Medicare Advantage Care Management Auditor (Remote)
$80k - $90kClever Care Health Plan
- Remote job
Clever Care Health Plan is seeking a Care Management & Population Health Auditor in Huntington Beach, California. The role requires a Bachelor's degree and 3–5 years of experience in Medicare Advantage care management auditing. Responsibilities include conducting audits, validating data, and aligning with clinical teams. The salary range is between $80,000 and $90,000. Join us to make a difference in the healthcare industry while supporting diverse communities and promoting holistic practices. #J-18808-Ljbffr Clever Care Health Plan
$80k - $90k
...California’s fastest-growing Medicare Advantage plans with an incredible... .... Who Are We? Clever Care was created to meet the... .... Job Summary The Care Management & Population Health Auditor audits the execution of... ...environment and/or remotely. The job involves frequent...Remote workWork at office- ...Job Title Claims Auditor Job Description Are you ready to... ...committed to helping primary care and specialist physicians provide... ...prepares recommendations to Management for errors and inconsistences... ...claims processing for Medicare and Commercial products. Must...Remote jobWork experience placement
$100 - $175 per hour
...we felt it wasn't enough. Hera is dedicated care management in the community for older adults, covered by Medicare. Every family gets matched with a dedicated Hero... ...conduct real clinical work that shapes care plans. Remote work from home. Set your own flexible schedule....Remote workWork from home10 hours per weekFlexible hoursWeekday work- ...and at a minimum of once per week. This remote work opportunity requires residency, and... ...Responsible for promoting continuity of care through a collaborative process that assesses... ...This job description is primary for case management functions but can assist with utilization...Remote jobFull timeContract workWork experience placementWork at office1 day per week
$59.3k - $80.9k
...Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of... ...setting Travel: While this is a remote position, occasional travel to... ...physical exams, chronic condition management, screenings, minor injury treatment...Remote workFull timeTemporary workApprenticeshipWork at officeNight shift- ...Smartsheet has empowered teams to manage work seamlessly and scale... ...responsibilities. The Senior Internal Auditor will be an objective team... ...San José, Costa Rica), fully remote, or hybrid. You must reside in... ...comes from individuals who care deeply and challenge thoughtfully...Remote workFull timeWork at officeFlexible hours
$80k - $90k
...perform primary audit activity as assigned by management.* Monitors, tracks, and reports on all... ...decision-making tools such as Millimen Care Guidelines (MCG) or InterQual.* Working knowledge... ...the ability to work independently in remote setting with minimum supervision and...Remote workFlexible hours- ...Freelance ISO Lead Auditor / Consultant California Hybrid (with... ...IMSM IMSM (International Management Systems Marketing) is a global... ...unlocking measurable competitive advantage. Now part of the Axiom GRC... ...pipeline of client work Remote delivery with occasional on-...Remote workContract workFor contractorsSelf employmentFreelanceWorldwideFlexible hours
$17.45 - $27.31 per hour
...Utility Auditor Since 2003, Entrata has evolved from a visionary... ...leader in AI-driven property management technology. Today, we power... ...and transparent culture with remote and hybrid work options, generous... ...programs. Entrata Cares programs offers opportunities...Remote workWork at officeLocal areaWorldwideHome officeFlexible hours- ...Provider Audit and Reimbursement Lead to manage Medicare cost report audits. The role requires a... .... Responsibilities include overseeing auditors, ensuring compliance, and providing... ...time position offers the potential for remote work, contributing to transformative healthcare...Remote jobFull time
- ...A healthcare management company is seeking an experienced Licensed Practical Nurse (LPN) to facilitate value-based care for patients. This fully remote position offers the chance to work from home, with consistent hours and opportunities for career growth. Applicants...Remote workWork from home
- ...Job Description JOB-19632 Auditor - 25809 Department: Department... ...and upon approval of bureau management, telecommuting up to 50% of... ...across the health care industry including other state... ...and State databases, including Medicare’s enrollment system (PECOS),...Remote workFull timeWork at officeLocal areaFlexible hoursShift work
$32.85 per hour
Founded in 1977 as the Senior Care Action Network, SCAN began... ...older adults. Our work spans Medicare Advantage, fully integrated care... ...Job Provide long-term care management to frail, economically disadvantaged... ...: Biling Care Planner-MSSP Remote/Field based work mode Paid...Remote workFull timeContract workTemporary workFor contractorsWork from home- 4004 Aetna Medicaid Administrators is looking for an Integrated Care Manager based in New Jersey. The role involves assessing, planning, and coordinating member care to enhance overall wellness. Candidates should have a minimum of 3 years of clinical experience and a valid...Remote workWork from homeFlexible hours
- Academy of Managed Care Pharmacy is looking for a Claims Auditor to ensure the accuracy of claims processing in accordance with established regulations. The role involves conducting detailed audits, documenting findings, and analyzing claims to provide insights for management...
- ...Senior Internal Auditor Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance.... ...• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both...Remote workWork experience placementWork at office
- ...the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for... ...will mentor and train Auditors and In-Charge Auditors... ...(60%) Coordinate with management by overseeing the unit'... ...opportunity is open to remote work in approved states...Remote workFull timeTemporary workInterim roleWork at officeImmediate start
- The California Department of Managed Health Care is seeking a Corporation Examiner to oversee financial solvency monitoring of Risk Bearing Organizations (RBO). The role includes field examinations of financial and administrative affairs, ensuring compliance with standards...Remote workFlexible hours
- ...expert in assurance and risk management. Driven by our purpose, to safeguard... .../45001/50001 Integrated Lead Auditor with Safety and Environmental... ..., and Disability) Health Care Plan, including Medical,... ...Flexible work schedule with hybrid/remote opportunities Employee...Remote workTemporary workWork experience placementWork at officeFlexible hours
- ...R10089507 Senior Internal Auditor (Open) Location: Radnor, PA (Airgas HO) - Management How will you CONTRIBUTE and GROW? At... ...Hybrid: 3 days in the office, 2 days remote Comprehensive Family Benefits... ...______________ Benefits We care about and support our Airgas...Remote workFull timeTemporary workFor contractorsWork at office
$71.1k - $97.8k
...Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no... ...visits in members setting. Work remotely from your home and travel approximately... ...quality of life for people with Medicare and Medicaid, families, individuals...Remote workBi-weekly payFull timeContract workTemporary workApprenticeshipWork from homeHome officeMonday to FridayShift workWeekend work$21 per hour
CareHarmony, Inc. is seeking an experienced Licensed Practical Nurse (LPN) to manage patient care and coordinate resources remotely. The candidate must have at least 3 years of direct patient-facing experience and an active LPN license. Responsibilities include patient...Remote workWork from home- A confidential managed care organization seeks a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access... ...are encouraged to apply. Enjoy competitive compensation and the advantages of working from home. #J-18808-LjbffrRemote workWork from home
- ...innovative firm is seeking a dedicated healthcare professional to lead medical management and health education initiatives. This role involves conducting programs for government health care customers, analyzing data for regulatory compliance, and effectively communicating...Remote workWork from home
- ...entry-level, full-time position allows you to work from home, where you'll handle customer calls and schedule appointments for pet care. Ideal candidates have excellent customer service skills and experience in call center environments. Competitive pay and comprehensive...Remote workFull timeWork from home
- ...Advanced Monitored Caregiving Inc. is hiring a Telephonic Nurse Care Manager to manage patients with chronic conditions remotely. This role requires strong clinical judgment and communication skills, collaborating with patients and care teams. The ideal candidate has...Remote workWork from home
$36.8 - $49.8 per hour
...Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah * Please be advised that... ...offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired...Remote workHourly payWork at officeImmediate startWork from homeFlexible hours$25k
...Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and... ...County to conduct in-home visits with Medicare/Medicaid members. Position... ...information. Travel: While this is a remote position, occasional travel to Humana...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- Resource & Competency Management Specialist (all gender) page is loaded##... ...Specialist (all gender)remote type: Hybridlocations: DQS Germany... ...operational management of auditor management at DQS Medizinprodukte... ...create trust and competitive advantages, but also contribute to...Remote workWork at officeWorldwideFlexible hours
- ...Client Care Coordinator Fresno, California, United States About the Job Become part of our passionate travel team as a Client... ...about travel and hospitality. What We Offer Remote flexibility and mentorship. Inclusive, team-oriented culture....Remote workWork from home
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