• Senior Quality Analyst, Claims

    Providence (WA)
    …organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual ... Analyst assists the Claims leaders in managing a quality assurance program to ensure compliance with laws and regulations pertaining to self-insured… more
    Providence (08/01/25)
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  • Quality Audit for Life & Annuity Death…

    DXC Technology (Richmond, VA)
    …Minimum 2 years of experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance . + Strong understanding of ... teams to address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails. + Support training… more
    DXC Technology (05/29/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …states will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. ... and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance , this role is responsible for the end-to-end… more
    Commonwealth Care Alliance (05/31/25)
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  • Complex Claims Director, Severity

    AIG (Atlanta, GA)
    …referral point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
    AIG (05/30/25)
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  • Claims Processor - Remote

    Cognizant (Lansing, MI)
    …coverage guidelines and regulations. * Experience in the analysis and processing of claims , utilization review/ quality assurance procedures. * Must be able ... - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the...is required. **Travel:** None required **About the role:** As Claims Processor, you will be responsible for timely and… more
    Cognizant (08/01/25)
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  • Quality Assurance Management Trainee

    JBS USA (Russellville, AL)
    …with customer relations and complaint procedures ( claims ) + Working alongside the quality assurance team to develop an understanding of how all the roles ... **Description** 2026 Quality Assurance Management Trainee About us: JBS USA is a leading global provider of diversified, high- quality food products,… more
    JBS USA (07/31/25)
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  • IT Quality Analyst (Regression Tester)

    General Dynamics Information Technology (Menands, NY)
    …Be Able to Obtain:** None **Public Trust/Other Required:** None **Job Family:** IT Quality Assurance **Skills:** Healthcare Claims , Quality Assurance ... determine the possibility of adding test cases to the Quality Assurance Regression (QAR) baseline + Add...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more
    General Dynamics Information Technology (08/01/25)
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  • MassHealth Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    …will not be considered at this time._** Position Summary: Reporting to the Director, Claims Operations & Quality Assurance , the Regulatory Compliance & ... Medicaid) and CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and works closely with Cognizant (TPA) to… more
    Commonwealth Care Alliance (06/02/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
    Elevance Health (07/22/25)
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  • Claim Analyst IV (Lexington), Professional…

    AIG (Boston, MA)
    …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will… more
    AIG (07/10/25)
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