Remote Claims Quality Analyst for Peer Review
Dane Street
- Remote job
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 Dane Street
- 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
$58.4k - $97.4k
Job Summary The Quality Review & Audit Senior Analyst ("Analyst") exhibits expertise in evaluating complex medical... ...record cohorts, evaluating work of peers and/or coding vendor coders, to... ...instrument, as defined per policy. Performs claims matching and auditing, as required,...Remote jobWork experience placementLocal areaWork from home$24.5 - $26 per hour
...Default FHA Claims QA Analyst II Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst... ...supervision, responsible for reviewing FHA mortgage insurance claims... ...insurer timeframes. Complete quality checks using a scorecard and/or...Remote workWork from home$70k
...French Bilingual, Claims Quality Assurance Analyst Trupanion is a leading provider of medical insurance... ...Claims teams and geographies. By reviewing medical records, claim forms, invoices... ...professionals are everywhere. This is a remote position open to candidates anywhere...Remote workFull timeCasual workWork at officeImmediate startFlexible hours$24 per hour
...Claims Quality Assurance Analyst The Claims Quality Assurance Analyst is responsible for monitoring and... ...The Claims Quality Assurance Analyst reviews claim audit results and claim transactions... ...development opportunities Remote Opportunities We are actively seeking...Remote workHourly payTemporary workLocal areaFlexible hours- Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: Claims Quality Analyst plays... ...and documentation based on audit results. Ensure all reviewed processes align with applicable regulatory requirements....Remote jobFull time
- ...healthcare technology company is seeking physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and making standard of care determinations while working from home with...Remote jobWork from homeFlexible hours
- 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 job
- Improve-Health is seeking a qualified Dermatologist for remote peer reviewer roles, requiring an unrestricted medical license and board certification... ...role involves conducting objective peer reviews, ensuring quality standards in clinical care, and working flexibly from home....Remote jobFor contractorsWork from home
- 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- 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 job
- LEVEL in San Francisco is seeking an Analyst for Creative Quality Assurance. This role focuses on ensuring... ...work by performing detailed QA reviews of planograms and other deliverables.... ...communication skills. The position is remote, requiring collaboration with cross-functional...Remote jobFlexible hours
$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
- ...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
$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- ...Job Description Role: Sr. Quality Analyst (Alteryx) Duration: 6+ Months... ...Execute and document self QA, peer QA, and approval checkpoints... ...developers to accelerate quality reviews and solutioning, reducing... ...management and release controls This is a remote position....Remote work
- Navitus Health Solutions, LLC is hiring a Claims Quality Analyst to validate Med D, Medicaid, and Exchange claims per regulations. Responsibilities... ..., 20 days paid time off, and a 401K match. This role is remote except for certain states. #J-18808-Ljbffr Navitus Health Solutions...Remote job
- 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
- ...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
$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- Encova Insurance is looking for a Property Claims Analyst to ensure the quality and consistency of the property claims organization. This remote-friendly role involves administering the Property Claims Quality Assurance Program and overseeing appraisal processes while collaborating...Remote jobFlexible hours
$91.7k - $163.7k
Optum is searching for a Psychologist Peer Review to evaluate treatment requests across various coverage programs. This fully remote role allows you to impact health outcomes while... ...participating in consultations, ensuring quality clinical reviews. Ideal candidates will...Remote job- ...technology company is seeking experienced researchers to perform peer reviews for journals and publishers. Candidates need a Doctorate and at least 8 publications in their subject area. The role offers remote flexibility, allowing you to manage your own work hours. Strong...Remote jobFlexible hours
- ...consultancy firm focused on the absence continuum seeks a Board Certified Rheumatologist for administrative peer reviews. This position offers the flexibility to work remotely, with only a few hours required each month. Ideal candidates should have an active ABIM board...Remote job
- 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 jobFor contractors
$70k - $93k
...Clinical Diagnosis-Related Group (DRG) Quality Analyst. This is a remote office opportunity. The Quality... ...met. The analyst undertakes a quality review of random and targeted clinical DRG... ...and performance Communicate with peers and management Provide root cause...Remote workWork at office- ...Street, LLC is seeking Texas Licensed IME Physicians to perform independent medical examinations and peer reviews for Longshore cases. This role offers a flexible, remote contractor basis. The ideal candidates must have an active medical license, be US board-certified or...Remote jobFor contractorsFlexible hours
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