Remote Healthcare Payer QA Lead II
Wellframe
HealthEdge is seeking a Test Lead II with healthcare payer domain expertise to drive test planning and execution for payer system engagements. This hands‑on role leads test design, defect management, and daily execution quality while coordinating with the Test Manager and cross‑functional teams. You will develop detailed test cases for claims processing, enrollment, benefits, and EDI flows, lead various test cycles, and ensure regulatory testing compliance. #J-18808-Ljbffr
- ...UNICOM Technologies Inc. seeks a senior Quality Engineer to lead end-to-end testing across multiple applications and domains in a healthcare payer context. You will define testing strategies, coordinate SIT/E2E/UAT activities, and ensure traceability from requirements...Suggested
- ...next steps. Our partner is looking for a Healthcare Analytics QA Lead – Value-Based Care Platform based in... ...integrating clinical, claims, and payer data to support value-based care initiatives... ...401(k) retirement savings plan. Remote flexibility: Primarily remote working...Remote workFull timeContract workImmediate start
$100k - $120k
...Card holders for this position at this time. Test Lead — Healthcare Payer Testing Location: Remote Employment Type: Full-Time Role Overview... ...metrics, coverage status, and risk flagsManages offshore QA analysts. Required Qualifications ~5+...Remote workPermanent employmentFull timeWork at office- About Avalon Healthcare Solutions: Avalon Healthcare Solutions is the nations... ..., Avalon partners with payers and providers to ensure diagnostic... ...document. About the Testing Lead - (Healthcare Payer) Position:... ...This position is eligible for remote work, but quarterly travel...Remote workWork at officeFlexible hours
- Remote: You will be able to work from your home location... ...General Counsel II, you’ll provide legal strategy... ..., with a focus on healthcare and telehealth regulations... ...strategic provider and payer initiatives, enterprise... ....Proven ability to lead independently, manage multiple...Remote workFull timeWork at officeLocal areaWork from homeShift work
- ...Revenue Department. This is a remote position. The selected candidate... ...the employee can post most payers. While this is based on individual... ...the UNM Health system. Modern Healthcare recognizes UNMMG in their Best... ...our Accounts Receivable Tech II opportunity with UNM Medical...Remote workPermanent employmentFull timeLive inWork from homeRelocationMonday to Friday
$70k - $85k
...Adjustment Coding Specialist II - Orange CountyWe are... ...to scale in the healthcare industry. The staff is... ...Medicaid, and private payer requirements.Keeps management... ...manager.May assist or lead projects and/or higher... ...approximately 50% travel) with remote support to help...Remote workWork at officeWork from homeHome office- ...AMN Healthcare is seeking a remote RCM Specialist II to support the revenue cycle through AR follow-up, accurate payment posting, refunds, and account auditing... ...KPIs. The ideal candidate has strong AR knowledge, payer guideline familiarity, and comfort navigating account...Remote work
$115k
The QA Lead is accountable for the quality assurance practice across... ...enterprise applications, healthcare technology, claims, payments,... ...development opportunities Remote Opportunities We are actively... ...-home healthcare. We connect Payers, Providers, and Members...Remote workFull timeTemporary workLocal areaImmediate start$37.44k - $41.6k
...navigate the biggest challenges in healthcare: quality clinical care with... ...(CARE). Location: 100% Remote Compensation: $19.00–$21.00... ...Accounts Receivable Specialist II to join our team. In this fully... ...problem-solving, navigating payer requirements, and taking...Remote workHourly payFull timeWork at officeLocal areaWork from home- ...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, execution, and quality governance for our encounter processing platform. You will make sure encounter data is accurately...Remote work
- ...Care Corporation is seeking a detail-oriented Coder II to review outpatient records and assign ICD-10-CM or... ..., procedures, charges, and modifiers, and following outpatient rules and payer-specific guidelines. This position offers remote work from home. #J-18808-LjbffrRemote workWork from home
$16.49 - $26.39 per hour
...Anesthesia Partners is seeking an Accounts Receivable Representative II – RCM. Role collects AR from third-party payers, with emphasis on government and commercial plans. Position is primarily remote, but candidates must reside in the Orlando, FL area and be able to work...Remote workHourly pay$66 - $70 per hour
A healthcare solutions provider is looking for a QA Lead Technical Operations in Summit, NJ. This role involves providing quality assurance support and reviewing quality-related documents for compliance. The ideal candidate has a relevant B.S. degree and at least 8 years...Remote job- ...Quality Assurance Manager II Full-Time | On-Site - Tennessee Lead Quality. Drive Compliance. Make an Impact. Our client is a well-established FDA-regulated... ...that develops and produces products serving healthcare and consumer markets. As part of a growing quality organization...Full time
- ...Job Title: Healthcare Consultant II - Jefferson County KY Address: Louisville, KY Job Description Supports comprehensive coordination of medical... ...providers and team members. Critical Information Remote, Work From Home - Kentucky residents only. Work hours: Monday...Remote workFull timeWork from homeMonday to Friday
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At... ...are the premier independent healthcare payment integrity company... ...Government and Commercial Payers. You will work remotely in a fast paced and dynamic... ...audit workflows; assist with QA functions and training team...Remote workFor contractorsWork at officeWork from homeHome officeShift work- ...Moda Health in Portland, OR seeks a Healthcare Data Analyst II to analyze healthcare data, report on utilization and costs, and influence organizational decisions. This role is a full-time, work-from-home position with potential hourly classification depending on location...Remote workHourly payFull timeWork from home
$69.3k - $78k
A healthcare payment integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial Payers. The position requires an active RN license and... ...findings, all in a remote work environment. This role...Remote job- OSIS, a healthcare technology leader, is hiring a Billing Tech II to execute revenue cycle workflows and build strong relationships with Members and RCR Customers... ...covers end-to-end billing tasks, coding support, payer interactions, and collaboration across departments,...Remote jobHome office
- ...Coder IIThe Coder II reviews outpatient records and accurately assigns appropriate ICD... ...and HCPCS codes per official guidelines and payer-specific rules.Applies correct sequencing... ...23 Baptist Way, Pensacola, FL, 32503, US (Remote)Job Schedule Full timeJob Shift DayWork Environment...Remote workLocal areaWork from homeShift work
$66.94k - $101.26k
...the patient, their physicians, other healthcare providers, attorneys, advisors/clients... ...at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a... ...drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$80k - $83k
...projects across transportation, energy, water, healthcare, and more.Ready To Take the Next Step in... ...role. As a CMT Project Manager II, you'll take projects from proposal through... ...financial performance. You'll be trusted to lead conversations with clients, work through...Work at office- ...Care Review Clinician II | Remote | Contract Business & Care Management Long Beach , California... ..., expertise, and integrity in the healthcare consulting community! As a certified WMBE... ...to hospitals, health systems, and payer organizations, including Fortune 100 firms...Remote workWeekly payContract workWork at officeImmediate start
- ...UniversityEmory University is a leading research university that... ...Clinical Research Coordinator II handles administrative activities... ...tracked and monitored through Emory Healthcare under the credentialing... ...an Emory University location. Remote work from home day options may...Remote workWork from home
- ...The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or... ...and HCPCS codes per official guidelines and payer-specific rules. Applies correct... ...23 Baptist Way, Pensacola, FL, 32503, US (Remote) Job Schedule Full time Job Shift Day...Remote workFull timeLocal areaWork from homeShift work
$60k - $70k
...and produces a wide array of industry-leading monitoring technologies, including... ...The Hospital Account Representative II is a mid-level healthcare sales role and a key resource for hospital... ...is part of the Sales Team working remotely to cover Nashville and the wider Territory...Remote workWork from homeFlexible hours$90k - $97k
...Remote, USA Full time R260000006856 At R1, we’re transforming how healthcare works by combining nearly two decades of revenue... ...opening. R1 is the leading provider of technology... .... As our DRGV Auditor II, your primary role... ...handles over 270 million payer transactions annually....Remote workFull timeLocal area- ...Refer a Friend ~ Back Remote Work from Home Share... ...and central services for payer audit and appeals processes.... ...preferred, preferably in business or healthcare Coding certification (... ...operations Experience leading projects or process...Remote workFull timeLocal areaWork from homeDay shift
$31.53 - $52.06 per hour
...~ Refer a Friend ~ Back Remote Work from Home Share This Page... .... Summary ThePhysician Liaison II role will support pediatric services across... ...Builds and maintains relationships between healthcare providers and the organization to enhance...Remote workFull timeWork experience placementLocal areaWork from homeRelocationDay shift
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