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Quality review Remote Jobs

17 fresh jobs found

Team Lead
Recruiting Only - Telecommuter, United States

Performance development Liability Claims Quality review Motivational Liability Rehabilitation Interpretive Performance competencies Claims Adjudication +33

Senior Mid Full Time

USD 90K+

Partner Quality Spec Sr
Remote

Marketing review Quality review Program Implementation Financial products Stakeholder communication Network Legal Relationship Management Teams +5

Senior Mid Full Time

USD 46K+

Benefit Configuration Analyst II
Remote-FL, United States

Centene Corporation

Quality review Health administration Pharmacy benefit management Benefits Administration Pharmacy Auditing Business administration Configuration Audit +14

USD 55K+

Inside Technician Consultant I
USA - AL (Remote), United States

Allstate Remote-first

Mitigation experience Quality reviews Restoration Quality review Estimating software Estimation Mitigation Working independently Xactimate +31

USD 47K+

Business Analyst IV - Claims
Remote-FL, United States

Centene Corporation

HEDIS Analysis Amisys Claims research TruCare MicroStrategy Process redesign Quality review Risk Evaluation Claims analysis +38

Entry Mid Full Time

USD 86K+

Technical Writer
6314 Remote/Teleworker US, United States

Operational Specifications Cataloging Systems Technical Data Packages User Manuals Quality review Agile framework Transport Training materials Digital Modernization +25

Senior Mid Full Time

USD 63K+

TMS Quality Compliance Analyst III
Remote - USA

Coinbase Remote-first

Regulatory matters Compliance operations OFAC Compliance Policies Quality review BSA Monitoring Systems Transaction Monitoring Financial Crime +50

Senior Mid Full Time

USD 85K+

Senior Marketplace Member Liaison HICS
Remote-AR, United States

Centene Corporation

Case work Aca Guidelines Quality review Commercial Insurance Marketplace CMS Procedures Managed Care +16

Senior Mid Full Time

USD 52K+

Pharmacist, Clinical Grievance and Appeals
United States

Navitus Health Solutions, LLC

Evidence-based documentation Drug Utilization Review Formulary Development Pharmacy Practice Pharmacy Claims Formulary management Data evaluation Quality review Grievance and appeals +20

USD 98K+

Health Care Analyst - Claims
Remote-NY, United States

Centene Corporation

Healthcare Claims Quality review Regulatory reporting Health Plan Information systems Financial Claims Database Management Snowflake +26

Entry Mid Full Time

USD 55K+

Remote Pro Fee Coding Quality Reviewer
Home Office: Washington, DC, United States

Protected Health Information CPC Quality review Medical record documentation Hcpcs coding Abstracting ICD ICD-10-CM Regulatory knowledge +15

USD 49K+

Liability Claims Team Lead | Frisco, TX (open to telecommuters)
Frisco, TX - Frisco, United States

Performance development Quality review Liability Claims Rehabilitation Motivational Claims Adjudication Liability Interpretive Adjudication +33

Senior Full Time

USD 61K+

Individual & Family Plans (IFP) Quality Review & Audit Senior Supervisor - Remote - Cigna Healthcare
Tennessee Work at Home, United States

The Cigna Group

Quality audit HCC coding Quality review ICD Risk Adjustment ICD-10-CM Coding Guidelines Medical Coding EHR +25

Senior Full Time

USD 68K+

Credentialing Specialist
Remote - Texas, United States

Payer credentialing Health plans Quality review Credentialing Medicare Data Management Regulatory Compliance Time Management Project Management +3

USD 44K+

Supervisor, Regulatory Operations
Remote-IL, United States

Centene Corporation

Health insurance regulations SERFF Hios Legislation Analysis Issue advocacy Policy Research System enhancements Regulatory research Regulatory Interpretation +29

USD 86K+

Technical Writer
6314 Remote/Teleworker US, United States

User Manuals Agile framework Quality review Transport Stakeholder Coordination Training materials Digital Modernization Proofreading Standard Operating Procedures +24

Senior Full Time

USD 101K+

Claims Team Lead - Workers Compensation
Recruiting Only - Telecommuter, United States

Performance development Quality review Claims Adjudication Motivational Rehabilitation Interpretive Adjudication Performance competencies Keyboarding +33

Senior Mid Full Time

USD 65K+

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