Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Quality Audit Analyst II - Medicare/Medicaid Claims

$21.1 - $49.08 per hour

Hispanic Alliance for Career Enhancement

The Hispanic Alliance for Career Enhancement is seeking a full-time candidate for the role focusing on Medicare and Medicaid High Dollar claims. The ideal applicant will possess strong analytical and organizational skills, and be comfortable with quality goals. With the role supporting a hybrid work environment, applicants should be prepared to work onsite three days a week. A comprehensive benefits package is included, along with competitive pay rates ranging from $21.10 to $49.08. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Quality Audit Analyst II - Medicare/Medicaid Claims in Annapolis, MD vacancy
  • $21.1 - $49.08 per hour

     ...accountable and prioritize safety and quality in everything we do. Join us...  ...for Aetna performs quality audits for service operations for...  .... Government Programs Claim Quality is an exciting and...  ...SOX and Sarbanes control for Medicare and Medicaid Claim Processing. We are... 
    Claims
    Hourly pay
    Full time
    Work at office
    Local area
    Flexible hours
    3 days per week

    Hispanic Alliance for Career Enhancement

    Annapolis, MD
    4 days ago
  • Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with... 
    Claims
    Work experience placement

    Qlarant

    Annapolis, MD
    2 days ago
  • $70k - $85k

     ...Adjustment Coding Specialist II - Maryland Department: Quality - Risk Adjustment...  ...to verify that all Medicare Advantage,...  ...monitor, and document claims and encounter coding...  ...and/or coding quality audits of medical records to...  ...changes in Medicare, Medicaid, and private payer... 
    Claims
    Full time
    Work at office
    Remote work

    Astrana Health Management

    Annapolis, MD
    4 days ago
  • $59.3k - $80.9k

     ...Medical Coding Auditor reviews medical claims submitted against medical records...  ...: Experience with coding/auditing multispecialty surgical procedures...  ...efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military... 
    Claims
    Full time
    Temporary work
    Apprenticeship
    Remote work
    Work from home

    Humana Inc

    Annapolis, MD
    4 days ago
  • $59.9k - $98.2k

    Zurich NA in Annapolis, MD, seeks a Workers Compensation Claims Specialist II to manage claims with moderate to high complexity. Responsibilities include assessing claims, determining liability, and negotiating settlements to ensure efficient service. Qualified candidates... 
    Claims

    Zurich NA

    Annapolis, MD
    3 days ago
  • $48.3k - $65.9k

     ...Coordinator responsible for reviewing disputes on adjudicated claims and performing coding duties remotely. Candidates should...  ...at least 3 years of coding experience and be well-versed in Medicare and Medicaid guidelines. This position offers a competitive salary range... 
    Claims
    Remote job

    Humana Inc

    Annapolis, MD
    1 day ago
  • $19.92 - $29.87 per hour

     ...timely submission of all claims and timely follow up....  ...billing requirements for Medicare, Blue Cross, Medical...  ...simultaneously while maintaining quality and accuracy**...  ...mail, and in person.* Audits primary patient bills for...  ...under Medicare, Medicaid, most private insurance... 
    Claims
    Work at office
    Local area

    Boston Medical Center

    Annapolis, MD
    3 days ago
  • Healthcare Quality Data Analyst job at SGS Consulting. Maryland. Job Responsibilities: At least 2 years’ experience with Managed Care or other health care related entities Claims data experience Expert in Excel including Macros/VBA and Power Query Proficient/formal training... 
    Claims

    SGS Consulting

    Annapolis, MD
    2 days ago
  • $50 - $60 per hour

    A leading AI development company is looking for a Claims Adjuster to improve AI Assistant responses related to finance. This role allows for full-time or part-time work, with the freedom to choose projects and set your schedule. Candidates should have expert financial... 
    Claims
    Remote job
    Hourly pay
    Full time
    Contract work
    Part time
    Flexible hours

    DataAnnotation

    Annapolis, MD
    16 hours ago
  •  ...Provide ad‑hoc reporting and claims analysis to support...  ...solutions. Mentor and train new analysts, supporting their professional...  ...ad‑hoc provider and claims audits to ensure accurate system...  ...required. Experience with Medicare Advantage, Medicaid, commercial health plans, and... 
    Claims
    Work experience placement

    Johns Hopkins Medicine

    Annapolis, MD
    2 days ago
  • $70k - $85k

     ...Overview Department: Quality - Risk Adjustment Employment...  ...to verify that all Medicare Advantage, Affordable Care...  ...monitor, and document claims and encounter coding...  ...and/or coding quality audits of medical records to ensure...  ...changes in Medicare, Medicaid, and private payer requirements... 
    Claims
    Full time
    Work at office
    Work from home
    Monday to Friday

    Astrana Health, Inc.

    Annapolis, MD
    4 days ago
  • $46.99k - $122.4k

     ...accountable and prioritize safety and quality in everything we do. Join us...  ...include reviews and audits of provider records to ensure...  ...recoupment of funds or rebilling of claims, and referral to state...  ...currently administers benefits to Medicaid members across multiple lines... 
    Claims
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours

    Hispanic Alliance for Career Enhancement

    Annapolis, MD
    3 days ago
  • $59.3k - $80.9k

    A leading U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This role involves analyzing medical documentation, confirming CPT coding assignments, and maintaining strict confidentiality. Ideal... 
    Claims
    Remote job

    Humana Inc

    Annapolis, MD
    4 days ago
  • Qlarant in Maryland is seeking a skilled auditor to ensure the integrity of claims processes. This role involves conducting detailed audits and investigations into customer claims, providing recommendations for resolution, and preventing fraudulent activities. The ideal... 
    Claims

    Qlarant

    Annapolis, MD
    16 hours ago
  • $25 - $29 per hour

     ...support timely revenue collection for assigned groups. You will handle coding, entry of patient information, and track high dollar claims through resolution. This remote role requires candidates to be located in specific operating states. The ideal applicant must possess... 
    Claims
    Remote job
    Hourly pay

    Kuresmart

    Annapolis, MD
    1 day ago
  • $59.9k - $98.2k

    Workers Compensation Claims Specialist II 133801 Zurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team!...  ...available tools and resources within authority limits. Meet quality standards by following best practices. Ensure customer... 
    Claims
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Annapolis, MD
    2 days ago
  •  ...Renewal rate and funding projections and modeling Analysis of claims utilization Rate and contribution analysis Benchmarking...  ...reviewed party. May also act as a reviewer for Associate Analyst I and Associate Analyst II work. Receive assistance and guidance from Benefit... 
    Claims
    Temporary work
    Work at office
    Local area
    Flexible hours

    USI Insurance Services

    Annapolis, MD
    16 hours ago
  • J29, Inc is seeking a part-time Physician Auditor to perform blinded Independent Review clinical evaluations while adhering to Medicare guidelines. The position is contingent upon the successful award of the associated contract. The ideal candidate has over 10 years of... 
    Claims
    Remote job
    Contract work
    Part time
    Flexible hours

    J29, Inc

    Millersville, MD
    3 days ago
  • $108.5k - $155k

     ...(Exception only) Principal Technical Analyst - MMIS - Medicaid Pharmacy As a Principal Technical Analyst...  ..., including Member, Provider, Claims, Utilization Management, Prior Authorization...  ...to support solutioning, testing, and quality assurance. Support performance tuning... 
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies

    Annapolis, MD
    16 hours ago
  •  ...online tools/portals Attach insurance information to unbilled claims and rebill claims that may have gone out to the wrong...  ...billing setting Knowledge, Skills, and Abilities Knowledge of Medicare, Medicaid, and Managed Care billing guidelines Experience with Insurance... 
    Claims
    Full time
    Work at office
    Monday to Friday
    Flexible hours
    Day shift

    Healing Partners

    Annapolis, MD
    2 days ago
  •  ...lives with lines of business in Medicaid, Medicare, commercial, military health...  ...Senior Health Data Analyst is responsible for providing...  ...responding to regulatory requests, audits, investigations, privacy...  ...incidents, and member requests for claims and healthcare information,... 
    Claims
    Work experience placement

    Johns Hopkins Medicine

    Annapolis, MD
    3 days ago
  •  ...with significant disabilities who are seeking to enter or reenter the workforce, and the adjudication of Social Security disability claims for the citizens of Maryland. Grade ASTD15 Location of Position Prince George's County, Metro Business Center, 4451-Z Parliament... 
    Claims
    Remote work
    3 days per week

    State of Maryland

    Annapolis, MD
    2 days ago
  •  ...A leading claims adjustment firm in Severna Park, Maryland, is seeking Independent Insurance Claims Adjusters. This career offers flexibility, competitive pay, and opportunities for growth. Applicants should be licensed adjusters with experience handling claims. Comprehensive... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Severna Park, MD
    3 days ago
  • A leading risk management company in Maryland seeks a Workers’ Compensation Claims Specialist to join their Creative Risk Solutions team. This role involves managing Workers’ Compensation claims, conducting evaluations, and requiring 3-5 years of relevant experience. The... 
    Claims

    Holmes Murphy

    Annapolis, MD
    4 days ago
  • $20 - $24 per hour

    A professional services firm is seeking a Home Loan Specialist II in Annapolis, MD. Responsibilities include performing daily loan reviews, evaluating loan applications for compliance, and troubleshooting third-party orders. Candidates should have an associate’s degree... 
    Hourly pay
    Work at office

    Edwards Lifesciences Belgium

    Annapolis, MD
    1 day ago
  • $51.8k - $75k

    ONE80 INTERMEDIARIES INC is seeking a Claims Accountant in Maryland responsible for managing and analyzing financial transactions related to insurance claims. The role ensures accuracy in claims payments and reporting while complying with regulatory requirements. The successful... 
    Claims

    ONE80 INTERMEDIARIES INC

    Annapolis, MD
    2 days ago
  • A leading insurance adjustment firm in Maryland is seeking Independent Insurance Claims Adjusters ready to make a difference. This role involves aiding clients in recovery after disasters while enjoying flexibility and competitive compensation. The firm provides comprehensive... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Annapolis, MD
    4 days ago
  • A leading claims adjustment firm in Severna Park, Maryland, is seeking Independent Insurance Claims Adjusters. This career offers flexibility, competitive pay, and opportunities for growth. Applicants should be licensed adjusters with experience handling claims. Comprehensive... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Severna Park, MD
    4 days ago
  •  ...A leading claims adjusting firm in Arnold, Maryland is seeking Independent Insurance Claims Adjusters. This role is pivotal in supporting individuals and businesses in their recovery from disasters while offering the flexibility and growth opportunities in a rewarding... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Arnold, MD
    3 days ago
  • $18.5 - $42.35 per hour

     ...innovative environment dedicated to safety and quality. Join us and help simplify health care...  ...activities in support of revenue or claim information. Performs general data gathering...  ...of WEX system. Prior experience in auditing. Ability to use knowledge and experience... 
    Claims
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    3 days per week

    NACBA

    Annapolis, MD
    16 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Quality Audit Analyst II - Medicare/Medicaid Claims. Be the first to apply!