Claims Quality Assurance Auditor
PIH Health
NYU School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. For more information, go to med.nyu.edu, and interact with us on Facebook, Twitter and Instagram. Position Summary We have an exciting opportunity to join our team as a FGP Patient Care Asst (37.5). In this role, the successful candidate assists the RN/LPN in the care of patients and families by completing assigned patient care tasks; provides competent, safe, and compassionate care with emphasis on an understanding of the challenges faced by hospitalization, undergoing procedures or diagnostic tests; demonstrates NYULMC Core Values in all aspects of job performance Job Responsibilities Performs other duties as assigned. Assists in emergency situations as directed. Demonstrates understanding of infection prevention and control standards. Utilizes specialized skills and safety when carrying out specific tasks of patient care as assigned, including phlebotomy, fingersticks for glucose, and electrocardiograms. Assists in maintaining safety and comfort needs of patients. Assists in data collection and activities as assigned. Observes general behavior and reports same to nursing staff to whom patient is assigned. Completes delegated responsibilities as directed by the Nursing Staff or MDs. Minimum Qualifications To qualify you must have a Education: High school graduate or equivalent required with a minimum of one year of experience, as a patient care assistant. Working knowledge of English is evident in verbal, reading and writing abilities; other language an asset; demonstrated ability in computer skills; proficiency in venipuncture and phlebotomy required. Preferred Qualifications Some college preferred Qualified candidates must be able to effectively communicate with all levels of the organization. NYU School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. NYU School of Medicine is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU School of Medicine's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit for more information. To view the Pay Transparency Notice, please click here. #J-18808-Ljbffr PIH Health
$114k - $160k
...confidence.Job DescriptionThe Underwriting Quality Senior Auditor provides advanced underwriting quality... ..., compliance, product, operations, claims, and other partners to improve... ...Preferred QualificationsBackground in quality assurance, claims, compliance, specialty lines,...ClaimsFull timeWork at officeLocal area$97.1k - $114.4k
The Underwriting Quality Auditor ensures the integrity, consistency, and compliance of underwriting... ...continuous improvement of the Quality Assurance framework. Participation in regular... ...Background in quality assurance, claims, compliance, or knowledge of multiple insurance...ClaimsFull timeWork at office- ...Sarnova is seeking a QA Specialist to ensure accuracy and compliance of Medicare/Medicaid claims before submission. The role demands meticulous review of PCRs, coding validation, and adherence to payer regulations, with remote work flexibility and strong emphasis on documentation...ClaimsRemote work
- ...to join our remote, flexible team in the United States. You will audit internal and client claim files to ensure compliance with established guidelines and improve overall quality of claims handling. Ideal candidates have 3+ years in claims, strong QA and auditing...ClaimsRemote jobFlexible hours
- ...Excellence: Achieve and maintain the highest quality Service: Innovate to meet evolving needs... ...Operations, Oversees The Quality Assurance/control Activities Associated With Morgue... ...remains, including medical examiner cases and claim only cases. Supervises decedent case...ClaimsFull timeWork at office
- Digitech is seeking a Remote QA Specialist to ensure Medicare/Medicaid claims are accurate and compliant before submission. You will review PCRs, validate service levels, and verify payer-specific requirements in a high-volume environment. The role requires clinical insight...ClaimsRemote job
- ...developing functional tests, reviewing test plans, and executing cases in a fast‑paced federal environment. Ideal candidates have Medicare claims experience, strong Agile skills, SQL proficiency, and experience documenting requirements and test artifacts. #J-18808-Ljbffr...ClaimsRemote job
- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical... ...scheduling to align with your own availability while ensuring high-quality service to clients. #J-18808-Ljbffr Dane Street, LLCClaimsRemote jobExtra incomeWork at officeFlexible hours
- ...About the Opportunity: We're building a Claims TPA enabled by state-of-the-art, tech-enabled... ...solver with an eye for improving the quality of claims handling, then this role is... ...Participating in ad hoc claims quality assurance projects based on client needs Coaching...ClaimsRemote work
- ...and maintain detailed reports for accurate communication of field quality status (Before sales, 3M, 12M, 36M, WM, CPU, and DPU) for... ...Specialist & AM of emerging quality issues based on detailed warranty claim analysis and follow‑up on improvement. • Coordinate and update...ClaimsWork at office
$45k - $70k
...patients to optimize healthcare delivery, control costs, and maintain quality care. \3>Key Responsibilities Conduct assessments of medical... ...a high‑performance culture. We process over 200,000 insurance claims annually for leading national and regional Workers'...ClaimsRemote jobTemporary workWork at officeWork from home- New York Workers' Compensation Report Reviewer / Quality Analyst Job Summary The New York Workers' Compensation Quality Analyst is responsible... ...‑thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers'...ClaimsTemporary workRemote workWork from home
- Quality Control Parts Quality Engineering Specialist - Chassis/EV Date: May 5, 2026 Location: Ellabell, GA, US JOB TITLE Quality Control... ...Operation Plan to ensure part quality per specifications (Field claim analysis, Supplier Management, Part inspection). [Improvement]...ClaimsSecond jobWork at officeImmediate startWeekend work
$112.7k - $193.2k
...Clinical Quality Consultant For The Oncogenetic Program Optum is a global organization that delivers care, aided by technology to help... ...coverage review, member appeals clinical review, medical claim review and provider appeals clinical review You'll be rewarded...ClaimsRemote jobMinimum wageFull timeWork experience placementLocal area- ...collaborative work environment Chance to significantly impact coding quality and accuracy in healthcare What To Expect (Job Responsibilities... ...health information management Experience with 3M APC Software claim edits Familiarity with CMS' National Correct Coding Initiative...ClaimsImmediate startRemote work
- ...Motor Group Metaplant America (HMGMA) is seeking a data‑driven quality analyst to develop, update, and maintain reports that clearly communicate... ...insights. You will respond to data requests, analyze warranty claims, maintain improvement databases, and help drive timely quality...Claims
$137.5k - $189.52k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-... ...Group Holdings Inc.Job DescriptionBusiness Title(s): AVP, Claims Quality Assurance & Performance ManagementEmployment Type: Full-TimeFLSA Status...ClaimsFull timeLocal area- ...Quality Auditor H&H is seeking a Quality Auditor to join the New York City office and support the firm's quality management systems and... ...Quality Auditor will assist with compliance audits, quality assurance activities, and continuous improvement initiatives across active...Temporary workWork at office
$52k - $72k
...H&H is seeking a Quality Auditor to join the New York City office and support the firm’s quality management systems and project delivery... ...Quality Auditor will assist with compliance audits, quality assurance activities, and continuous improvement initiatives across active...Temporary workWork at office- Collect and analyze data from Operations Quality Assurance Associate evaluations Identify trends, insights, risks, and opportunities in program... ...or quality auditing role, preferably in a call center, claim operations, pharmacy hub, or similar environment Healthcare experience...ClaimsWork at office
$63k - $75k
...Job Description Job Description Compliance Quality Auditor – Senior Living (ACF/ALP/LHCSA) Type: Full-Time | Field-Based Location: Brooklyn, NY — travel required across all W Group facilities Pay: $63,000.00-$75,000.00/Annually, based on experience Travel...Full time$19 - $24 per hour
...What you´ll do Perform quality inspections on incoming materials and production products to ensure they meet specifications and quality... ..., and safe work environment while supporting overall quality assurance activities. What makes you a good fit High School / GED...Hourly payFull timeLocal areaShift workAfternoon shift$150k
...profile. Evaluate the effectiveness of the QMS and project‑specific Quality Management Plans (QMPs). Verify implementation of documented... ...projects or multi‑location organizations. ISO 9001 Lead Auditor (required or strongly preferred). Certified Quality Auditor (CQA...Part timeFlexible hours- The Shyft Group USA, Inc in Landisville, PA seeks a Quality Auditor to ensure assembly operations meet quality standards. You will be responsible for auditing vehicles during assembly, documenting findings, mentoring employees, and addressing quality issues. The role requires...
- Quality Auditor - Building Inspections, ICC‑NTA Pennsylvania Region Company Summary: The International Code Council is the leading global... ...construction, building code enforcement or performing quality assurance audits Valid Driver’s License is required Some overnight travel...Work at officeWorldwideNight shift
- All Jobs > Quality Auditor, Building Products Inspections Quality Auditor, Building Products Inspections Fully Remote PA Full-time Description... ...building construction, manufacturing, or performing quality assurance audits preferred. Demonstrated exceptional written and oral...Full timeWork at officeRemote work
$18 per hour
...This position will inspect Duluth Trading Co. products in an accurate and timely manner, while maintaining all tracking data for the quality control and vendor compliance processes. Position Details Work Environment: At Duluth Trading Company, we value face-to-face...Daily paidFull timeTemporary workLong distanceFlexible hours$23 per hour
Quality Auditor | Fleet Vehicles & Services | Landisville, PA Regular Employee | Hourly Non-Exempt | $23.00 - 23.00 What you’ll do: Ensure assembly operations meet quality standards by auditing processes, mentoring employees, and supporting continuous improvement. Audit...Hourly payLocal area- Alignerr is seeking Audio Quality Reviewers to listen to and evaluate audio recordings for AI training. This fully remote, hourly contract role offers flexible scheduling and 10-40 hours per week, with no requirement for prior audio engineering experience. You will assess...Remote jobHourly payContract workFreelance10 hours per weekFlexible hours
- International Code Council is seeking a Quality Auditor to perform inspections, sampling, and evaluations to ensure compliance with internal, external, and program requirements. The role supports ICC-ES by conducting on-site, in-plant, or remote assessments and maintaining...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Quality Assurance Auditor. Be the first to apply!
- quality compliance specialist New York, NY
- quality management specialist New York, NY
- quality assurance auditor New York, NY
- quality auditor New York, NY
- warehouse quality control associate New York, NY
- supplier quality specialist New York, NY
- quality system auditor New York, NY
- quality improvement specialist New York, NY
- quality review specialist New York, NY
- quality systems specialist New York, NY


