Remote Quality Auditor II Healthcare Compliance
Premera Blue Cross
Premera Blue Cross is seeking a Quality Specialist II to support our offshore operations and strengthen quality across our processes. You will oversee compliance with audit programs such as MTM, LDLA and FEP, and verify transactions including claims, customer inquiries, enrollments, and electronic data exchange. You will partner with stakeholders to identify opportunities for quality improvement, monitor standards, and drive the execution of corrective actions. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Quality Auditor II Healthcare Compliance in Clayton, NC vacancy
- ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across our provider contact center offshore operations. You will partner with teams to identify opportunities, strengthen quality practices, and drive improvements that measurably impact accuracy,...Remote work
Premera Blue Cross
Clayton, NM2 days ago - ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across claims processing, inquiries, enrollments... ...with teams to improve quality and ensure compliance with BCBS Association and FEP audits in a remote setting. You will review transactions, verify data...Remote work
Premera Blue Cross
New York, NY9 hours ago - Premera Blue Cross is seeking a Quality Specialist II to support the Provider Contact Center Quality Program from a telecommuter role. You will oversee audits of transactions like claims and enrollments, ensuring accuracy and timeliness in alignment with BCBS standards...Remote job
- ...Premera Blue Cross is seeking a Quality Auditor to conduct audits in healthcare operations, ensuring compliance with standards and improving processes. The role is remote/telecommuter, with emphasis on data analysis and root-cause problem solving to drive operational...Remote work
Premera Blue Cross
Little Rock, AR3 days ago - ...Premera Blue Cross is seeking a Quality Auditor to ensure compliance and improve processes across claims, enrollment, and customer service. You will conduct audits, document findings, and drive corrective actions with cross-functional teams. You should have a high...Remote workWork experience placement
Premera Blue Cross
Madison, WI5 days ago - ...Premera Blue Cross is hiring for a Quality Specialist II to oversee audits across our offshore operations and ensure compliance with MTM, LDLA, and FEP programs. You will work with teams to identify opportunities for quality improvement and drive measurable enhancements...Remote work
Premera Blue Cross
North Carolina9 hours ago - ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across multiple programs, including MTM, LDLA, and FEP, ensuring compliance with state and federal laws and corporate policies. You will examine claims, inquiries, enrollments, and electronic exchanges...Remote work
Premera Blue Cross
Maine9 hours ago - ...Premera Blue Cross is seeking a Quality Specialist II to join the Provider Contact Center Quality Program and help shape quality across our offshore operations. The role ensures compliance with audits like MTM, LDLA, and FEP, and reviews claims processing, customer inquiries...Remote work
Premera Blue Cross
Bozeman, MT9 hours ago - Premera Blue Cross is seeking a Quality Specialist II to support its offshore operations in a telecommuting capacity. You will oversee audits such as MTM, LDLA, and FEP to ensure compliance with BCBS and corporate policies. Daily tasks include examining claims, inquiries...Remote job
- ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across our provider contact centers. This remote, nationwide role focuses on ensuring compliance with BCBS programs, FEP, LDLA, and corporate policies while examining claims, enrollment, and customer...Remote work
Premera Blue Cross
New York, NY1 day ago - ...Premera Blue Cross is seeking a Quality Specialist II to oversee offshore operations, ensuring compliance with audit programs like MTM, LDLA and FEP. You will verify transactions, monitor quality, identify trends, and drive improvements across the organization. Join...Remote work
Premera Blue Cross
Wilmot, SD2 days ago - ...Premera Blue Cross in Portland, ME, seeks a Quality Specialist II to support the Provider Contact Center Quality Program and oversee audits across offshore operations, ensuring compliance with BCBS, FEP, and LDLA requirements. The role involves examining transactions...Remote work
Premera Blue Cross
Portland, ME9 hours ago $67.19k
...in days) to receive an alert: Claims Quality Auditor II Job Category: Claims Department: Core... ...knowledge of current trends and issues in healthcare, national and statewide standards and... ...i.e. Payment Integrity and Claims Compliance. This position works to ensure claims...Full time- ...Trillium Health Resources is seeking a Quality Management Specialist II - IDD to monitor Home and Community Based Services for members and ensure HCBS compliance with the final rule. This role is remote within North Carolina, with travel within the 75-mile catchment of...Remote workWork from home
Trillium Health Resources
Lumberton, NC5 days ago - ...Premera Blue Cross is seeking a Quality Audit professional to conduct audits and ensure adherence to standards. You will plan and communicate audit activities, maintain up-to-date knowledge of audit techniques, and document results with recommended corrective actions....Remote work
Premera Blue Cross
Tallahassee, FL9 hours ago - ...Trillium Health Resources seeks a Quality Management Specialist II - IDD to monitor HCBS services and innovations waiver adherence during the member’s plan year. Focus is on HCBS final rule compliance and collaborative work with Care Management for quality support....Remote work
Trillium Health Resources
United States4 days ago - ...Premera Blue Cross is seeking a Telecommuter Quality Auditor to conduct audits, develop audit reports, and drive continuous improvement in quality assurance across business processes. The role emphasizes professional ethics, data interpretation, and cross‑functional collaboration...Remote work
Premera Blue Cross
United States4 days ago - ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits of claims processing, inquiries, enrollments and electronic transactions, ensuring compliance with BCBA, FEP, and corporate policies. This telecommuter role collaborates with stakeholders to identify...Remote work
Premera Blue Cross
United States9 hours ago $60.1k - $98.7k
This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy... ...with all company Compliance, Information Security and... ...industries including insurance, healthcare, banking and financial...Remote workFull timeWork at office- ...Premera is seeking a Quality Specialist II for its Provider Contact Center Quality Program to help shape quality across offshore operations.... ...enrollments, and inquiries. The role is telecommuter, allowing remote work within the United States, with opportunities to advance...Remote work
Premera Blue Cross
Idaho9 hours ago - ...Premera Blue Cross is seeking a Quality Specialist II to oversee audits across our offshore operations and ensure compliance with MTM, LDLA, FEP, and corporate policies. You will examine transactions, claims, enrollments, and inquiries for timeliness, accuracy, and completeness...Remote work
Premera Blue Cross
Montana9 hours ago - ...Medical Coding Quality Assurance SpecialistTurn coding accuracy into stronger compliance, cleaner claims, and better healthcare outcomes.Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1.0 FTE)Ensures...Remote workFull time
UF Health
Jacksonville, FL3 days ago - ...Resources is conducting a search for a Quality Management Specialist II - IDD. This role focuses on ensuring... ...to uphold quality and waiver compliance. The position requires Qualified... ...and experience in MH/DD/SA settings. Remote NC-based work is available with travel...Remote work
Trillium Health Resources
United States2 days ago $17 - $34 per hour
...Abbott is a global healthcare leader that helps people live more fully at all stages... ...than 160 countries. The Triage Order Quality Associate Level II (TOQII) position is responsible for the... ...operations departments. Location: Remote, United States Hours : 1st shift, business...Remote workHourly payMonday to FridayDay shiftAbbott Laboratories company
Springfield, IL17 hours ago- ...Description Discover Impactful Work: Join Thermo Fisher Scientific as a Quality Specialist II and contribute to global healthcare and scientific advancement. In this role, you'll ensure compliance with GMP standards, FDA regulations, and international quality requirements...Work at officeRelocation package
Regulatory Toolkit
Florence, SC4 days ago - Cognizant is seeking a Medical Coding Quality Auditor to ensure accurate coding, compliance, and quality across healthcare records in a fully remote role. You will collaborate with clinicians to support proper documentation, regulatory adherence, and operational excellence...Remote job
- Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy and regulatory compliance across healthcare records. The role collaborates with coding professionals... ...high quality and productivity in a remote setting. Responsibilities include reviewing...Remote job
- ...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 while contributing data for training...Remote job
- ...Premera Blue Cross is seeking a Quality Specialist II to oversee compliance with audit programs and verify transactions across claims, enrollment, and electronic data exchange. You will partner with teams to identify quality improvements and ensure adherence to BCBSA,...
Premera Blue Cross
California City, CA3 days ago - ...team working to improve the future of healthcare? Do you want to enhance the lives of... ...110 countries and regions.Shift: Day Quality Associate II / Quality Associate III, QA ReleaseSummary... ...tasks (i.e. documentation, training, compliance, product release, scheduling, etc.),...Work experience placementShift work
Grifols
Clayton, NC5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Quality Auditor II Healthcare Compliance. Be the first to apply!
Related searches
- quality review specialist Clayton, NC
- quality assurance auditor Clayton, NC
- quality control associate Clayton, NC
- quality specialist Clayton, NC
- warehouse quality control associate Clayton, NC
- quality management specialist Clayton, NC
- quality associate Clayton, NC
- quality improvement specialist Clayton, NC
- quality auditor Clayton, NC
- remote document review Clayton, NC