• Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …**Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical role in ensuring ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
    Commonwealth Care Alliance (05/31/25)
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  • Consultant - Legal Invoice Review Quality

    Wolters Kluwer (Philadelphia, PA)
    …PA (hybrid - 8 days a month in the office **OVERVIEW** The **Legal Invoice Review Quality Assurance Analyst ("QA Analyst "** ) for Wolters Kluwer, ... Center of Excellence will be responsible for performing the quality assurance testing for the Legal Bill...team members as part of critical legal expert QA Analyst "task force" that resolves ambiguities or "close judgment… more
    Wolters Kluwer (07/19/25)
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  • Victim Compensation Claims Analyst

    MyFlorida (Tallahassee, FL)
    VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Pay Plan: Career...determinations processed, and 50 expenses paid monthly. + Finalizes quality assurance corrective actions within 5 business… more
    MyFlorida (07/16/25)
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  • QA Analyst Healthcare Domain - Payer…

    Cognizant (St. Louis, MO)
    **QA Analyst Healthcare Domain - Payer & Claims...team. This role is ideal for someone passionate about quality assurance and automation, with a strong ... We are seeking a highly skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims ...efficient workflow and communication. Conduct manual end-to-end business process assurance testing focusing on the Claims Provider… more
    Cognizant (07/10/25)
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  • Sr Analyst Quality Assurance

    C&S Wholesale Grocers, Inc. (Keene, NH)
    **Position Overview** As an Senior Analyst Inventory Control and Quality Assurance , you will be responsible for researching, compiling and presenting ... with operational leadership in order to drive improvements in inventory quality for customers, inventory accuracy (including reduction of inventory shrink) and… more
    C&S Wholesale Grocers, Inc. (07/16/25)
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  • Director, Application Support and Quality

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Director of Application Support and Quality Assurance will oversee initiatives that align with the strategic goals of the ASG department. This ... to drive business growth, with a strong emphasis on quality control and improvements to enhance claims ...ongoing auditing of system changes. Works with Technical Business Analyst and Programmer Analyst to support day… more
    Brighton Health Plan Solutions, LLC (07/19/25)
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  • Disability Review Analyst

    Chenega Corporation (San Antonio, TX)
    …Minimum three (3) years of experience within the last seven (7) years evaluating disability claims within an Internal Quality Assurance , Office of Quality ... + Participate in special studies and case reviews, reports findings respective Quality Assurance Manager for administrative action. + Assist with program… more
    Chenega Corporation (07/16/25)
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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 ... in customer experience. **Position Summary** We are seeking a ** Quality Analyst ** with experience in **Life and...address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails.… more
    DXC Technology (05/29/25)
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  • Payment Integrity: Reimbursement Policy Invoice…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for ... reports for the programs. The Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst would...equivalent experience or training + Minimum of 5 years claims audit/ quality assurance experience in… more
    Blue Cross Blue Shield of Massachusetts (06/22/25)
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  • Clinical Data Analyst III (HEDIS, Tableau,…

    LA Care Health Plan (Los Angeles, CA)
    …are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing. ... to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease… more
    LA Care Health Plan (07/06/25)
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