Claims Quality Auditor & Process Improvement Analyst
Neighborhood Health Plan of Rhode Island
Neighborhood Health Plan of Rhode Island seeks a Claims Quality Control Auditor in Smithfield, RI to audit and improve claim processing for internal and external clients. The role emphasizes accuracy, compliance, and reporting on audit findings. The position requires an Associate degree or equivalent experience, with 1–3 years in medical billing or claims processing and strong data analytics skills. Daytime, full-time work in Smithfield is expected. #J-18808-Ljbffr Neighborhood Health Plan of Rhode Island
- ...is hiring for an Insurance Business Process Transactions role. The position supports policy administration, claims, billing analytics, and digital... ...transactions, collaborate with senior analysts, and contribute to process improvement and data analysis while ensuring adherence...Process improvementClaims
- ...Insurance and Annuity Company in Louisville, KY seeks a Claims Quality Auditor to provide QA of processed claims. You will audit internal paperwork, ensure... ...with policy provisions, and support process improvements. This role emphasizes accuracy, documentation, and...Process improvementClaims
$75k - $107k
## Underwriting Quality AuditorApplylocations: US VA... ...*Underwriting Quality Auditor** independently evaluates... ...identifies risk and process gaps, documents... ...training, and continuous improvement. This is a fully onsite... ...in quality assurance, claims, compliance, specialty...Process improvementClaimsWork at officeLocal area- ...Category: Some Experience The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and... ..., and recommends process improvements to maximize accuracy. Duties... ...Provide written report to Business Analysts of review results. Review any...Process improvementClaimsFull timeContract workWork experience placementWork at officeShift work
- Everforth Apex is seeking a Process Analyst to document, maintain, and improve business processes across multiple locations including Charlotte, NC and adjacent markets. The role involves facilitating reviews, coordinating issue resolution, and ensuring adherence to internal...Process improvement
- ...Spartanburg, SC, seeks a skilled IT Business Analyst to bridge business and technology teams. You will gather requirements, map processes, and design BRDs to enable effective last... ...with focus on SDLC, ITIL, and continuous improvement, contributing to transforming business...Process improvement
- ...AmTrust Financial Services seeks an experienced claims leader to handle contract and commercial... ...will independently investigate, analyze, and process complex matters, guide outside counsel, and drive process improvements to optimize outcomes. You will provide legal and...Process improvementClaimsContract work
- Raymond James Financial, Inc. is seeking an Analyst to support AI enablement and process improvement across Finance. The role involves identifying business needs, documenting processes, analyzing issues, and implementing practical improvements using AI, automation, and...Process improvement
- AMOT Controls Corp. is seeking a Quality Analyst to join the quality team and partner with Customer Service, Manufacturing, Purchasing, and Engineering. The role focuses on data collection and analysis of supplier and internal failures, overseeing calibration and ISO900...Process improvement
- ...services team, seeks a management consultant to lead business process transformation for CBP. You will assess processes across... ...in the Washington, DC metro area. You will work with analysts to apply process improvement and modernization principles, coordinate with multiple...Process improvement
$60k - $68k
...Monday-Friday REPORT TO: Contract Supervisor DUTIES/TASKS: The Business Process Analyst I shall evaluate business processes and workflows, making practical recommendations for process improvements, and assisting with the implementation and validation of any process...Process improvementContract workWork at officeMonday to Friday- Covista is seeking a Business Process Analyst to partner with Project Managers and stakeholders to ensure data accuracy and timely information... ...across initiatives. The role emphasizes process design and improvement using best practices. The ideal candidate will have 1+ year...Process improvement
- TECO Partners in Florida seeks a Data Support Analyst to back rebate processing, commission administration, customer payments,... ...program decisions. This role emphasizes data quality, cross-functional support, and improvements to processes and technology within TECO Energy...Process improvement
- ...Luminare Health is seeking a Supervisor Claims to lead a team of claim analysts remotely, ensuring quality, productivity and client satisfaction. You will guide... ...strong communication, leadership and process improvement, with flexible remote work from anywhere in the...Process improvementClaimsRemote workFlexible hours
- Business Process Optimization Analyst - Sarnova - Dublin, Ohio Dublin, OH, USA Job Description Posted Thursday, August 13, 2026 at 4:00 AM Sarnova... ...by serving as a business process owner focused on improving and optimizing end-to-end (E2E) business processes. This...Process improvement
$100k - $140k
...children receive consistent, high-quality therapy without unnecessary... ...elevate our revenue cycle processes. This is an organization that... ...on complex and high-value OON claims. The right candidate is... ...leakage, and implement process improvements that directly impact cash flow...Process improvementClaimsFull timeContract workWork at officeRemote work1 day per week- ...government, whether national security or improved government services. Our human-centered,... ...consulting services in business process transformation. This role leads and supports... ...Include… Lead or be a member of a team of analysts that apply process improvement,...Process improvementWork at officeLocal area
$120k - $145k
.... Job Summary Aretum is seeking a Senior Business Process Analyst supports the centralization and improvement of procurement request processes by developing intake... ...ability to identify process gaps, improve data quality, track operational performance, and communicate risks...Process improvementContract workTemporary workLocal area- ...YouTube. Job Description Opportunity at a Glance The Business Process Analyst will work closely with Project Managers, functional groups,... ...partnership with business stakeholders to drive process improvement delivery through exemplary process design/improvement/management...Process improvementWork at officeFlexible hours
- Jobtailor in Oklahoma is seeking a Senior Process Improvement Analyst to analyze existing business processes, develop sustainable, repeatable improvements, and lead cross‑functional initiatives with key partners to ensure project success. You will apply data analysis using...Process improvement
- ...be involved in creating, building and improving processes and procedures to support different strategic... ...Solutions — supports end-to-end claims handling with analytic and automation tools... ...data management, error identification, quality control and process automation.Provide...Process improvementClaimsWork at office
- Aretum is seeking a Senior Business Process Analyst to centralize procurement intake processes, develop standardized workflows, and create... ...program offices, contracting stakeholders, and leadership to improve intake accuracy, streamline triage, and provide visibility into...Process improvement
$96.6k - $130.4k
## Lead Process AnalystApplyremote type: Remotelocations: US - California Remote: US - Arizona... ...around us.**Job Title:** Lead Process Analyst **Reports to:** VP, Enterprise Process... ...readiness, adoption, and continuous improvement. Your leadership will deliver scalable,...Process improvementRemote work- ...product deployment and expediting processes, and the development and... ...to inform operational improvements. While this job’s specific duties... ...Manages the Claims Queue for the facility supporting... ...experienced Inventory Management Analysts and Senior Analysts, partnering...Process improvementClaimsFull timeTemporary workWork experience placementLocal areaImmediate startMonday to FridayFlexible hours
- ...action for appeals, and ensure compliant submissions for denied claims. The role requires collaboration with billing, coding, and... ...records, tracking appeal statuses, and generating reports to identify trends and drive process improvements. #J-18808-Ljbffr 6AM City, LLCProcess improvementClaimsRemote job
- ...support, and real-time issue resolution, contributing to a positive workplace culture. You will own end-to-end lifecycle processes, handle workers’ compensation and unemployment claims, and partner with the central HR team to drive process improvements. #J-18808-Ljbffr DoistProcess improvementClaims
- Vanderbilt Health in Nashville, TN is seeking a Program Manager (Claims Adjuster) to lead and govern a key claims program. The role... ...health system. Responsibilities include developing standard processes, improving operations, and providing leadership to teammates while...Process improvementClaimsWork experience placement
- ...(MIM), the Inpatient Coding Quality Analyst serves as a subject matter expert... ..., resolves inpatient claim and coding edits, supports denial... ...actionable recommendations to improve coding accuracy, compliance,... ...required during the post‑offer process. #J-18808-Ljbffr The Ohio...ClaimsWork at officeRemote work
- ## Registered Nurse (RN) Process Improvement AnalystApplylocations: Bluesky Locationtime type: Full... ...for in Texas.The Process Improvement Analyst will collaborate with Accreditation Service... ...or related field • +2 years previous quality improvement, analytics, and/or...Process improvementFull timeWork at office
- ...management . This role is responsible for managing outstanding accounts, insurance billing, and claims resolution , while helping drive improvements across the A/R process. If you have strong experience with insurance follow-up, denials, authorizations, and collections...Process improvementClaimsLive in
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