Claims Quality & Compliance Auditor
CNA Financial
Location: New York, United StatesCompany: CNA FinancialPosted: 2026-09-21Location: New York, United StatesCompany: CNAPosted: CNA is seeking an experienced Claims Quality Review professional to conduct on-site audits of APD and GL claims, ensuring accuracy, timeliness, and adherence to best practices.Under technical direction, you will support leadership in identifying trends, draft guidelines, and assist in system enhancements to improve claim outcomes. A Bachelor's degree plus five years of related experience is expected.#J-18808-Ljbffr
$75k - $90k
...About the Role: We are seeking a Quality Improvement & Compliance Specialist to lead quality assurance, compliance, and continuous improvement... .... Coordinate Performance Improvement Plan activities, claims lookbacks, and other corrective action initiatives....ClaimsWork from home$150k
...effectiveness of the QMS and project specific Quality Management Plans (QMPs). Verify... ...quality performance. Federal, FTA & BABA Compliance Assess and communicate potential impacts... ...multi location organizations. ISO 9001 Lead Auditor (required or strongly preferred)...SuggestedPart timeFlexible hours- ...Specialist is responsible for reviewing and processing medical claims, verifying billing accuracy and documentation, resolving... ...Guidelines, and Requirements Help Ensure Claims Meet ēlizur’s Quality, Compliance, and Reimbursement Standards YOU’RE GOOD AT Paying Close...Claims
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- ...or any basis prohibited by the laws that govern its operations. Senior Manager, Quality Assurance and Audit, North America Claims Reporting to the Head of Quality Assurance and Compliance, Claims Shared Services, this role will lead, oversee, enhance and optimize the North...ClaimsWork at office
- QUALITY COORDINATOR Distinguishing Features of the Class : This is a professional management... ...of Health of all quality standards and compliance within the organization as well as... ...and medical records for proper coding, claim for payments, billing and payment of services...ClaimsFull timeLocal area
- WellSky is seeking a Coding Quality Coach to perform medical coding quality audits and address agency-specific quality concerns. You will support US-based and international coding and audit teams by providing feedback on audited records and revisions. The role emphasizes...Full time
- ...Packaging is seeking a detail‑oriented QA Inspector/Packer to perform in‑process inspection and testing of bottles. You will audit visual quality, assist Inspector Packers, and report non-conformances to supervision. Strong basic English communication is required, and you will...
- ...Posting: HEDIS RN / LPN - Chart Review & Quality Position Type: Contract (3-Month... ...with electronic health records (EHRs), claims data, and provider documentation, you will... ...Determine whether documentation meets numerator compliance requirements for applicable measures....ClaimsRemote jobFull timeContract workTemporary workSeasonal workLocal areaMonday to FridayFlexible hours
- ...experienced Certified Medical Coder to support a 90-day coding quality and claims optimization project. This role will review and validate... ...Qualifications Experience with coding quality assurance or compliance auditing Experience training or coaching medical billing/coding...ClaimsContract workMonday to Friday
$66.3k - $75k
Overview Quality Improvement Specialist Healthcare staff can work anywhere….The BEST work... ...Staff through training, performs compliance reviews, ensures regulatory requirements... ...billing department in resolving account, claim denial, and charge capture issues. Qualifications...ClaimsWork at office- ...Excellence: Achieve and maintain the highest quality Service: Innovate to meet evolving... ...for borough forensic operations. Assures compliance with mortuary decedent case intake and... ...remains, including medical examiner cases and claim only cases. Supervises decedent case...ClaimsFull timeWork at officeShift workWeekend workAfternoon shift
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$108.7k - $181.1k
...known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the... ...works cross-functionally to drive quality excellence, maintain compliance, and support operational effectiveness across the organization...Work at office- ...QVC Group is looking for a QA Performance Claims Specialist to review and approve product... ...to ensure accuracy and regulatory compliance. The role is remote for candidates in... ...and driving CAPA to improve substantiation quality and speed to market. #J-18808-LjbffrClaimsRemote work
- ...integrity of internal controls, the full-time remote Quality Assurance Specialist III will conduct in-depth audits of claims processes, identify transaction errors, and... ...regular audits of claims for accuracy, compliance, and contract interpretation, documenting errors...ClaimsFull timeContract workWork at officeRemote work
- ...a remote-first healthcare company, is hiring a Remote Clinical Quality Improvement Coordinator to drive quality initiatives and patient... ...across payers and providers. You will access EMR data, claims, and outreach to close quality gaps while collaborating with a...ClaimsRemote job
$45k - $51k
Quality Assurance Specialist Cobalt Benefits Group is seeking a detail-oriented Quality Assurance Specialist to support our healthcare vertical clients through comprehensive claims auditing and quality oversight. This role is primarily responsible for conducting daily...ClaimsDaily paidFull timeContract workTemporary workSummer workWork at officeFlexible hours- ...200 executive chefs, and serves more than 600M meals annually. Job Summary This position provides quality assurance, food safety, and regulatory compliance support for healthcare food service operations. The role partners with operational leadership to ensure compliance...Work at officeLocal areaRemote workFlexible hours
$66.3k - $75k
...Job Description Position Summary: The Quality Assurance (QA) Specialist at Fedcap Inc is responsible for ensuring the integrity... ...The QA Specialist plays a critical role in ensuring ongoing compliance with contract requirements, responding to external audit...Ongoing contractContract work$26 - $28 per hour
...forward to what lies ahead. Job Title: QA Specialist Report to: Quality Assurance Coordinator Location: Bronx, NY Job Classification:... ...responsible for supporting the agency's Quality Assurance and Compliance Program by conducting audits, monitoring documentation,...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...across the United States. We have an exciting opportunity for a Quality Assurance Specialist – Mission Assurance Office to join our... ...critical hardware is processed, inspected, and released in full compliance with NASA, JETS, and Amentum quality requirements. It is...Hourly payPermanent employmentContract workWork at officeLocal area
$48k - $52k
...world, combining thematic and technical experts to deliver top-quality research and insights. Simply speaking, we help the biggest... ...Monitoring and reporting on internal quality standards Supporting compliance with PRS IN VIVO internal quality processes: Ensuring Insights...Work experience placementWork at officeRemote workFlexible hours- ...enterprise-level expert who integrates regulatory strategy, product quality, CMC science, and manufacturing risk across the development... ...pathways, submission and inspection strategy, quality and compliance risks, and technically defensible decision-making. Working through...
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$88k - $121.5k
...pride. Your role at Baxter The Compliance & Records Management, QAII is... ...Review processes, QA site Model, and other Quality System items as assigned. Main responsibilities... ...include qualification of Site internal auditors. Write, review, analyze and revise Standard...Temporary workWork at officeLocal areaWork visaFlexible hoursWeekday work- Senior Quality Specialist Overview LabConnect improves lives by partnering with pharmaceutical and biotech companies, and clinical research... ...is responsible for assisting Quality Leadership with ensuring compliance and quality processes are maintained in support of clinical...Temporary workLive outWork at officeFlexible hours
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