Healthcare Claims Auditor — Quality & Cost-Saving Impact
Rippling, Inc.
Redirect Health is seeking a Dedicated Claims Auditor to oversee and ensure comprehensive medical and pharmacy claims auditing practices for our members. This is an opportunity to make a direct impact, examine and improve workflows, and support the Claims Management team in sustaining our vision of 0% Error Rates — all while helping people access the care they need. We’re looking for a healthcare professional who thrives in a fast-paced, adaptable environment and is passionate about delivering #J-18808-Ljbffr Rippling, Inc.
$50k - $55k
Healthcare shouldn’t be something you worry about... ..., your healthcare costs nothing out of... ...applications for a Dedicated Claims Auditor. Are you a... ...to make a direct impact, examine and... ...Audit, Review, & Quality Assurance o Perform... ...benefit alone can save families tens of thousands...QualityClaimsContract work$19.26 - $24.99 per hour
Healthcare shouldn’t be something you worry about... ..., your healthcare costs nothing out of... ...This Role Medical Claims Processor helps ensure... ...in us Directly impact how supported, confident... ...: Accurate, high-quality claims processing... ...benefit alone can save families tens of...QualityClaimsContract workWork at office- ...manufacturing and healthcare. Ranked as one of... ...recruiting for a WC Claims Resolution... ...focus on delivering quality claim outcomes and... ...rationale and potential impact. Identify and... ...monitoring and controlling costs. Partner with... ..., a 401(k) savings plan with profit sharing...QualityClaimsWork at officeLocal areaFlexible hoursNight shift2 days per week
$117.5k - $222.99k
...retirement funding and healthcare financing, risk... ...core values of Quality, Integrity, and Opportunity... ...is making an impact on healthcare by... ...for healthcare cost and care management... ...organizations, healthcare claims, clinical and... ...(FSA) - Pre-tax savings for dependent care...QualityClaimsHourly payFull timeTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hours- ...while making a meaningful impact for the businesses we... ...concierge, providing healthcare navigation, proactive outreach... ..., and assistance with claim resolution and prior... ...services and manages costs, helping control expenses... ...Experience in quality improvement related activities...QualityClaimsLocal area
$175.1k - $334.75k
...prioritize safety and quality in everything we... ...- Medical Cost Initiatives Location... ...Remote Department: Healthcare Technology & Product... ...Services. In this high-impact executive role,... ...sources (e.g., claims data, remote monitoring... ...off, retirement savings options, wellness...QualityClaimsHourly payFull timeTemporary workLocal areaRemote work$43.89k - $102.08k
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part... ...Coding Analyst will perform medical claim reviews for waste and error to ensure... ...vision coverage, paid time off, retirement savings options, wellness programs, and other resources...QualityClaimsHourly payFull timeTemporary workLocal area- ...opportunity to effectuate impactful technology... ...to satisfy or exceed quality standards Write clear... ...solving a $600B problem in healthcare . One that impacts over... ...avoids high dollar medical claims. There's only one... ...wrong path, often getting costly imaging or surgeries...QualityClaimsTemporary work
$68k
...States designed to provide healthcare coverage to low-income... ...managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to... ...projects that aim to positively impact the lives of individuals...QualityClaimsPermanent employmentWork at office3 days per week- ...eClinicalWorks (eCW) Serenity Healthcare Location: Lehi, UT or... ...personally working escalated claims, denials, and payer issues.... ...ability to manage productivity, quality, and performance metrics... ...-visibility role with direct impact on reimbursement and company...QualityClaimsFull time
$70 per hour
...two million people receive quality mental healthcare? Come join our mission to get... ..., and administrative costs so you can create your own... ...schedule and focus on providing impactful care. What you’ll do: Treat... ...credentialing, billing, and claims Everything in One Place:...QualityClaimsHourly payContract workPart timeFor contractorsPrivate practiceRemote workFlexible hours$102.5k - $204.5k
...complex pharmacy claims and pharmacy rebate... ...quantity, ingredient cost, dispensing fee,... ...financial impact, evaluate vendor responses... ...serve as a key quality checkpoint for audit... ...degree in pharmacy, healthcare, business, finance... ...assistance, 401K savings and other...QualityClaimsMinimum wageContract workWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$68k
...States designed to provide healthcare coverage to low-income... ...managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to... ...projects that aim to positively impact the lives of individuals...QualityClaimsPermanent employmentWork at office3 days per week- ...including commercial, education, and healthcare projects. The Associate... ...all aspects of legal issues impacting those projects (with the... ...issues, operational matters and claims.Focused on big picture strategy... ...with Risk, Safety, Finance, Quality, Compliance, and Operations toward...QualityClaimsFor subcontractorWork at officeLocal area
$54.1k - $155.54k
...prioritize safety and quality in everything we do. Join... ...services that support cost-effective quality care... ...social indicators which impact care planning and resolution... ...to benefit overall claim management. Using a... ...paid time off, retirement savings options, wellness...QualityClaimsHourly payFull timeLocal areaRemote workWork from homeFlexible hours$68k
...States designed to provide healthcare coverage to low-income... ...managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to... ...projects that positively impact the lives of individuals and...QualityClaimsPermanent employmentWork at office3 days per week$15.61 - $23.82 per hour
...claimants, providers, claims professionals, and case... ...and ongoing ancillary healthcare services. Utilizing... ...departmental production and quality performance... ...role. The level may impact the salary range and these... ...Term Disability, Health Savings Account, Flexible Spending...QualityClaimsHourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayFlexible hoursShift work- ..., payers, and providers to reduce costs, improve quality, and elevate the healthcare experience. Through advanced technology... ...based on client value, business impact, scalability, and feasibility.... ...working with healthcare data such as claims, eligibility, provider, clinical,...QualityClaimsFull timeImmediate startRemote workFlexible hours
$70k - $75k
...Arizona Health Care Cost Containment System Accountability... ..., Leadership, Passion, Quality, Respect, Courage,... .... Help shape healthcare decisions for more than... ...You will analyze claims, encounters, membership... ...operational and financial impacts, identifying...QualityClaimsFull timePart timeInternshipWork at officeRemote workFlexible hours$21 - $24 per hour
...management solutions to support healthcare organizations serving seniors... ...customer bills and insurance claims in an accurate and timely... ...coverage to evaluate options to save resident money.... ...adhering to strict deadlines ~ Quality minded; motivated to seek out...QualityClaimsFull timeTemporary workWork at officeMonday to FridayFlexible hours- ...to: Customer Service, Claims Processors, and Correspondence... ...management, and quality management activities.... ...regarding their difficult and costly cases, including... ...recommendations and showing the impact of BCBSAZ interventions... ...processes to reduce healthcare costs, increase quality...QualityClaimsFull timeWork experience placementWork at officeRemote work1 day per week
- ...support material damage claims through accurate... ...estimates, negotiate repair costs, and assist with total... ...meeting productivity and quality expectations. Preferred... ...making a meaningful impact. Effective July 1, 2014... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North...QualityClaimsHourly payContract workWork at officeRemote workWork from homeVisa sponsorshipWork visa
$71.03k
AHCCCS Arizona Health Care Cost Containment System... ..., Leadership, Passion, Quality, Respect, Courage, Teamwork... ...team. Care Management Healthcare Consultant Division of... ...Assess variables which impact health and functioning... ...Utilization Management, claims review, auditing, or...QualityClaimsFull timePart timeInternshipWork at officeImmediate startRemote workWork from homeFlexible hoursWeekend work$145.6k - $175.6k
...Affairs (VA) for in‑service injury claims. The role involves reviewing... ...the Veteran and aims to positively impact each Veteran by providing an exceptional... ...findings, and correspond with the Quality Assurance Team. Collaborate with healthcare professionals, specialists, and...QualityClaimsFor contractorsMonday to Friday$90k
...the chance to make a meaningful impact through clinical case... ...plans are medically appropriate, cost-effective, and support timely... ...recovery Partner with providers, claims adjusters, employers, and other... ...compliance with regulatory and quality standards Required...QualityClaimsRemote jobPermanent employmentFull time$70 per hour
...two million people receive quality mental healthcare? Come join our mission to get... ..., and administrative costs, so you can create your own... ...and focus fully on providing impactful care! What You'll Do Treat... ...credentialing, billing, and claims Everything in One Place: Sessions...QualityClaimsHourly payContract workPart timeFor contractorsReliefPrivate practiceLocal areaRemote workFlexible hoursShift work- Bilingual Quality Specialist Suvida Healthcare LLC Phoenix, Arizona, United States About this position Who We... ...converge to make a meaningful impact on the well-being of an underserved... ...basic understanding of billing and claims coding Experience reviewing Electronic...QualityClaimsLocal areaMonday to Friday
- Qlarant, a not-for-profit organization dedicated to improving health care program quality, seeks a Special/Analyst II to ensure integrity and accuracy of claims processes. You will collect data for audits, review documentation, interview involved parties, and communicate...QualityClaimsRemote job
- ...the AI Operating System for healthcare, the foundation that defines... ...autonomous RCM processing billions in claims, all on a single AI-native... ...what you build and its impact on patient care is immediate.... ...access, affordability, and care quality.In this highly visible...QualityClaimsWork at officeImmediate start
- ...mission of positively impacting the lives we touch .... ...human kindness, and high-quality care. Recognized by... ...few fully integrated healthcare organizations, APH... ...Certified HEDIS Compliance Auditor (CHCA), or related... ...Knowledge of health care claim elements: Current...QualityClaimsFlexible hoursNight shiftAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Claims Auditor — Quality & Cost-Saving Impact. Be the first to apply!



