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Health Care Business Intelligence Data Analyst

Performant Financial Corporation - 18 reviews - Miami Lakes, FL
Estimated salary: $68,000 - $87,000 a year
Performing QA functions of new concepts. 10 plus years of healthcare provider reimbursement experience specific to managed care contracting, medical billing,...

QA Auditor-Estimate Reviewer

Crawford & Company - 244 reviews - Jacksonville, FL 32256
The Crawford Solution® offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including...

QA Auditor-Estimate Reviewer

U.S. Services - Jacksonville, FL
The Crawford Solution® offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including...

Scanner/Data Entry I (Kapolei)

HMSA - 25 reviews - Kapolei, HI   +1 location
Estimated salary: $25,000 - $32,000 a year
The Claims Scanner Data Entry Examiner 1 under the direction of the QA Trainer-Data Entry and/or the Supervisor uses and trains on the multiple data entry...

Quality Assurance Analyst

HMSA - 25 reviews - Honolulu, HI 96817 (Liliha-Kapalama area)
Assist in training and QA as assigned. Applying excellent knowledge of HMSA’s Claims, Inquiry, and Enrollment policies....

QA Auditor - Estimate Review

Crawford & Company - 244 reviews - Jacksonville, FL 32256
$48,000 - $54,000 a year
The Crawford Solution® offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including...
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Audit & Quality Assurance Analyst

Reliance Standard Life Insurance Company - 15 reviews - Philadelphia, PA 19103 (Belmont area)
Financial, Sales & Marketing, Underwriting, Premium Services, Legal and Claims. Responsible for supporting the day-to-day operations and reporting of the audit...

Clinical Auditor/Analyst (RN)- Fraud, Waste & Abuse

UPMC - 1,693 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Estimated salary: $63,000 - $80,000 a year
Serve as a QA Department representative at internal and external meetings, document and present findings to QA Staff....

Clinical Unit Leader

MetLife - 2,987 reviews - Oriskany, NY 13424
Of disability claims experience. Completes and presents goals and objectives to QA associates and maintains updated documents....

Supervisor, Claims Administration I (Medicare)

HMSA - 25 reviews - Honolulu, HI 96817 (Liliha-Kapalama area)
Ensures program compliance and timely and accurate claims processing with appropriate contracted programs (i.e., Federal Plan 87, State Health Fund Plan)...
QA & Compliance Auditor
eGourmet Solutions, Inc. - Wallace, NC
Our company is a fast growing leader in the fulfillment of frozen, refrigerated and dry perishable goods. We ship thousands of small parcels via UPS and FedEx...
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Clinical QA Auditor
Healthfirst - 633 reviews - New York, NY
The Clinical Quality Assurance (QA) Auditor performs audit functions for Healthfirst Clinical teams (e.g. Care Management, Reassessment/Clinical Eligibility,...
Healthcare Effectiveness Data & Information Set (HEDIS) Prog...
Oversee HEDIS operations, ensuring all NCQA, auditor, and vendor milestones are completed on time. Knowledge of claims processing and membership processing for...
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