Remote Claims Quality Analyst for Peer Review
Dane Street
A leading medical review company based in Washington is looking for a Quality Analyst to oversee the medical file review process. The successful candidate will ensure client inquiries are addressed, verify report accuracy, and maintain high-quality standards. The position requires strong communication skills and background in healthcare or insurance. This role offers a comprehensive benefits package, including medical, dental, and 401k options, plus a supportive work environment. #J-18808-Ljbffr
$58.4k - $97.4k
...Quality Review & Audit Senior Analyst Job Summary: The Quality Review & Audit Senior Analyst ("Analyst") exhibits... ...record cohorts, evaluating work of peers and/or coding vendor coders, to... ...as defined per policy. Performs claims matching and auditing, as required,...Remote workWork experience placementLocal areaWork from home- JOB SUMMARY The Quality Analyst is responsible for managing... ...aspects of the medical file review process. They will... ...the content of their peer reviews. Other duties... ...stipend are provided for remote workspace. ABOUT DANE... ...200,000 insurance claims annually for leading national...Remote workTemporary workWork from home
$61k - $116k
...General Motors Insurance Claims Quality Improvement Analyst At General Motors Insurance... ...handling quality file review and audit processes Collaborate... ...stakeholders (e.g., Peers, Operations, Learning &... ...Work Life Balance: 100% remote This position is not open...Remote workFull timeWork experience placementWorldwide- ...A healthcare solutions provider is seeking a Registered Nurse for Claims & Appeals Review. This remote role supports compliance and quality assurance in appeal reviews. Candidates should have a Bachelor's degree in healthcare and valid RN license in Florida. Key responsibilities...Remote work
- A fast-paced healthcare company in New York is seeking a Quality Analyst to manage the medical file review process and ensure excellence in client interactions. The ideal candidate will have strong communication skills, critical thinking abilities, and experience in healthcare...Remote job
$35 per hour
...apps and games? As a Junior QA Analyst, you’ll dive into the heart of... ...this adventure, your journey in quality assurance awaits! Roles: In this role, you’ll help review mobile apps by installing them... ...dependable and curious. Location: Remote role (United States preferred)....Remote workHourly payContract workFixed term contractStart working todayWork from home- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
- ...Dane Street, LLC is seeking a Quality Analyst to manage the medical file review process. The successful candidate will review reports, ensure they meet client standards, communicate with clients and physicians, and handle various quality audits. An Associate's or Bachelor...Remote work
- Maximus is seeking a Quality Control Analyst to join the Veterans Evaluation Services team. This remote position involves reviewing Medical Disability Examination reports and ensuring compliance with VA standards. Essential duties include reviewing documents for accuracy...Remote jobWork from home
$24 - $27 per hour
Job Title Quality Review and Audit Analyst Temporary Assignment Notice This position is a temporary assignment... ...: M-F, 9am-5pm EST. This is a fully remote role open to candidates across the US... ...skills. Understanding of medical claims submissions is preferred. Ability to...Remote workTemporary workFor contractors- ...equipment and a media stipend are provided for remote workspace. About Dane Street A fast‑... .... We process over 200,000 insurance claims annually for leading national and regional... ...Independent Medical Exams and Peer Review programs that assist our clients in reaching...Remote workFull timeTemporary workWork from home
$21.64 - $30.93 per hour
Maximus is currently seeking a Quality Control Analyst to join their Veterans Evaluation Services team. This remote position involves reviewing Medical Disability Examination reports and ensuring compliance with the VA’s quality standards. The successful candidate will...Remote jobHourly payWork at office$24 - $27 per hour
The Cigna Group is looking for a Quality Review and Audit Analyst for a temporary assignment. This fully remote position involves conducting medical record reviews, confirming coding accuracy, and ensuring compliance with CMS regulations. Candidates should have at least...Remote jobHourly payTemporary work- A fast-paced insurance claims company is seeking a Quality Analyst to manage the medical file review process. Responsibilities include ensuring report accuracy, communicating with clients and reviewers, and maintaining high standards for documentation. Candidates should...Remote job
$35 per hour
...or app before anyone else? As a Junior QA Analyst, you'll get to explore uncharted digital... ...different categories and share short, clear reviews of your experience. You’ll check for ease... ...needed — beginners are welcome. Location Remote work worldwide (United States preferred)....Remote workHourly payContract workFixed term contractStart working todayWorldwideFlexible hours$42.51k - $50.6k
...A healthcare solutions company based in Wisconsin is seeking a Claims Quality Analyst to ensure accurate claims processing according to regulations. Responsibilities include auditing Medicare and Medicaid claims, testing adjudication processes, and collaborating with...Remote workMonday to Friday- ...Health & Life Co. is looking for an experienced Claims Auditor based in Omaha, Nebraska. The role involves reviewing, analyzing, and authorizing payment of claims according... ...hours from Monday to Friday with potential for remote work arrangements. #J-18808-Ljbffr Central...Remote jobFull timeMonday to Friday
$42.51k - $50.6k
...Schedule Description (e.g. M-F 8am To 5pm) M-F 8am to 5pm CT Remote Work Notification ATTENTION: Navitus is unable to offer... ...Virginia, and Wyoming. Overview Due to growth, we are adding a Claims Quality Analyst to our team. The Claims Quality Analyst is responsible for validating...Remote workWork experience placementFlexible hours- ...Evaluates business unit performance and quality of contact, processing and/or file handling... ...to benchmark audits and targeted reviews. Identifies trends and recommends priority... ...pertinent data, communicates expectations to peers, and arranges internal calibrations and...Remote workLocal area
- A healthcare services firm based in the US is seeking a remote Medical Claim Review Nurse. In this role, you will conduct clinical reviews of medical... ...position offers a structured schedule and the opportunity to mentor peers in a collaborative environment. #J-18808-LjbffrRemote workFull time
- ...care in America's heartland. Facility: Remote ND (Fargo) Location: Fargo, ND Shift:... ...to collect, monitor, analyze and report quality improvement and safety information consistent... ...solving and innovation. Coordinate peer review activities within assigned departments....Remote workFull timePart timeWork at officeWork from homeShift work
- ImagenetLLC is seeking a Claims Quality Analyst to ensure the accuracy and compliance of claims processing. This remote role requires 3-5 years of experience in healthcare claims, preferably hands-on experience with EZCap. The analyst will conduct audits, analyze disputes...Remote work
- A leading digital services company is seeking a Content Reviewer to join their freelance team. This part-time role allows individuals to... ...and analysis on online advertisements to enhance their quality and relevance for English speakers in the U.S. Ideal candidates...Remote jobPart timeFreelanceWork from home10 hours per weekFlexible hours
$91.7k - $163.7k
The role of the Psychologist Peer Review for ALERT involves applying clinical... ...there are concerns about the quality of care Review of ongoing... ...denied services or claims for outpatient non-MD services... ...preferred *All employees working remotely will be required to adhere to...Remote jobMinimum wageFull timeWork experience placementLocal areaWork from home- ...A leading healthcare organization is seeking a quality improvement specialist to coordinate quality initiatives and analyze clinical... ...include developing quality improvement processes, facilitating peer review activities, and providing education on relevant topics. A...Remote workFull time
- ...A healthcare organization is seeking a Family and Sports Medicine Physician to perform remote peer reviews as an independent contractor. Candidates must hold an unrestricted medical license in any U.S. state and have at least five years of clinical experience. Responsibilities...Remote workFor contractors
- ...COMMENCE is seeking a Physician Peer Reviewer to conduct independent remote case reviews focused on quality patient care. Candidates should hold an active U.S. MD/DO license and have at least 5 years of clinical experience in their specialty. The role is fully remote and...Remote workContract workFlexible hours
- ...A healthcare organization is seeking a Cardiothoracic Surgeon to perform independent peer reviews remotely as an independent contractor. You will evaluate clinical cases to ensure medical necessity and uphold professional standards. The position requires a valid medical...Remote workFor contractors
$70k - $93k
...Diagnosis-Related Group (DRG) Quality Analyst EXL Health is seeking an... ...Quality Analyst. This is a remote office opportunity. The Quality... ...analyst undertakes a quality review of random and targeted... ...performance Communicate with peers and management Provide root...Remote workWork at office$69.15k - $110.64k
A leading mutual insurance provider is seeking a Property Claims Analyst. This remote role focuses on the administration of the Quality Assurance Program and oversight of the appraisal process in property claims. Candidates should have a bachelor's degree preferred and...Remote job
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