday-Thursday 9:00 AM – 6:00 PM schedule with remote Mondays and Fridays; on-site Tuesdays through Thursdays in...Remote workFull timeMonday to Friday
- ...Genesis Healthcare is seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process for... ...converting residents across a group of nursing centers. This remote role involves gathering documents, submitting applications,...Remote work
- ...Centauri Health Solutions is seeking empathetic Medicare/Medicaid Eligibility Specialists to support members remotely, guiding them through benefits and enrollment with care. You will verify Medicaid, LIS, and MSP eligibility, gather required information, and document...Remote work
- ...The Eligibility Program Manager 2 at Health, Department of (Albany, NY) oversees the Division of Eligibility and Marketplace... ...Integration as a Deputy Bureau Director. The position leads three units focused on Medicaid eligibility for aged, blind, and disabled populations...Remote workPermanent employmentFull timeWork at office
- ...Ensemble Health Partners is seeking a remote Patient Eligibility Specialist to screen uninsured/under-insured patients for Medicaid eligibility and coordinate applications for timely submissions. Ideal candidates will have 1–2 years in healthcare, be inquisitive, and able...Remote work
- ...Technologies LLC is seeking a Senior Business Analyst for Medicaid Claims & Eligibility to drive requirements, process improvements, and successful... ...proficiency with Excel/SQL and ALM tools. This is a fully remote position across the U.S., with competitive benefits and...Remote work
- ...Health Louisiana program, seeks a Medical Director to advance Medicaid quality, access and outcomes. This work‑from‑home role... ..., driving utilization management and care reviews. Eligible physicians will lead with integrity and collaborate across clinical and operational...Remote workWork from home
$86.7k - $123.9k
...that unleashes the power of leading-edge technologies to help improve... ...Testing Manager (PBM/Medicaid) at Gainwell, you can contribute... ...expect in this role Fully Remote Opportunity - Work from anywhere... ..., full-time candidates are eligible for our generous, flexible vacation...Remote workFull timeFlexible hours- Ensemble Health Partners is seeking a remote Healthcare Eligibility Specialist to interview uninsured/under-insured patients and determine Medicaid eligibility. You will review referrals, collect documents, and coordinate submissions while traveling to client locations...Remote job
- Gainwell Technologies is seeking a Senior Business Analyst for Medicaid Claims & Eligibility to apply expertise in Medicaid programs, business analysis, and process improvement on critical healthcare initiatives for clients and their members. The role includes coordinating...Remote job
- Genesiscareers in the United States seeks a Medicaid Eligibility Support Coordinator to manage the full Medicaid application process for new... ...and converting residents in a group of nursing centers. This remote role includes gathering documents, submitting applications,...Remote job
$81.15k - $137.95k
...every day. ICF is seeking a Construction QA/QC Lead to assist Los Angeles County with... ...multidisciplinary team. Other Job Details: Remote position with possible travel to client... ...time position. “This job is a Section 3 eligible job opportunity. We encourage applications...Remote workFull timeContract workFor contractorsWork experience placementWork at office$45.43k - $52k
...positive approach to challenges) Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist for our Pennsylvania Team. Department & Position Overview: The Medicaid Eligibility Specialist focuses...Remote workFull time$86.7k - $123.9k
...that unleashes the power of leading-edge technologies to help improve... ...Testing Manager (PBM/Medicaid) at Gainwell, you can contribute... ...expect in this role Fully Remote Opportunity – Work from anywhere... ..., full-time candidates are eligible for our generous, flexible vacation...Remote workFull timeFlexible hours- ...Inc. is seeking a Quality Assurance and Compliance Manager to lead credentialing, intake, and compliance activities in a remote, 40-hour workweek. You will ensure accurate provider enrollment, eligibility checks, and authorization processing while collaborating with operations...Remote work
- ...QA Lead, Healthcare Encounters | Remote | W2 Only. We are looking for a QA Lead with deep expertise in healthcare encounter data to own the test strategy... ...submissions to regulators and partners (e.g., state Medicaid agencies, CMS MAO-004/EDPS, T-MSIS), including...Remote work
- ...Location: Remote Responsibilities Collaborate with client QA teams, developers, and offshore teams to understand requirements... ...and support continuous delivery. Lead initiatives to enhance testing... .... “ TalentBridge employees are eligible for many benefit offerings such as...Remote workTemporary work
- ...AuraOne, Inc. seeks a Senior Machinist / Construction & Field Ops Lead to remotely evaluate AI outputs across construction workflows. You will... ..., and stakeholder fit. This is a remote contractor role, US-eligible, with an hourly rate determined after interview. Candidates...Remote workHourly payFor contractors
- ...operations environment. ~3+ years of experience leading and managing Quality Assurance teams, including direct supervision of QA analysts. ~ Proven experience designing... ...Exchange (HBE), healthcare payer, Medicaid, eligibility, enrollment, or government benefits...Remote workImmediate start
$55.3k - $79k
...experiencedCall Center Quality Assurance Lead to support California's Medi-... ....Healthcare, Medi-Cal, Medicaid, Medicare, or health insurance... ...Sacramento area.Primarily remote with occasional onsite work at... ...salaried, full-time candidates are eligible for our generous, flexible...Remote workFull timeCasual workWork at officeFlexible hours$23 per hour
...Description Job Description Job Title: QA Lead Reports to: VA QA Supervisor... ...-task etc.) ~ Ability to work onsite (remote work is not an option) ~ Other characteristics... ...visa status. This position is not eligible for employer-sponsored work authorization...Remote workFull timeWork experience placementWork at office$40k - $45k
...quality care and exceptional service. As a leading provider in the long-term care industry... ...We are seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full... ...group of nursing centers. Duties in this remote role include gathering documents, submitting...Remote workTemporary workWork at office$81.6k - $180.7k
...similar career opportunities QA & Testing Management - Lead Category: Testing/Quality... ...well as our office in Fairfax, VA. No remote options are available*** Your future... ...Federal's benefits are offered to eligible professionals on their first day of employment...Remote workFull timeWork at officeLocal area
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