Remote Quality Auditor II — Process Improvement & Compliance
Premera Blue Cross
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.
The ideal candidate has a high school diploma, 3 years in claims/customer service/enrollment with at least 1 year in quality auditing, and optional bilingual English/Spanish. Quality 101 certification is preferred.
#J-18808-Ljbffr- ...Blue Cross is hiring for a Quality Specialist II to oversee audits across our... ...offshore operations and ensure compliance with MTM, LDLA, and FEP... ...identify opportunities for quality improvement and drive measurable enhancements in claims processing and enrollment accuracy....Remote work
- ...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... ...measure adherence to standards and drive improvements. The role partners with stakeholders...Remote work
- ...Premera Blue Cross is seeking a Quality Specialist II to support our offshore operations... ...strengthen quality across our processes. You will oversee compliance with audit programs such as MTM,... ...identify opportunities for quality improvement, monitor standards, and drive...Remote work
- ...Premera Blue Cross is seeking a Quality Specialist II for its offshore... ...oversee audits of claims processing, inquiries, enrollments, and... ...data exchanges, ensuring compliance with BCBS standards and federal... ...role emphasizes quality improvement across the organization and...Remote work
- ...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... ...partnering with stakeholders to drive quality improvements. The role requires a high school...Remote work
$41.08 - $52.82 per hour
...company, is seeking a Business Analyst I/II (Planning Analyst) for a 12-month W2 contract with remote work option in the United States. The... ...allocations, maintain contractor rosters, and drive process improvements while ensuring compliance with procurement #J-18808-LjbffrRemote workProcess improvementHourly payContract workFor contractors- ...Quality Associate II Quality Associate II 12 month contract Remote, EST hours SUMMARY Our client, a life sciences organization, has engaged... ...trends. Identify emerging risks, compliance issues, and opportunities for process improvement in clinical trial activities. Collaborate...Remote workProcess improvementContract workWork at office
- ...client companies in a fully remote capacity, the hourly Human Resources Specialist II will provide day-to-day HR... ...employee lifecycle, ensuring compliance and high-quality client service. Key... ...internal teams to identify process improvements and proactively address potential...Remote workProcess improvementHourly pay
- ...Premera Blue Cross is seeking a Telecommuter Quality Auditor to conduct professional audits, interpret standards, and communicate results... ...to-date practices, and work with cross-functional teams to improve processes and ensure quality across operations. The role...Remote workProcess improvement
$70k - $105k
...Description Actuarial Analyst II - Reserving - P&C 100% Remote (U.S. Based) $70,000 -... ...and regulatory reporting processes • Partner with Finance... ...• Identify process improvements and enhance reserving workflows • Respond to auditor and cross-functional business...Remote workProcess improvement- ...Premera Blue Cross is seeking a Quality Auditor to conduct audits of claims, enrollment, and customer service processes. You will plan and execute audits, communicate findings, and help drive corrective actions across departments. The role requires 3 years of related...Remote workProcess improvement
$83.8k - $134k
...cancer as a disease and improving the ability to prevent,... ...Integrity Analyst II At Memorial Sloan Kettering... ...coding, charge capture, compliance, and financial... ...integrity trends, and process improvement recommendations... ...Location: Hybrid; Primary remote with on site as needed...Remote workProcess improvementFull timeMonday to Friday- Guidehealth seeks a Clinical Compliance Auditor II to ensure our clinical operations and delegated services... ...Operations. You will mentor staff, drive process improvements, and help strengthen our compliance framework in a remote, agile environment with opportunities to grow...Remote jobProcess improvement
- ...SummaryThe QA Specialist II provides advanced quality oversight and... ...to implement improvements and maintain compliance with regulatory standards... ...clearance, in-process checks, deviation... ...Certified Quality Auditor (CQA) Certification... ...be performed on a remote or telecommute basis...Remote workProcess improvementTemporary workWeekend work
- ...provided safe, high-quality and cost-effective... ...Coordinator II coordinates the prior... ...assistance program process for medications to... ...to ensure compliance with insurance guidelines... ...continuous process improvement to enhance... ...Schedule: Days; Remote Salary Range...Remote workProcess improvementLocal areaShift work
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- Entrata is seeking a Risk & Underwriting Specialist II to join its Payment Operations team. You will underwrite merchant... ..., and data governance while supporting audits and process improvements. Flexible remote/hybrid work options are available. #J-18808-Ljbffr EntrataRemote workProcess improvementFlexible hours
- ...ProSync is seeking a passionate Quality Control Specialist II to play a critical role in supporting... ...programs, fostering continuous improvement and compliance with established standards.... ...document, and maintain functional processes, procedures, and SOPs for quality...Process improvementWork at officeFlexible hours
- QA Specialist II - Raw Materials ComplianceLocation... ...together to help improve lives around the world.... ...Specialist II - Raw Materials Compliance, you will play a... ...critical role in ensuring the quality, compliance, and... ...requirementsIdentify quality risks and process improvement...Process improvementFull time
- ...audit and analyze provider data against claims processing systems, supporting cost-saving initiatives and regulatory compliance. You will document audit results,... ...The role emphasizes data accuracy, process improvement, and staying current with health insurance industry...Remote jobProcess improvement
- ...Job Summary The Quality Specialist II supports the Quality Management... ...Assurance operations to ensure compliance with customer, regulatory,... ...to develop, maintain, and improve systems, procedures, and controls... ...Inspection packages, Process FMEA, and control plans....Process improvementWork at office
$54k - $67.5k
...Accountant II - 531049Tuscaloosa, Alabama, United StatesAccounting... ...fund balances. Ensures compliance with applicable laws,... ...Contributes to special projects and process improvements to enhance overall financial... .... Position is eligible for remote work one day per week after...Remote workProcess improvementContract workWork at officeMonday to FridayWeekend workAfternoon shift1 day per week- ...Quality Control Specialist IiThe Quality Control Specialist Ii supports quality assurance and compliance activities for enterprise infrastructure modernization, virtualization,... ...Assist with audits, inspections, and process improvement initiatives.Monitor compliance with...Process improvementFor contractors
$61.3k - $85.8k
...in-person home visits, remote coaching and our... ...Systems Analyst (BSA) II serves as a key link between... ...optimize business processes, systems, and data. The... ...recommendations, and process improvement recommendations. With... ...trends, and compliance changes to inform design...Remote workProcess improvementFull timeFlexible hours- ...a Cloud Operations Analyst II that can do a 3-day hybrid approach... ...identify opportunities for process improvements, implement best practices,... ...security policies and compliance requirements. Schedule, monitor... ...utilization. Manage on-site and remote data center operations,...Remote workProcess improvementFull timeWork at officeLocal areaFlexible hours
- ...To support quality assurance initiatives, the full-time remote Quality Specialist II will oversee compliance with audit programs, conduct audits of transactions, and collaborate... ...to identify and implement quality improvements. Key responsibilities: Conduct audits...Remote workFull time
$66.8k - $125k
...Research Associate (Level II) – Make an Impact at... ...and site management process. As a Clinical Research... ...II), you'll conduct remote or on-site visits to assess... ...and regulatory compliance and manage required documentation... ...for process improvement, as required. Education...Remote workProcess improvementTemporary workWork at officeHome officeNight shift$31.31 - $36.71 per hour
...The Certified Coder II is crucial to the Revenue... ...that impact claim quality and reimbursement.... ...rationale, and drives process improvements that reduce repeat errors... ...denials, rework, and compliance risk. Essential Job... ...accommodations. When remote work is approved, the...Remote workProcess improvementApprenticeshipInternshipWork at officeShift work- ...MIPosition is primarily remote and reports onsite... ..., the litigation hold process, and document production... ...internal investigation of compliance issues. Manages... ...implement process efficiency improvements. Inputs and reviews... ...: Paralegal II will earn a competitive...Remote workProcess improvementHourly payFull timeContract workPart timeWork at officeLocal areaImmediate startWork from homeMonday to FridayFlexible hoursShift work
- ...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
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