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

Remote Quality Auditor II - Healthcare Compliance

Premera Blue Cross

Premera Blue Cross is seeking a Quality Specialist II for its offshore operations within the Provider Contact Center Quality Program. You will oversee audits of claims processing, inquiries, enrollments, and electronic data exchanges, ensuring compliance with BCBS standards and federal/state requirements.

This role emphasizes quality improvement across the organization and collaboration with stakeholders. The position requires a high school diploma or GED and 3 years in related fields, with 1

#J-18808-Ljbffr
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Remote Quality Auditor II - Healthcare Compliance in South Carolina vacancy
  •  ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across multiple programs, including MTM, LDLA, and FEP, ensuring compliance with state and federal laws and corporate policies. You will examine claims, inquiries, enrollments, and electronic exchanges... 
    Remote work

    Premera Blue Cross

    Maine
    18 hours ago
  •  ...Premera Blue Cross is hiring for a Quality Specialist II to oversee audits across our offshore operations and ensure compliance with MTM, LDLA, and FEP programs. You will work with teams to identify opportunities for quality improvement and drive measurable enhancements... 
    Remote work

    Premera Blue Cross

    North Carolina
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Specialist II to support our offshore operations and strengthen quality across our processes. You will oversee compliance with audit programs such as MTM, LDLA and FEP, and verify transactions including claims, customer inquiries... 
    Remote work

    Premera Blue Cross

    Clayton, NC
    18 hours ago
  •  ...Premera Blue Cross in Portland, ME, seeks a Quality Specialist II to support the Provider Contact Center Quality Program and oversee audits across offshore operations, ensuring compliance with BCBS, FEP, and LDLA requirements. The role involves examining transactions... 
    Remote work

    Premera Blue Cross

    Portland, ME
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Specialist II to support its offshore operations in a telecommuting capacity. You will oversee audits such as MTM, LDLA, and FEP to ensure compliance with BCBS and corporate policies. Daily tasks include examining claims, inquiries... 
    Remote work

    Premera Blue Cross

    Kentucky
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Auditor to ensure compliance and improve processes across claims, enrollment, and customer service. You will conduct audits, document findings, and drive corrective actions with cross-functional teams. You should have a high... 
    Remote work
    Work experience placement

    Premera Blue Cross

    Madison, WI
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Auditor to conduct audits in healthcare operations, ensuring compliance with standards and improving processes. The role is remote/telecommuter, with emphasis on data analysis and root-cause problem solving to drive operational... 
    Remote work

    Premera Blue Cross

    Little Rock, AR
    18 hours ago
  •  ...Premera is seeking a Quality Specialist II for its Provider Contact Center Quality Program to help shape quality across offshore operations....  ...enrollments, and inquiries. The role is telecommuter, allowing remote work within the United States, with opportunities to advance... 
    Remote work

    Premera Blue Cross

    Idaho
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across our offshore operations and ensure compliance with MTM, LDLA, FEP, and corporate policies. You will examine transactions, claims, enrollments, and inquiries for timeliness, accuracy, and completeness... 
    Remote work

    Premera Blue Cross

    Montana
    18 hours ago
  • $67.19k

     ...in days) to receive an alert: Claims Quality Auditor II Job Category: Claims Department: Core...  ...knowledge of current trends and issues in healthcare, national and statewide standards and...  ...i.e. Payment Integrity and Claims Compliance. This position works to ensure claims... 
    Full time

    L.A. Care

    Lancaster, CA
    1 day ago
  •  ...To support quality assurance initiatives, the full-time remote Quality Specialist II will oversee compliance with audit programs, conduct audits of transactions, and collaborate with teams to identify and implement quality improvements. Key responsibilities: Conduct audits... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  • $60.1k - $98.7k

    This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy...  ...with all company Compliance, Information Security and...  ...industries including insurance, healthcare, banking and financial... 
    Remote work
    Full time
    Work at office

    EXL

    Remote
    4 days ago
  •  ...Trillium Health Resources is seeking a Quality Management Specialist II - IDD to monitor Home and Community Based Services for members and ensure HCBS compliance with the final rule. This role is remote within North Carolina, with travel within the 75-mile catchment of... 
    Remote work
    Work from home

    Trillium Health Resources

    Lumberton, NC
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Audit professional to conduct audits and ensure adherence to standards. You will plan and communicate audit activities, maintain up-to-date knowledge of audit techniques, and document results with recommended corrective actions.... 
    Remote work

    Premera Blue Cross

    Tallahassee, FL
    18 hours ago
  •  ...Cognizant is hiring a Medical Coding Quality Auditor to ensure accuracy, compliance, and quality across healthcare records in a fully remote environment. You will review documentation, query physicians, assign codes (ICD-10-CM, CPT, HCPCS), perform peer reviews, and report... 
    Remote work

    Cognizant

    Springfield, IL
    18 hours ago
  • $35.36k - $70.72k

    Abbott is a global healthcare leader that helps people live more fully at all stages...  ...JOB DESCRIPTION: The Triage Order Quality Associate Level II (TOQII) position is responsible for the...  ...departments. Location: Remote, United States Hours : 1st shift,... 
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Abbott

    Remote
    3 days ago
  • A healthcare institution is seeking a Coding Quality Auditor and Specialist to ensure compliance in clinical documentation and coding. This remote position requires strong analytical skills and certifications in coding. Responsibilities include collaborating with clinical... 
    Remote work

    Northwestern Medicine

    Chicago, IL
    18 hours ago
  •  ...Cognizant is seeking a Medical Coding Quality Auditor to ensure accurate coding, compliance, and quality across healthcare records in a fully remote role. You will collaborate with clinicians to support proper documentation, regulatory adherence, and operational excellence... 
    Remote work

    Cognizant

    New York, NY
    18 hours ago
  •  ...Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals...  ...and regulatory compliance in a remote work environment. In this role you will review... 
    Remote work

    Cognizant

    Helena, MT
    18 hours ago
  •  ...Cognizant is seeking a Medical Coding Quality Auditor for a fully remote role. You will ensure coding accuracy, compliance, and quality across healthcare records, collaborating with clinicians to support accurate documentation and regulatory compliance. The role requires... 
    Remote work

    Cognizant

    Madison, WI
    18 hours ago
  •  ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits of claims processing, inquiries, enrollments and electronic transactions, ensuring compliance with BCBA, FEP, and corporate policies. This telecommuter role collaborates with stakeholders to identify... 
    Remote work

    Premera Blue Cross

    South Dakota
    18 hours ago
  •  ...team working to improve the future of healthcare? Do you want to enhance the lives of...  ...110 countries and regions.Shift: Day Quality Associate II / Quality Associate III, QA ReleaseSummary...  ...tasks (i.e. documentation, training, compliance, product release, scheduling, etc.),... 
    Work experience placement
    Shift work

    Grifols

    Clayton, NC
    3 days ago
  •  ...Premera Blue Cross is seeking a Telecommuter Quality Auditor to conduct audits, develop audit reports, and drive continuous improvement in quality assurance across business processes. The role emphasizes professional ethics, data interpretation, and cross‑functional collaboration... 
    Remote work

    Premera Blue Cross

    Yuma, AZ
    18 hours ago
  •  ...Quality Specialist IIDiscover impactful work:Join Thermo Fisher Scientific as a Quality Specialist II and contribute to global healthcare and scientific advancement. In this role, you'll ensure compliance with GMP standards, FDA regulations, and international quality... 
    Work at office
    Relocation package

    Thermo Fisher

    Florence, SC
    4 days ago
  •  ...us apart as a leader in the healthcare industry. As an integral part...  ...Description The Coding Quality Auditor and Specialist reflects the...  ...Code of Ethics and Corporate Compliance Program, and complies with all...  .... This position is 100% remote (occasional onsite meeting attendance... 
    Remote work
    Full time
    Local area
    Relocation package

    Northwestern Medicine

    Chicago, IL
    18 hours ago
  •  ...Medical Coding Quality Assurance Specialist Turn coding accuracy into stronger compliance, cleaner claims, and better healthcare outcomes. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1... 
    Remote work
    Full time

    UF Health

    Jacksonville, FL
    2 days ago
  •  ...Premera Blue Cross is hiring a Quality Specialist II to oversee audits across claims processing, inquiries, enrollments, and electronic data exchanges. You will ensure compliance with BCBS MTM, LDLA, FEP, and corporate policies while partnering with stakeholders to drive... 
    Remote work

    Premera Blue Cross

    Lake, MI
    18 hours ago
  •  ...Premera Blue Cross is hiring for a Quality Specialist II in our Provider Contact Center Quality Program. This remote role focuses on auditing claims, enrollments, and inquiries to ensure compliance with BCBA and FEP standards, driving improvements across offshore operations... 
    Remote work

    Premera Blue Cross

    Accident, MD
    18 hours ago
  • Remote: You will be able to work from your home location within the...  ...an Assistant General Counsel II, you’ll provide legal strategy...  ...Interwell Health, with a focus on healthcare and telehealth regulations, provider relationships, and compliance with fraud and abuse laws. You... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home
    Shift work

    Fresenius Medical Care

    Waltham, MA
    18 hours ago
  • $32 - $37 per hour

     ...Onsite Tuesday, Wednesday & Thursday, Remote Monday & Friday NORTH CHICAGO IL...  ...environments ⭐ Familiarity with quality assurance documentation and compliance processes ⭐ Scientific degree or...  ...Assurance (QA) Compliance Specialist II to support an R&D Scientific... 
    Remote work
    Full time
    Work at office
    Monday to Friday

    The Fountain Group

    North Chicago, IL
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Quality Auditor II - Healthcare Compliance. Be the first to apply!