Remote Senior Quality Auditor - Claims & Data Analytics
Centene Corporation
- Remote job
Centene Corp. is seeking an experienced data auditor to develop and implement effective business solutions through research, audit, and analysis of claims and provider data. This role validates pre and post payment claims to ensure correct adjudication and compliance with policies and regulations. The position supports remote work across the continental United States with preferred schedules aligned to CST or EST. #J-18808-Ljbffr Centene Corp.
- Centene Corp. is seeking a data management and audit professional to develop and implement... ..., and analyzing provider data and claims processing systems. The role involves reviewing... ...in automated claims environments; remote work option within the #J-18808-Ljbffr Centene...Remote jobSeniorClaims
$90k - $115k
...decision we make. The Senior Claims Quality Assurance Auditor will conduct regular... ...action items Analyze data to identify trends, patterns... ...Coordinate with Claims Data & Analytics team to support quality... ...otherwise specified, this role is remote. Remote team members must...Remote workSeniorClaimsFull timeWork experience placement- Centene Corporation seeks a Data Analyst to audit and analyze provider data against claims processing systems, supporting cost-saving initiatives and regulatory compliance. You will document audit results, investigate discrepancies, and communicate findings to management...Remote jobSeniorClaims
$23.23 - $39.61 per hour
...research, audit, and analysis of data and/or business processes.... ...routine pre and post payment claims to determine correct adjudication... ...have the flexibility to work remotely within the continental United... ...statistics, as necessary, for quality improvement indicators, regulatory...Remote workSeniorClaimsHourly payFull timeContract workPart timeH1bWork at officeFlexible hours- ...projects and internal initiatives. You will conduct in-depth data analysis, HEDIS reporting, and related tasks to support high-quality care. Your work spans Medicare Advantage data across membership, claims, authorizations, pharmacy, and financial information. This...Remote workSeniorClaims
- ...integrity concepts, the full-time Senior Healthcare Data Analyst will analyze claims data, identify payment errors,... ...teams to implement solutions in a remote work environment. Key responsibilities... ...reimbursement logic into analytical frameworks Required qualifications...Remote workSeniorClaimsFull timeContract work
- A healthcare analytics firm is seeking a Data Analyst II who will develop analytical insights to identify payment anomalies in healthcare claims data. The role requires strong proficiency in SQL,... ...in healthcare claims data. This remote position collaborates with teams...Remote jobSeniorClaims
- ...DescriptionJob DescriptionSenior Data Engineer opportunity... ...The role can be worked remotely or in a hybrid capacity... ...remote data and analytics team, with exposure to... ...involving healthcare, claims, financial, and operational... ...failures, and data quality issuesDevelop and maintain...Remote workSeniorClaims
$95k - $115k
...clients where they want to be met. Advanced data and analytics providing a comprehensive overview of... .... Overview This is a remote position based in California, and candidates... ...and organizations thrive. The Senior Claims Examiner will be responsible for...Remote workSeniorClaimsFull timeLocal area$61k - $119k
...clients where they want to be met. Advanced data and analytics providing a comprehensive overview of... ...to excellence and innovation. As a Senior Claims Examiner, you’ll play a vital role in... ...exceptional service. This role is remote within the state of California and provides...Remote workSeniorClaimsFull timeLocal area- ...that is seeking a Senior Backend Engineer who... ..., product, analytics, and operations to... ...workflows such as claims processing, eligibility... ...coordination. Location: Remote within the U.S.... ...* Write high-quality, test-driven... ...secure, compliant data flows aligned with...Remote workSeniorClaimsHourly payContract work
$107.7k - $199.3k
...Business Area: Data & Business Analytics Job Type: Full time Position Purpose... ...understanding of data quality and supplemental data is also... ...models in medical and pharmacy claims data preferred.... ...flexible approach to work with remote, hybrid, field or office work...Remote workSeniorClaimsFull timePart timeH1bWork at officeFlexible hours$150k - $180k
...Their success is built on an analytics-driven approach to... ...healthcare. They now need to add a senior manager to lead their data and analytics team. They’... ..., but they’re open to remote candidates who can work Central... ...data (MMR, MOR, MAO-004, claims, eligibility, etc) BI...Remote workSeniorClaimsPermanent employmentFull timeContract workImmediate start$190k
...To bring personalized, quality-based healthcare to the... ...Responsibilities The Senior Solutions Engineer will... ..., production-ready data solutions. This role is... ...clinical, operational, and analytics stakeholders to design... ...datasets, including claims, clinical, and operational...Remote workSeniorClaims$152.8k - $259.2k
...used under license. Claim based on GitLab data. Fortune 100 refers to... ...of this Role As Senior Manager, Data Science... ...impact now. Set the analytical agenda for your product... ..., and delivers quality results on time... ...GitLab, thrive in an all-remote, asynchronous company...Remote workSeniorClaimsFull timeFlexible hoursShift work$88.5k - $128.5k
...Job Summary: The Senior Actuarial Analyst is a... ...forecasting, and/or healthcare data analytics. The Senior Actuarial... ...in You: • Full-time remote work • Competitive... ..., rating factors, claims experience, regulatory... ...efforts to improve quality and efficiency of actuarial...Remote workSeniorClaimsFull timeContract workFlexible hours- ...Description Job Description Senior BI & Analytics Developer – Tableau / Power... ...SQL 12+ month contract Remote - but must be located in the... ...a large-scale Enterprise Data Warehouse environment within... ...analysis and reporting using claims, beneficiary, and provider data...Remote workSeniorClaimsContract workRelocation
- ...Senior Actuary, Health Plan Analytics Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member... ...the platform integrates data, analytics, and intelligent... ...teams to convert raw claims, encounter, member, provider...Remote workSeniorClaimsContract workLocal area
$152.8k - $259.2k
...used under license. Claim based on GitLab data. Fortune 100 refers to... ...of this Role As Senior Manager, Data Science... ...impact now. Set the analytical agenda for your product... ..., and delivers quality results on time... ...GitLab, thrive in an all-remote, asynchronous company...Remote workSeniorClaimsFull timeFlexible hoursShift work$106.52k - $157.27k
...First (Days) Overview The Senior Healthcare Data Analyst provides data... ...within the enterprise analytics ecosystem. This position supports data quality and data stewardship... ...healthcare, payer, claims, enrollment, provider,... ...that are available as remote work, Sentara Health employs...Remote workSeniorClaimsFull timeTemporary workShift work$112.52k - $140.65k
...acts on. Job Location: Remote – USA Main Responsibilities... ...purchase, renewal and claims. Lead research on... ...segments with marketing and data partners, combining... ...tickets. Partner with analytics and product on experiments... ...to the product team and senior leadership in a way...Remote workSeniorClaimsTemporary workWork at officeFlexible hours$75k - $90k
...Financial/Actuarial Senior Analyst you will... ...deliverables, and ensure quality standards are met.... ...and reliable claim reporting and financial... .../actuarial/analytic results to effectively... ...Ability to learn big data analytic technics preferred... ..., with a mix of remote, in-person and in-...Remote workSeniorClaimsTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours- ...ID: 15430Category: Data... ...Business Intelligence Senior Data ScientistWilmington... ...develops advanced analytics and machine learning... ...completenessDevelop data quality, reconciliation... ...offers hybrid or remote work schedules in... ...not be eligible to claim related fees and the...Remote workSeniorClaimsH1bLocal areaWorldwideVisa sponsorship
$149.2k - $248.6k
...Provide mentorship & coaching to Data Scientists & Data Engineering... ...to develop and disseminate analytical best‑practices in conducting care... ...data input required (e.g., claims data for unmet need analysis),... ...Jolla, CA; Boulder, CO; US - remote; Montreal, Canada Eligible...Remote workSeniorClaimsWork experience placementRelocation packageFlexible hours$150k - $180k
...drastically changing their quality of life and health... ...engagement (and data generation!).... ...: Join us as a Senior Health Informatics... ...healthcare data (claims, medications, labs... ...our team's analytical capabilities and identify... ...supporting strong remote-first practices...Remote workSeniorClaimsFull timeFlexible hours$112.52k - $140.65k
...on. Job Location: Remote - USA Main... ...purchase, renewal and claims. Lead research on positioning... ...segments with marketing and data partners, combining... ...tickets. Partner with analytics and product on... ...to the product team and senior leadership in a way that...Remote workSeniorClaimsTemporary workWork at officeFlexible hours$80k - $115k
...Senior Healthcare Data Informaticist Veeva Systems is a mission-driven organization... ...), including clinical, and claims-related coding standards.... ...role, you will ensure high-quality, standardized, and... ...closely with data engineering, analytics, and product teams to...Remote workSeniorClaimsWork at officeLocal areaWork from homeFlexible hours$238.66k - $341k
...looking for an exceptional Senior Staff Software Engineer... ...verification, privacy, data protection, secure... ...a customer is who they claim to be, to protecting their... .... This position is a remote role. WHAT YOU'LL... ...Data Science, Design, Analytics, Infrastructure, Compliance...Remote workSeniorClaimsFull timeLocal area$97.9k - $133.5k
...partner is looking for a Senior Analyst, Hub Data & Analytics based in the United States... ...governance, stewardship, and quality management. Working in a... ...datasets, including pharmacy, claims, patient, provider, and... ...Work flexibility: Fully remote position open to candidates...Remote workSeniorClaimsFull timeTemporary work- ...Job Description Senior Data Analyst Wilmington, DE... ...business needs into clear analytics and BI requirements,... ...governance and data quality best practices. Exposure... ...not be eligible to claim related fees and the... ...CSC offers hybrid or remote work schedules in alignment...Remote workSeniorClaimsWork experience placementLocal areaWorldwideMonday to Friday
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