Remote Quality Auditor, Health Plan Operations

$25.38 - $36.76 per hour

SCAN Health Plan

Scan-Health-Plan in California is seeking a Quality Auditor to perform operational audits across various health plan operations including Claims and Enrollment. Responsibilities include ensuring compliance with regulatory requirements and maintaining quality standards. The ideal candidate has 3+ years of experience in healthcare audit processing, strong analytical skills, and proficiency in Microsoft Office. This position offers a base wage range of $25.38 to $36.76 per hour and a remote work option. #J-18808-Ljbffr

Apply

Vacancy posted 13 hours ago

Similar jobs that could be interesting for youBased on the Remote Quality Auditor, Health Plan Operations in Lakewood, CA vacancy

Professional Billing Coding Quality Auditor
...client is seeking a Coding Auditor responsible for... ...guidance, and state Medicaid plans. Review charge... ...Requirements This is a REMOTE role but requires on-... ...leave ordinances). ~ Health Benefits / Dental /... ...impact on the business operations and reputation, as well...
Remote work
Operations
Health Insurance
Temporary work
Work at office
Local area
Medix
Warrenville, IL
1 day ago
Remote Health Plan Quality Auditor - Claims & Compliance
$25.38 - $36.76 per hour
SHPCA SCAN Health Plan is seeking a Quality Auditor to conduct compliance audits across various health plan operations. This role ensures quality standards, compliance with regulatory... ...Microsoft Office. This position offers a remote work option and a competitive pay...
Remote job
Operations
Health Insurance
Hourly pay
Work at office
SHPCA SCAN Health Plan
California, MO
2 days ago
Senior RN Clinical Quality Auditor - Remote | Managed Care
$72.8k - $130k
UnitedHealthcare is seeking a Senior Clinical Quality Auditor to support care management operations and ensure compliance. This role... ...a current RN license and experience in health plan quality improvement. The position offers remote work flexibility across the U.S. and a...
Remote job
Operations
Health Insurance
Council of State and Territorial Epidemiologists
Minnetonka, MN
2 days ago
Senior RN Clinical Quality Auditor - Remote | Managed Care
$72.8k - $130k
UnitedHealthcare is hiring a Senior Clinical Quality Auditor responsible for supporting care management products and operations. This remote position requires strong auditing skills... ...communication, and experience in health plan quality improvement. The salary ranges from...
Remote job
Operations
Health Insurance
Wisconsin Psychiatric Association Inc
Minnetonka, MN
2 days ago
Internal (1st Party) Quality Auditor - Aerospace (Remote)
$86.8k - $165.2k
...Internal Auditor – Remote (Western Region, U.S.) As an Internal... ..., supporting the planning, execution, and follow... ...across aerospace operations. You will ensure compliance... ...findings to enhance quality performance and... ...leave benefits. Ovia Health fertility and family...
Remote work
Operations
Health Insurance
Work from home
Prattwhitney
California, MO
3 days ago
Quality Reviewer/Auditor, Registered Nurse (Remote)
$93.4k - $116.8k
...experienced RN with a strong background in Quality including quality of care reviews,... ...investigation, and regulatory compliance? VNS Health Plans is seeking a seasoned clinical... ...actions. You'll collaborate across clinical, operational, and compliance teams to not only...
Remote work
Operations
Health Insurance
Work experience placement
Flexible hours
VNS Health
New York, NY
4 days ago
Remote Quality Auditor - 811 Tickets & Billing
...GridHawk LLC is seeking a detail-oriented Quality Auditor Specialist to join our remote operations team. In this role, you will review utility locate... ...a full-time employee, you will benefit from health insurance, a 401(k) plan, and a supportive remote work environment....
Remote work
Operations
Health Insurance
Full time
GridHawk LLC
Toledo, OH
12 hours ago
Remote 811 Ticket Quality Auditor
...Gridhawk is seeking a detail-oriented Quality Auditor Specialist to support operations in a fully remote environment. The role involves reviewing... ...comprehensive benefits package, including health insurance, a flexible benefits plan, and 401(k) with a company match. #J-1...
Remote work
Operations
Health Insurance
Work at office
Flexible hours
Gridhawk
Toledo, OH
3 days ago
EPIC Quality Auditor
$75k - $85k
...Billing (UMB) is a fully remote department that is... ...for an experienced EPIC Quality Auditor to join our team. As... ...analyzing information systems operations to identify... ...Participating in audit planning and execution. Evaluating... ...Proficiency with electronic health records and billing...
Remote work
Operations
Health Insurance
Work experience placement
Work at office
Shift work
University of Utah Health Research
Salt Lake City, UT
12 hours ago
2nd Shift - Quality Auditor
...Quality Auditor Onsite - Somers, WI Who We Are: PurposeBuilt Brands, rooted... ...improvement. Support production operations and critical business situations. Provide... ..., whether that's in the office or remote. What We Offer: Generous paid time...
Remote work
Operations
Health Insurance
Work at office
Monday to Friday
Afternoon shift
Weiman Products LLC
Kenosha, WI
1 day ago
GC Quality Auditor 2nd Shift
...GC Quality Auditor 2nd Shift Job Posting Location:... ...Required Travel: 0% Remote, Onsite or Hybrid?:... ...(U.S.), with operations in North America, South... ...Why Choose Modine? Health & Well-being: Day... ...~401k Retirement plan and company paid match...
Remote work
Operations
Health Insurance
Temporary work
H1b
Work at office
Worldwide
Afternoon shift
Modine Manufacturing Company
Grenada, MS
19 hours ago
AI-Driven Quality Ops Specialist - Domain Expansion
$120k - $151k
Waymo seeks a Software Quality Operations Specialist to enhance the safety and reliability... ...strong communication skills. Benefits package includes health insurance, retirement plans, and paid time off, with a salary range of $120,000-$151,000. #J-18808-Ljbffr Remote Jobs
Remote work
Operations
Health Insurance
Remote Jobs
New York, NY
3 days ago
STARS Quality Specialist
...Mass General Brigham Health Plan is an exciting place to be within... ...opportunities, and much more. The Quality STARS Specialist supports a... ..., pharmacy, provider, and operational teams to identify... ...Conditions ~ This is a remote role that can be done from most...
Remote work
Operations
Health Insurance
Work at office
Flexible hours
Mass General Brigham Health Plan
Somerville, MA
19 hours ago
Quality Auditor
Onsite - Somers, WI The Role The Quality Specialist plays a pivotal role in leading the... ...process improvement. Support production operations and critical business situations.... ...success, whether that's in the office or remote. What We Offer Generous paid time off...
Remote work
Operations
Health Insurance
Work at office
Monday to Friday
PurposeBuilt Brands
Kenosha, WI
3 days ago
Remote Software Quality Ops Specialist for AI/ML
Waymo is looking for a Software Quality Operations Technical Specialist in San Francisco, California, to enhance the safety and... ...focusing on ML lifecycle and data analysis. Benefits include health insurance, retirement plans, and generous paid time off. #J-18808-Ljbffr Waymo
Remote job
Operations
Health Insurance
Waymo
San Francisco, CA
3 days ago
Lead Electrical Quality Assurance/Quality Control Specialist 1 - Construction Management
$118.02k - $180.31k
...and detail-oriented Electrical Quality Specialist to join our... ...actions where necessary. Pre-Planning Support: Assist contractors in... ...support, and guidance to plant operators, maintenance teams, and other... ...& Lundy, we care about the health and well-being of our employees...
Remote work
Operations
Health Insurance
Hourly pay
Daily paid
Contract work
For contractors
Work experience placement
For subcontractor
Local area
Flexible hours
Sargent & Lundy
Chicago, IL
1 day ago
Copywriting & Content Quality Specialist
$68k - $82k
...Copywriting & Content Quality Specialist Location: Remote (Dallas Metroplex preferred, not required)... ...Creative within Limetree’s marketing operations structure and will work closely with... ...with Medicare, Medicaid, health plans, providers, healthcare marketing,...
Remote work
Operations
Health Insurance
Limetree
Plano, TX
17 days ago
Clinical Quality Associate
$55k - $65k
Company Description Privia Health™ is a technology-driven... ...medical groups, health plans, and health systems to... ...consists of scalable operations and end-to-end, cloud-... ...Privia Health, the Clinical Quality Associate will provide... ...experience with remote communication Must comply...
Remote work
Operations
Health Insurance
Local area
Work from home
Home office
Privia Health
Atlanta, GA
4 days ago
Quality Assurance Auditor I, Bilingual
...Summary: Performs various Quality Assurance monitoring... ...implemented by Operations and Operations Services... ...with quality assurance plan, including call monitoring... ...quarterly monitoring QA Auditor assignments to ensure that... ...from a home, or other remote office, for all of the...
Remote work
Operations
Permanent employment
Contract work
Work at office
Work from home
Shift work
CONTINENTAL SERVICE GROUP LLC
Fairport, NY
18 days ago
Quality Care Improvement Specialist - Maryland/Connecticut/Virginia
$26 - $35 per hour
Quality Care Improvement Specialist - Maryland/Connecticut/Virginia... ...(Part C & D), and overall health plan quality metrics. We are seeking... ...Provider and Care Teams Operate with Integrity & Excellence... ...This role follows a primarily remote work structure where the expectation...
Remote work
Operations
Health Insurance
Hourly pay
Full time
Work at office
Local area
Monday to Friday
Astrana Health, Inc.
Hartford, CT
2 days ago
Senior Health Care Quality Management Specialist (Florida-Remote)
$46.99k - $102k
We’re building a world of health around every individual — shaping... ...and prioritize safety and quality in everything we do. Join us... ...evaluation of Quality Management work plans, accreditation activities,... ...activities for health plan operations, health equity programs, and...
Remote job
Operations
Health Insurance
Hourly pay
Full time
Temporary work
Work experience placement
Work at office
Local area
Relocation
Relocation package
CVS Pharmacy
Florida, NY
2 days ago
Remote Survey Quality Specialist - Precision & Insights
...is seeking a meticulous Survey Fielding & Quality Specialist to manage online survey... ...ideal for someone with experience in survey operations and a knack for problem-solving. Benefits include permanent remote work, PTO, health coverage, and performance bonuses. Join us...
Remote work
Operations
Health Insurance
Permanent employment
Hireframe
New York, NY
2 days ago
Appeals and Grievances Quality Assurance and Auditing Specialist II
$67.19k
...alert: Appeals and Grievances Quality Assurance and Auditing... ...Established in 1997, L.A. Care Health Plan is an independent public agency... ...the nation’s largest publicly operated health plan. Serving more than... ...weekends, holidays, a hybrid remote schedule, occasional...
Remote work
Operations
Health Insurance
Full time
Shift work
Weekend work
L.A. Care Health Plan
Los Angeles, CA
4 days ago
Quality Review Specialist I (MCS)
...Stewart family of companies, is seeking a Senior Quality Review Specialist who directly engages in field operations outside of core Escrow and Title Operations; also... ...that includes, but is not limited to a variety of health and wellness insurance options and programs, paid...
Remote work
Operations
Health Insurance
Work experience placement
Stewart
United States
1 day ago
Senior Aerospace Quality Auditor - Remote
$100k - $120k
A leading certification body is seeking an experienced auditor to conduct third-party audits for aerospace standards (AS9100... ...competitive salary of $100,000-$120,000, along with benefits like health and retirement plans, continuous training, and a supportive work environment....
Remote work
Health Insurance
TUV SUD AMERICA, INC.
Portland, OR
4 days ago
Quality Auditor
...of the oldest and most reliable health and life insurance companies in the country. Operating successfully for over 175 years... ...our health, dental and vision plans. We offer flexible schedules, including... ...Purpose: We are seeking a Quality Auditor for our Louisville, Kentucky...
Operations
Health Insurance
Work at office
Immediate start
Flexible hours
ManhattanLife Insurance & Annuity Company
Louisville, KY
12 days ago
Remote Total Quality Management Associate — Process & Analytics
Oscar Health is hiring an Associate for Total Quality Management in Atlanta, Georgia. This fully remote role focuses on leading cross-functional projects and process improvements... ...years of experience in health insurance or operations and strong analytical skills. The...
Remote job
Operations
Health Insurance
Oscar Health
Atlanta, GA
3 days ago
Quality Management Specialist II
$61.5k - $136.1k
...employees with curated development plans that foster growth and... ...facilitating BCBSIL clinical quality improvement projects and evaluation... ...to practice in the state of operations ~ Medical specialty... ...medical field such as Nursing, Health Care Administration. ~3 years...
Remote work
Operations
Health Insurance
Night shift
Health Care Service Corporation
United States
19 hours ago
Senior Healthcare Claims Quality Auditor (Remote)
...Valid8 Financial, Inc. is seeking a Senior Auditor for Healthcare Claims to lead audit programs ensuring compliance and quality in the claims process. This remote position demands expertise in healthcare operations and a commitment to operational excellence, working closely...
Remote work
Operations
VALID8 Financial
Austin, TX
13 hours ago
Quality Control Auditor (Mortgage)
$27 - $43 per hour
...Home is excited to add a Quality Control Auditor to our team to work standard... ...: Complete operational post-closing audits, review... ...professionally: ~ Comprehensive Health Benefits: We offer... ...health, dental, and vision plans, as well as life and disability...
Remote work
Health Insurance
Hourly pay
Self employment
Work from home
Arc Home LLC
United States
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Quality Auditor, Health Plan Operations. Be the first to apply!