Current jobs related to Claims Quality Auditor - San Jose - UnitedHealth Group
-
Health Claims Auditor
2 months ago
San Francisco, California, United States Withum Full timeAre you seeking to join a company with a remarkable work environment?Withum is an innovative, tech-oriented advisory and accounting firm that guides clients to achieve a Leading PositionSM in the modern business scene. With a focus on empowering clients through cutting-edge tools and solutions for their financial and business management needs, Withum stands...
-
Auditor Claims
4 weeks ago
San Antonio, United States University Health System- San Antonio Full timePOSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of...
-
Insurance Claims Analyst
1 week ago
San Antonio, Texas, United States University Health System- San Antonio Full timePOSITION OVERVIEW AND RESPONSIBILITIES The Claims Auditor is accountable for the creation and upkeep of a comprehensive auditing framework for claims across various business sectors, aimed at enhancing claims processing protocols and assessing the quality of service provided to clients. This role involves pinpointing training requirements for processors and...
-
San Antonio, Texas, United States Elevate Claims Solutions Full timeAbout Elevate Claims SolutionsWe are a leading provider of claims solutions, founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our partners, clients, and ourselves.Job DescriptionWe are seeking a highly skilled and experienced Property Claims Adjuster to join our team in San Antonio, Texas....
-
San Antonio, United States Elevate Claims Solutions Full timeJob Description Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are you ready, willing, and able to Elevate? Elevate Claims Solutions is moving into the Texas Market. We are seeking adjusters with commercial and...
-
San Antonio, Texas, United States Elevate Claims Solutions Full timeAbout Elevate Claims SolutionsWe are a company founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves.Our MissionWe are committed to receiving feedback on how we can best support your progression and advancement towards your goals.What We...
-
Night Auditor
3 weeks ago
San Jose, United States Peachtree Hotel Full timeThe Night Auditor will be responsible for conducting all nightly audit-related duties while providing guest service at the hotel's front desk. Audit responsibilities include balancing duties, daily paperwork, and shift reports. While completing these duties, the Night Auditor will attend to guest needs such as guest check-in/check-outs, making reservations,...
-
Claims Quality Specialist
2 months ago
San Leandro, United States Community Health Center Network Full timeOrganizational DescriptionThe Community Health Center Network (CHCN), a sister organization to the Alameda Health Consortium, comprises eight federally qualified community health centers in Alameda County. CHCN functions as the managed care MSO for our health centers, contracting with the Alameda Alliance for Health and Anthem Blue Cross. To help our health...
-
Claims Quality Specialist
2 months ago
San Leandro, United States Community Health Center Network Full timeOrganizational DescriptionThe Community Health Center Network (CHCN), a sister organization to the Alameda Health Consortium, comprises eight federally qualified community health centers in Alameda County. CHCN functions as the managed care MSO for our health centers, contracting with the Alameda Alliance for Health and Anthem Blue Cross. To help our health...
-
Claims Quality Specialist
2 months ago
San Leandro, United States Community Health Center Network Inc Full timeJob DescriptionJob DescriptionOrganizational DescriptionThe Community Health Center Network (CHCN), sister organization to the Alameda Health Consortium, is made up of the eight federally qualified community health centers in Alameda County. CHCN functions as the managed care MSO for our health centers, contracting with the Alameda Alliance for Health. In...
-
Claims Quality Assurance Analyst
1 week ago
San Leandro, California, United States Community Health Center Network Inc Full timeJob OverviewThe Community Health Center Network (CHCN), a key partner of the Alameda Health Consortium, encompasses a network of eight federally qualified community health centers located in Alameda County. CHCN operates as the managed care MSO for these health centers, engaging with the Alameda Alliance for Health. To facilitate the health centers in...
-
Quality Assurance Auditor
1 month ago
San Diego, United States Serene Health Full timeJob DescriptionJob DescriptionEmpowering Wellness, Transforming LivesOptima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, A Positive Choice, and PsycHealth, our mission is to provide comprehensive support and care that not only addresses immediate concerns...
-
Claims Accountant
51 minutes ago
San Jose, California, United States Monolithic Power Systems Full timeJob SummaryMonolithic Power Systems, Inc. (MPS) is a leading company in the Semiconductor industry, renowned for its innovative Integrated Power Semiconductors and Systems Power delivery architectures. We foster a culture of creativity, prioritize sustainability, and strive to provide cutting-edge products and innovation to our customers. Our portfolio of...
-
Claims Quality Assurance Analyst
1 week ago
San Leandro, California, United States Community Health Center Network Full timeOrganizational OverviewThe Community Health Center Network (CHCN) is a collaborative organization associated with the Alameda Health Consortium, encompassing eight federally qualified community health centers in Alameda County. CHCN operates as the managed care MSO for our health centers, engaging with various health plans to ensure optimal care delivery...
-
Claims Coding Compliance Supervisor
1 week ago
San Jose, California, United States UnitedHealth Group Full timeAbout UnitedHealth Group:UnitedHealth Group is a leading global organization dedicated to enhancing healthcare through innovative technology and services that empower individuals to lead healthier lives.Role Overview:As a Claims Coding Compliance Supervisor, you will play a crucial role in overseeing the daily operations of the claims review team. Your...
-
Integrity Auditor
2 months ago
San Antonio, United States Frontier Management (OR) Full timeUniverisity Health is looking for an Integrity Auditor (Coding, Billing, and Compliance Monitoring) - On-site/Full Time/Day Shift Duties: Works to utilize the department's resources for analytical auditing and monitoring activities related to University Health's compliance program. Help to develop an annual audit plan under the supervision of the Chief...
-
Senior Claims Assessment Specialist
1 week ago
San Francisco, California, United States Astrana Health Full timePosition Title: Senior Claims Examiner Department: Operations - Claims Overview of the Role: We are in search of a dedicated Senior Claims Examiner to enhance our operations in the healthcare sector. This position will report directly to the Claims Manager and is crucial for our growth in the industry. Key Responsibilities:Stay updated on all ICD-9, CPT, and...
-
Quality Assurance Engineer
5 days ago
San Jose, California, United States Ryzen Solutions Full timeJob DescriptionWe are seeking a highly skilled Quality Systems Engineer to join our team at Ryzen Solutions. As a Quality Systems Engineer, you will play a critical role in ensuring the ongoing suitability and effectiveness of our Quality Management System (QMS).Key ResponsibilitiesManage and Maintain QMS Subsystems: Manage, support, and maintain assigned...
-
Quality Assurance Engineer
4 hours ago
San Jose, California, United States Ryzen Solutions Full timeJob DescriptionRyzen Solutions is seeking a highly skilled Quality Systems Engineer to support all Quality facets, including Auditing, Validation, Compliance handling, and Corrective Action Request processing in a 17025 Accredited Lab environment.This role develops, prepares, presents, and implements solutions to issues and opportunities to help ensure the...
-
Senior Program Auditor
1 week ago
San Francisco, California, United States ISACA Full timeInterview Process: Anticipated in-person interviews will be scheduled following the review periods. Work Arrangement: This role supports a hybrid work model, allowing for a combination of remote and onsite work. Position Overview: ISACA is seeking a Senior Program Auditor to join the Employer Compliance Reviews unit within the Office of Audit Services....
![UnitedHealth Group](https://media.trabajo.org/img/noimg.jpg)
Claims Quality Auditor
2 months ago
Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertise and support by reviewing, researching, investigating, and auditing problematic claims. Analyze and identify t Claims, Auditor, Audit, Quality, Processing, Microsoft, Technology, Healthcare