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
- Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and the...Remote jobWork from home
- Dane Street is seeking a Peer / Record Review Quality Analyst to oversee the medical file review process. The ideal candidate will ensure reports are accurate and meet client standards while effectively communicating with clients and internal teams. This role involves...Remote job
- Carrington is looking for a FHA Claims QA Analyst II to work remotely from home. This role involves reviewing FHA mortgage insurance claims for accuracy, submitting forms for filing, and ensuring compliance with policies and regulations. Ideal candidates should have a High...Remote workWork from home
$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for... ...investor/insurer timeframes. Complete quality checks using a scorecard and/or...Remote workWork from home- ...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 workWork from homeFlexible hours
- ...Certified Physicians to join our Disability Peer Review team. This telework opportunity allows physicians to evaluate disability claims remotely, offering complete flexibility in... ...relationship. Join us to deliver superior quality in clinical decision-making while enjoying...Remote workWork from home
$60k - $85k
...Designation - This role is a remote role. This means you will be expected... ...Responsibilities • Monitors quality indicators with a proactive... ...• Conducts investigations and reviews of data practices to identify... ..., geographic location, and peer compensation. The range has been...Remote workFull timeWork at officeWork from homeFlexible hours- A healthcare consulting firm is seeking a full-time remote Peer Reviewer (Non-physician) to provide clinical expertise for comprehensive peer... ...position offers comprehensive health benefits and a dynamic work environment focused on quality healthcare solutions. #J-18808-LjbffrRemote workFull time
- ...A leading technology company in research services is looking for peer reviewers who can assess manuscripts in various medical and scientific disciplines. Candidates need a Doctorate degree, strong analytical skills, and a commitment to confidentiality. The role offers...Remote workFlexible hours
$81.4k - $170.7k
...We are currently seeking a Medicaid/Claims Quality Analyst to join our team in montgomery, Alabama... ...in Montgomery Alabama. This can be a remote position with limited travel to the client... ...testing standardization, planning and review through the full system life cycle of...Remote workTemporary workFor contractorsWork experience placementWork at officeFlexible hours$55k - $65k
...Reporting to the Mobile Team Lead, the Quality Assurance Analyst’s key responsibilities will include:... ...demonstrations of new features for customers, peers, and internal stakeholders. Use... ..., and work independently in a remote team environment. Preferred Education...Remote workFull timeWork at office- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote jobFull time
$24 per hour
...The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in... ...The Claims Quality Assurance Analyst reviews claim audit results and claim transactions... ...development opportunities Remote Opportunities We are actively seeking...Remote workHourly payFull timeTemporary workLocal areaFlexible hours$21 - $28 per hour
...leading publisher in the physical sciences is seeking a remote temporary full-time Editorial Assistant to support... ...Team for over 6 months. This role involves reviewing submissions for compliance, managing the peer review and production processes, and assisting with...Remote jobHourly payFull timeTemporary workWork at office- ..., retired researchers, and former researchers who can perform peer reviews for journals and publishers. You should be able to disclose your... ...024 Future of Workplace Disruptor, 2023 Top 100 Companies for Remote Jobs (Ranked #14), 2023 Three‑star “Eruboshi” certification, 2...Remote workFreelance
$45k - $70k
...Utilization Management Nurse Reviewer plays a crucial role in... ...costs, and maintain quality care. Their... ...better turnaround time, peer-to-peer success rates and... ...stipend are provided for remote workspace. About Dane... ...over 200,000 insurance claims annually for leading national...Remote workTemporary workWork at officeWork from home- ...L2 Role In Quality Assurance (QA) This is going to be a specialized... ...all SOC issues for management review. This additional support in QA... ...QA meetings with L2 and L3 analysts. Coordinate Roundtable topics... ...to work effectively with peers, IT management and staff, and...Remote workWork at officeAll shifts
- ...Ensuring a high-quality peer review process, the full-time hourly Peer Review Coordinator will manage manuscript submissions, facilitate communication... ...provide technical support for the peer review system in a remote environment. Key responsibilities Oversees the editorial...Remote workHourly payFull time
- ...health system is seeking an experienced RN Peer Review Coordinator with a strong Emergency Dept... ...closely with Nursing Leadership, Quality, Risk Management, and frontline staff to... ...days/ week onsite/One to Two days/per week remote At St. Luke's, caring for people in the...Remote work2 days per week1 day per week
$70k - $80k
...Position Can Either Be Fully Remote (if Not Within Commutable Distance... ...As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst"), you'll perform quality review and evaluation of all claim submissions... ...with internal business areas, peers and co-workers Demonstrated proficiency...Remote workFull timeWork at office$45k - $70k
...Utilization Management Nurse Reviewer plays a crucial role in... ...costs, and maintain quality care. \3>Key... ...better turnaround time, peer‑to‑peer success rates,... ...and a media stipend for remote workspace. Company Commitment... ...over 200,000 insurance claims annually for leading national...Remote jobTemporary workWork at officeWork from home- ...established industry player is seeking a Medical Review Nurse to join their dynamic team in... ...reviewing and adjudicating medical claims, ensuring compliance with industry standards... ...enjoying the flexibility of a primarily remote work environment. If you are passionate about...Remote work
- ...contribute to the company’s success. As a Quality Analyst within PNC's Corporate and... ...KYC Execution team, you will be based remotely. Responsibilities Include: • The position... ...management programs. • Ability to perform QA reviews of KYC files created by Relationship...Remote workWork experience placementWork at officeWork from home
- ...Position Overview The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments...Contract work
- ...EpicCare Inpatient Quality Analyst - Perm - Remote Our client is seeking an Epic Application Analyst who would be responsible for performing Epic... ...resolution of issues, tracks issues and provide update to peers, leadership and clients with minimal to moderate supervision...Remote workPermanent employmentImmediate startMonday to Friday
- ...Institutional Banking (C&IB) organization, this is a remote position. Work may be performed from a... ...industry. Minimum 1 year of direct Quality Control (QC)/Quality Assurance (QA)... ...management programs. Ability to perform QA reviews of KYC files created by Relationship...Remote workWork experience placementWork at officeWork from home
$55 - $62 per hour
Lehrer Family Chiropractic is seeking a Remote Clinical Quality Analyst in the United States. This part-time role involves reviewing clinical records, conducting quality assurance audits, and supporting compliance processes. The ideal candidate has a degree in healthcare...Remote workHourly payPart timeFlexible hours- ...Quality Analyst Review teams' production for errors and inaccuracies. Document and publish quality scores. Council and mentor team members to... ...transactions and AR follow-up. ~ Thorough understanding of provider claim life cycle. ~ Thorough knowledge of major insurance...Remote work
- ...Driving quality consistency and operational integrity, the full-time Senior Quality Analyst will review customer interactions for compliance and risk while leveraging AI-assisted... ...and support continuous improvement in a remote or hybrid environment. Key responsibilities...Remote workFull time
- ...Focused on evaluating AI-powered workflows, the full-time remote Quality Analyst II will assess AI output across the customer call lifecycle... ...Responsibilities Evaluate AI quality across the advisor stack by reviewing pre-call briefs, in-call guidance, and post-call outputs...Remote workFull time
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