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
...Care Management And Population Health Auditor Huntington Beach Office - Huntington Beach, CA 92647 Overview... ...California's fastest-growing Medicare Advantage plans with an incredible 112% year... ...in an office environment and/or remotely. The job involves frequent...Remote workFull timeWork at office- ...committed to helping primary care and specialist physicians provide... ...in this role? The Claims Auditor is responsible for ensuring... ...prepares recommendations to Management for errors and inconsistences... ...claims processing for Medicare and Commercial products. Must...Remote workWork experience placement
$45k - $55k
...Long-Term Care Auditor I - Remote Great companies need great teams to propel their operations.... ...problem-solving, communication, and managing multiple priorities. Your role in... ...first few months. Employees can take advantage of the flexible vacation policy after...Remote workFull timeWork from homeFlexible hoursShift work- ...Sr Coding Compliance Auditor Inspired by faith. Driven by innovation... ...more than 2,300 clinics, care sites and 158 hospital-based... ...promote quality care for Medical Advantage members. By focusing on... ...leadership and works with practice managers to resolve these trends....Remote workFull timeWork at office
- ...clients to effectively manage complex operational and... ...audits completed mostly remote. In office presence... ...audit assignments as Lead auditor, including: Planning... ...considered a relevant advantage (French, Italian, Portuguese... ...needs of our customers and care for our future.Remote workWork at office
$53.7k - $72.6k
...Become a part of our caring community by joining Humana... ...team as an Internal Auditor 1. Provide value-added... ...to the Internal Audit Manager, you will assist in driving... ...: While this is a remote position, occasional travel... ...of life for people with Medicare and Medicaid, families,...Remote workTemporary workWork at officeWork from homeMonday to Friday1 day per week- ...Care Coordinator Prominence Health is a value-based care... ...and health systems across Medicare, Medicare Advantage, Accountable Care Organizations... ...department follow-up, case management engagement, coordination of... ...home internet if working remote, and reliable...Remote workLocal areaWork from home
$40.6k - $54.8k
...approximately 50 million Americans access the care and coverage they need. Through... ...including dental, vision, disability, absence management, life, supplemental health, medical... ...are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals...Remote workWork at officeLocal areaFlexible hours$45k - $55k
A leading healthcare technology firm is seeking a Long-Term Care Auditor I for a fully remote position. The role involves analyzing Medicaid payments and ensuring adherence to regulations. Ideal candidates should possess a bachelor’s degree or equivalent experience, alongside...Remote work$100 - $175 per hour
...because 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... ...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$59.3k - $80.9k
...Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation... ..., and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on...Remote workBi-weekly payApprenticeshipWork at officeWork from homeMonday to Friday- ...Job ID:41737 Location:USA : Remote Based, USA : Home Based Position Category:Assessors... ...to Full time Food Safety and Quality Auditor Management Systems – Food Safety Auditor Bring your... ...Vacations, Mental Health Assistance, Child Care Assistance, Pet Insurance, Maternity...Remote workFull timeFor contractorsWork experience placementWork at officeLocal areaWork from homeOverseasFlexible hoursWeekend work
- MedPOINT Management is seeking a Hospital Claims Auditor responsible for ensuring the quality of claims processes and... ...three years of experience in managed care claims adjudication. Key skills... ...in medical coding and contracting. This is a remote position. #J-18808-LjbffrRemote work
- ...Data Mining Auditor Codoxo is the premier provider of artificial intelligence... ...integrity. Codoxo helps clients manage costs across network management, clinical care, provider coding and billing,... ...calculations. ~ Knowledge of Medicare, Medicaid and Commercial reimbursement...Remote workContract workWork experience placementWork at officeLocal areaWork from homeHome office
- ...Overview: Compliance Coding Auditor Performs a number of... ...internal auditing, coder education, management of AR queries/problems, and... ...of experience with acute care outpatient coding (Required)... ...experience (Required) Remote work opportunity preferred...Remote workTemporary workShift work
$26.48 - $50.49 per hour
...20,000 physicians. Northwell cares for more than three million people... ...This includes evaluation and management services (E&M leveling) and... .... 5.Research CMS and NGS Medicare regulations, guidelines,... ...Certified Professional Medical Auditor (CPMA) or Certified Documentation...Remote workHourly pay- ...is a healthcare revenue cycle management firm that has been in the... ...Job Title: Senior Coding Auditor Report To: CEO Experience... ...Location: Dallas/ Open to remote Shift Time: Regular... ...Experienced in multiple specialities would be an added advantageRemote workFull timePart timeWorldwideShift work
- ...Job Title: RN (Transitions of Care) Duration: 3 Months Location: Remote Shift: Monday - Friday (8 AM - 5 PM... ...emergency department patients Quality: Medicare Advantage Stars, HEDIS and quality... ...patients are chronic disease self-management, particularly in Diabetes and Hypertension...Remote workMonday to FridayShift work
$30.6 - $48.8 per hour
...We are a community built on care. Our caregivers and supporting... ...healthcare-focused revenue cycle management and value-based care... ...Summary The Inpatient Coding Auditor , within the Department of... ...regulatory requirements (e.g., HIPAA, Medicare, Medicaid) related to coding...Remote workHourly payRelocation packageFlexible hours- ...Auditor Senior Apply Now How to Apply Please provide a cover... ...high-quality assurance, and management advisory services designed to... ...combination of on-site and remote work responsibilities. Candidates... ...research, teaching, patient care, and service missions....Remote workFull timeTemporary workPart timeWork at officeVisa sponsorshipWork visaFlexible hours
$34.26 - $58.13 per hour
...team lead position reporting to the HB Manager Coding Auditor/Educator. Under direct supervision of the... ..., KS and NM, this position is open to remote/out of state candidates residing in... ...Where You'll Work With more than 700 care sites across the U.S. from clinics and...Remote workWork experience placementWork from home- ...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 workFull time
$4,470 - $5,330 per month
...CalPERS) is seeking a Program Auditor in the Office of Audit... ...Under the direction of the Staff Management Auditor/Senior Program Auditor... ...schedule, with up to two days of remote work and three days or more... ...the right to family care and medical leave, gender, gender...Remote workPermanent employmentFull timeWork at officeMonday to FridayFlexible hoursNight shift$89.8k - $151.8k
...seeking a Senior Technology Auditor who will lead and contribute... ...monitoring, and enterprise risk management by identifying and monitoring... .... With the flexibility for remote work, this role strikes the perfect... ..., we use our information advantage to deliver smarter solutions...Remote workHourly payContract workTemporary workWork at officeWorldwideFlexible hours2 days per week$12.85k - $15.11k
...Staff Auditor II Department of Health and Human Services (DHHS) Location: Augusta... ...position allows for partial telework with management approval. Currently, this position is... ...hospitals, and provides oversight to health care providers. The Division of Audit is seeking...Remote workFull timeWork at office- ...Freelance ISO Lead Auditor / Consultant USA Hybrid (with occasional... ...IMSM IMSM (International Management Systems Marketing) is a... ...unlocking measurable competitive advantage. Now part of the Axiom GRC... ...pipeline of client work Remote delivery with occasional on-site...Remote workContract workFor contractorsSelf employmentFreelanceWorldwideFlexible hours
- ...Sinai in Los Angeles is seeking a Claims Auditor responsible for ensuring the accuracy of... ...document findings, and provide analysis to management for errors and inconsistencies. The ideal... ...and inclusive environment dedicated to high-quality patient care. #J-18808-Ljbffr...
$26.29 - $48.91 per hour
...Coding Inpatient Auditor Performs quality reviews... ...optimal revenue cycle management. Uses critical thinking... ...Expansive knowledge of Medicare DRGs, APR-DRG, coding guidelines... ...independently in a remote setting. [Required]... ...provided in a quaternary care facility. [Preferred]...Remote workWork experience placementWork at officeLocal area$116.3k - $264.6k
...Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid... ...continued delivery of exceptional patient care. Take your career to the next level.... ...this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide...Remote workMonday to FridayFlexible hours- ...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
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