Remote Quality Performance Lead — Claims & Audits
$95kGallagher Bassett
- Remote job
Gallagher Bassett is seeking an experienced claims leader to join our worker's compensation practice. Open to all jurisdictions with remote 100% work, the role focuses on auditing, process management, and delivering high‑quality client outcomes. Competitive compensation up to $95,000 per year based on experience, with comprehensive benefits. You will lead claims handling efforts, mentor staff, and develop procedures that ensure compliance with client, broker, and carrier expectations. #J-18808-Ljbffr Gallagher Bassett
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- ...disputes in a metrics-driven environment. This remote role supports the PPI Coding Disputes... ...health. The candidate will review claims, communicate decisions to providers, and... ...timely, compliant dispute outcomes while maintaining high quality standards. #J-18808-LjbffrRemote workQualityClaims
$75k - $150k
...Head of YouTube to lead Richard Yu's channels... ...from videos that perform well above their channel... ..., and edit and quality-check every script... ...examples and verified claims. Production:... ...script or channel audit is required at this... ...working hours. Remote: we welcome candidates...Remote workQualityClaimsFull timeImmediate start$50.4k - $72k
...experienced Sr. Healthcare Quality Assurance professional... ...quality assurance, auditing, and financial operations... ...in our mission Perform quality assurance and... ...care, health insurance, claims, or government healthcare... ...This position is remote work from home, candidate...Remote workQualityClaimsFull timeWork from homeFlexible hours$137.1k - $195.8k
...Senior Director, Enterprise Performance and Operations is a... ...for enterprise claims operations. This role establishes... ...to improve quality, simplify workflows, reduce... ...operational teams. Lead continuous improvement... ...This position is 100% remote, with approximately 25%...Remote workQualityClaimsFull timeFlexible hours$38.48k - $41.6k
...is a family-founded, leading national Financial Management... ..., independence, and quality of life, GT... ...The Medical Billing (Claims) Specialist maintains a... ...standards are met for audit purposes Identifies... ...experience relevant to the work performed ~ High School Diploma...Remote workQualityClaimsFull timeContract workWork at office$20 - $25 per hour
...Overview Perform Dental daily review/audits on client data for completeness and accuracy... ...on clinical claims to the client: Makes certain... ...feedback. Participates on the Quality Committee as required.... ...candidate is selected. #LI-SL1 #LI-Remote #junior...Remote workQualityClaimsHourly payWork experience placementWork at officeImmediate start- ...Appeals reviews of new evidence in medical review audits and support training and guideline materials.... .../Commercial rules, and a strong emphasis on quality and productivity. The candidate will document results, analyze claims data, and collaborate with leadership to...Remote jobQualityClaims
- ...About The Role The Claims Manager is... ...strong focus on team performance, process efficiency, quality outcomes, and customer... ...excellence. This role leads, coaches, and develops... ...objectives. This is a remote position requiring... .... Conduct audits, payroll reviews, performance...Remote workQualityClaimsFull timeWork at officeFlexible hours
- ...Compliance & Regulatory Senior Lead to join our Insurance... .... You thrive in a remote environment, bringing... ...: Manage carrier audits and state regulatory complaint... ...Carrier Relationship & Claims Support: Serve as the... ...operational guidance, quality oversight, and subject-...Remote workQualityClaimsHourly payFull timeContract workPart timeFreelanceLocal areaWork from home
- ...Food Safety & Quality Specialist ABOUT FISHWIFE... ...approval and audits, complaint and quality claim resolution with our... ...spec, and you will lead us if product ever has... ...position is a full-time, remote role reporting to the... ...that measures performance rather than remembering...Remote workQualityClaimsFull timeContract work
$32 - $34 per hour
...premier leader in the provision of managed supplier quality services for audits, assessments, remote surveillance assessments, corrective actions, remediation... ..., unemployment and workers' compensation claims, and tracking employee vacation and sick leave balances...Remote workQualityClaimsFull timeContract workLocal area- ...Days: M-F Job Location Type: Remote Your experience matters... ...workforce who can drive quality, scalability, and significant... ...optimal reimbursement performance, including claim resolution, denial prevention... ...staff. Conduct routine audits of collection documentation...Remote workQualityClaimsFull timeTemporary workPart timeWork at office
$34.32k - $38.79k
...Ensemble! Ensemble is a leading provider of... ...payers to resolve claim payment issues, to... ...no response, and audit activities. Essential... .... Meet quality and productivity standards... .... This is a remote position; however,... ...MAP Awards for High Performance in Revenue Cycle 2...Remote workQualityClaimsFull timeTemporary workWork at officeLocal area- ...committed to providing high-quality care that improves the... ...billing, support, EHR, audits, and compliance) so... ...to worry about unpaid claims ~ Rula pays you even... ...of licensed clinicians leads peer reviews, develops... ...provide telehealth Work Remotely Yes MS, US...Remote workQualityClaimsContract workPart timePrivate practice
- ...maintain trust across compliance, audits, risk management, vendor risk,... ...permission; we step in. Being remote means we rely less on... ...thoughtful questions, validate claims, and uncover insights that make... .... Take ownership of editorial quality, ensuring every piece meets a...Remote workQualityClaimsWork from home
$18 - $20 per hour
...Billing Specialist Location: Remote Employment Type: Full-... ....00 per hour Blue Star Claims LLC is a Third-Party... ...in delivering a high-quality work product to our clients... ...resources needed to perform their job and assign... ...from Billing Supervisor Audit file payments as requested...Remote workQualityClaimsHourly payFull timeFor contractorsWork at office- ...classified as hybrid, onsite or remote. While the majority of... ...to: Customer Service, Claims Processors, and... ...residency, and work to be performed, within the State of... ...NCQA Surveys, CMS Program Audit, and/or AHCCCS... ...service excellence Quality and performance metrics...Remote workQualityClaimsFull timeWork experience placement1 day per week
- ...kindness, and high-quality care.... ...is responsible for leading coding operations,... ...and risk adjustment performance across multiple markets... ...position is fully remote. DUTIES & RESPONSIBILITIES... ...routine coding audits and quality... .... Knowledge of claims, encounters, billing...Remote workQualityClaims
- ...believe that by providing quality care that is both evidence-... ...mental healthcare. Rula is a remote-first company. We currently... ...keep them accurate and audit-ready. You will lead the build-out of ITGC and financial... ...or revenue cycle systems (claims, remittances, contractual...Remote workQualityClaimsFull timeLive inCurrently hiringHome office
$65.35k - $117.62k
...the Reimbursement Claims Processing Team that... ..., training, performance appraisals, facilitating... ...metrics, internal audits, policies and... ...increased productivity, quality, cost... ...improvement initiatives. Leads system enhancements... ...be opportunity for remote work within all jobs...Remote workQualityClaimsWork experience placementFlexible hours- Position: Billing and Denial Claims Specialist Location: Harwood Heights, IL Remote Status: On-Site Job Id:... .... Assist with payer audits, reimbursement reviews, and revenue-cycle performance initiatives. Meet established productivity, quality, appeal turnaround, and...Remote workQualityClaimsFull timeWork at office
- ...Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-... ...that simplify and enhance the claims and repair journey. Through... ...: Complete assigned audits at automotive repair facilities... ...independently while meeting quality standards and assigned deadlines...Remote workQualityClaimsCasual workFlexible hoursWeekday work
- ...Head of Tax) spent six years auditing at the IRS, then joined MainStreet... ...to handle their most complex claims Why this role is different... ...to the work: Own technical quality - you decide what "great"... ...meaningful equity upside Fully remote, with twice‑yearly company...Remote workQualityClaims
- ...in office and 2 days working remote each week. Purpose: Coordinate... ...of staff members. Perform annual performance reviews for... ...billing issues. Conduct monthly quality audits on domestic and offshore staff... ...resolve unusual or difficult claim issues. Recommend and coordinate...Remote workQualityClaimsWork at office2 days per week
- ...Months Contract Location: Remote 12/31/26 with possible... ...taxing jurisdictions, perform tax audits, and conduct risk... ...detailed in providing quality results. This role requires... ...wage verifications/claims, record keeping of... ...Demonstrate ability to lead, challenge, and positively...Remote workQualityClaimsHourly payContract workWork at office
- ...Machinify is a leading healthcare intelligence... ...(CPS) Team, the Audit Policy Analyst,... ...infusion therapy claims across government... ...Validation Perform QA reviews of audit... ...degree of accuracy and quality, delivering... ...independently and in a remote environment,...Remote workQualityClaimsDaily paidContract workWork at officeLocal area
- ...billing requirements, claim submission,... ...denial management, and audit readiness. This... ...Medicaid revenue cycle performance and regulatory... ...representatives. Lead educational... ...Responsible for the overall quality, productivity,... .... Location: Remote (AZ, TX, NV, WI) or...Remote workQualityClaimsFull timeLive outWork at officeLocal area
- ...Hospital and Physician insurance claims to ensure payment. Communicate... .... Must maintain defined quality and productivity measures. Evaluate... ...with special projects, audits, and process improvement initiatives... ...-making skills Hybrid or remote work options may be available...Remote workQualityClaimsWork experience placementWork at office
$68k - $103.5k
...take ownership of complex claim denials, payment... ...strengthen revenue cycle performance, and maintain compliance... ...team effectiveness. This remote opportunity is ideal... ...ensure data integrity and audit readiness.... ...consistency, efficiency, and the quality of billing operations....Remote workQualityClaimsFlexible hours
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