Work from Home Quality Assurance Jobs

DescriptionDo you have experience in medical prior authorizations, claims, and billing? Well, you're in luck, our Fortune 500 Pharmaceutical client is looking for highly motivated, experienced and passionate candidates to join their team of Medical Prior Authorization Specialist! Come be a part of something amazing! Here is a little bit about the position we are looking to fill! Position: Medical Prior Authorization Specialist Location: Remote- Work from Home! *ARIZONA RESIDENTS ONLY* Pay: $19/hr. weekly pay & FULL benefits (Medical, Dental, Vision) Training: Paid Remote- Train from Home! Shift: Monday- Friday No Weekends! Must be available to work an 8hr. shift between 5am-6pm Position Details: Handle outbound calls to providers and insurance companies to follow-up with patient's prior authorization status. Verify Patient's Insurance Coverage Perform Benefit Investigations Handle claims, appeals, and denials Job Requirements Previous medical prior authorization, claims,...

Routable is a B2B payments platform built to make bill payments and mass payouts fast and seamless. Our mission is to be the simplest way to send and receive business-to-business payments. Unlike other payment platforms, Routables modern, easy-to-use API allows you to build a powerful payments infrastructure in minutes.Were a Series B startup with $46M in funding. Were helping some of the largest marketplaces and gig economy companies, including Ticketmaster, Snackpass, and Garmentory. Hundreds of finance teams trust our decades of experience in building B2B payment solutions.Our environment encourages intellectual curiosity, problem solving, and opennessone that provides the support and mentorship needed to succeed, learn, and grow. We'll make sure you have everything you need to do your best work and make an impact. Were a fully remote startup with our team working from a city they love across the United States, Argentina, and Canada.About The RoleWere looking for an experienced...

Description UPMC Health Plan's Quality Assurance Team is seeking an Analyst, Intermediate!The Insurance Auditor Intermediate is responsible for the review and reporting of high-dollar claims. This auditor also participates in higher-level auditing activities such as focused audits of operational, regulatory, and other controls. Preferred: Auditing (internal audit, focused audits, regulatory audits) experience and claims processing experience. Understanding of managed care delivery systems, health insurance plans, and other insurance/network products. Excellent analytical skills, familiarity with basic statistical analysis, and proficiency in utilizing PC-based applications (i.e. Excel, MS Access, Word). Detail-oriented individual with excellent organizational skills. High level of oral and written communication skills. Advanced proficiency with Excel. This position is a work-from-home, daylight role!Responsibilities: Designs and maintains reports, auditing tools, databases and...

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! JOB SUMMARY Responsible for conducting audits to measure Quality Assurance across critical business processes. Complete analytical assessment of work product and processes to identify root cause of incidences, provide recommendations for workflow...

Overview: About Pharm-Olam, LLC: Pharm-Olam, LLC is a mid-size Contract Research Organization (CRO) that has a massive global reach. We are a company that strives to deliver cost-effective, quick-to-market clinical services in today's emerging marketplace. Pharm-Olam has one of the largest global footprints of any CRO today and we are committed to not only maintain our standard, but to continue to strengthen our presence even further. We offer a unique working environment with a global team culture, competitive salary and benefits package. Summary: The Senior Auditor will have an in-depth understanding of Clinical Trials and Clinical Development, combined with an in-depth knowledge of ICH-GCP, appropriate GxP compliance standards, other international GCP regulations / standards (e.g. as applicable: EU Clinical Trial Directive and Regulation 536/2014 when effective, US FDA Code of Federal Regulations) and, as required/ applicable, local relevant GCP guidance, laws and regulations...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. The Senior Clinical Quality RN will drive consistency, efficient processes and share best practices, in a collaborative effort with the provider and large or complex groups, designed to facilitate a minimum 4 STAR quality performance. The Sr CQC will participate in quality improvement initiatives, attend monthly or joint operating committee meetings, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for each region. This position will work collaboratively with each...

Radiology Associates of Hollywood, a large sub-specialized radiology group in desirable coastal South Florida and an Envision Physician Services affiliate, is currently seeking a fellowship trained board certified/eligible with musculoskeletal fellowship training. Position requires strong diagnostic radiology skills and expertise in orthopedic imaging, including adult and pediatric MRI, CT, and arthrography. Experience in MSK ultrasound is a plus. Details and Requirements of the position include: Candidate to have completed a one year MSK fellowship $50,000 BONUS! Hybrid position with some shifts remote and some shifts onsite. Subspecialized MSK reads of 80% or greater Ability to support pediatric MSK reads. Weekly collaboration with Pediatric Orthopedic section. No mammo or IR skills required. No overnight rotations. Practice Information and Benefits to include: Accuracy, attention to detail, professionalism and a commitment to excellence are the...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) As Sr. Product Manager of Optum's Risk and Quality EHR Workflow Integration, you will be vital to our success delivering the best value to our clients through digitalizing our provider enablement strategies. You will help develop the strategy and vision for capabilities that drive how our field representatives and our providers experience our programs through our platform capabilities, specifically where we can integrate with EHRs to retrieve clinical data digitally, leverage industry standards to drive analytics and incorporate...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) As Sr. Product Manager of Optum's Risk and Quality EHR Workflow Integration, you will be vital to our success delivering the best value to our clients through digitalizing our provider enablement strategies. You will help develop the strategy and vision for capabilities that drive how our field representatives and our providers experience our programs through our platform capabilities, specifically where we can integrate with EHRs to retrieve clinical data digitally, leverage industry standards to drive analytics and incorporate...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) The Clinical Quality RN, Patient Safety Specialist works under the direction of the Director of Clinical Quality Management. The individual in this role will focus on investigating behavioral health potential quality issues, patient safety events, and sentinel/serious reportable events and utilization issues by conducting retrospective chart and focused reviews. The hours for this position are 8AM - 4:30PM Central Time, with the ability to flex as needed. You'll enjoy the flexibility to telecommute* from anywhere within the...

Job Title: Quality Control Technician Work Location: 100% Remote Contract duration: 04+ months Description: Perform a wide variety of activities to support the Quality Management System. Essential Duties and Responsibilities * Conduct product testing, including testing to support complaint investigations and stability verification * Generate product testing results reports * Review production batch records (DHR's) for accuracy and completeness in order to approve intermediate products for use in production. Review finished goods batch records. Report all deviations in these records and assures these have been addressed and resolved prior to issuing approval. * Conduct spot-check inspections/audits of production operations * Participate in the internal audit program * Write, review and approve Standard Operating Procedures (SOPs) as necessary * May assist in supporting the Document Control program, record retention areas, and sample retention areas * May...

Overview: The Senior Quality Assurance Specialist is responsible and accountable for all aspects of the testing and validation phase of a project or request. This role will work to create, maintain, and execute test cases, working in collaboration with other departments and customers to ensure developments are functioning as required. The ideal candidate will have excellent knowledge of the Software Development Life Cycle, extensive experience in Quality Assurance processes, methodologies, and best practices, hands-on skills with test automation tools for functional and performance testing, as well as technical testing skills such as database querying and code comprehension. The candidate must be able to learn quickly, work in a fast-paced team driven environment, and can communicate well with non-technical personnel. The Senior Quality Assurance Specialist will also perform other duties as assigned. Remote work is an option (candidate must reside in Texas) Responsibilities:...

Purpose of JobWe are currently seeking talented Manager, Quality Assurance for our San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Tampa, FL, Plano, TX and Charlotte, NC facility. 100% remote available.Manages a team responsible for developing and implementing quality assurance/control programs to ensure effective and efficient policies, processes, and procedures are aligned and followed. Conducts quality reviews and delivers results to appropriate stakeholders and develops action plans for success. Develops employees through regular coaching and feedback that leads to improved results.Job RequirementsAbout USAAUSAA knows what it means to serve. We facilitate the financial security of millions of U.S. military members and their families. This singular mission requires a dedication to innovative thinking at every level.USAA Careers World Class Benefits (31 seconds)Primary Responsibilities:Job DescriptionIdentifies and manages existing and emerging risks that stem from business...

Purpose of JobWe are seeking a talented Bank Regulatory Quality Assurance Advisor Lead for either our San Antonio, TX, or Charlotte, NC facility. This person may also work remotely in a 100% Remote Work Environment. Responsible for developing and implementing quality assurance/control programs to ensure effective and efficient policies, processes, and procedures are aligned and followed. Conducts quality reviews and delivers results to appropriate stakeholders and develops action plans for success.Job RequirementsAbout USAAUSAA knows what it means to serve. We facilitate the financial security of millions of U.S. military members and their families. This singular mission requires a dedication to innovative thinking at every level.USAA Careers World Class Benefits (31 seconds)Primary Responsibilities:Identifies and manages existing and emerging risks that stem from business activities and the job role.Ensures risks associated with business activities are effectively identified,...

Job Description You don't see it, but it's there. Our employees work on the world's most advanced electronics - from saving emissions in the City of Lights to powering the Mars Rover to protecting the F-35 fighter jet. At Electronic Systems, you'll be among the brightest minds, working on the aerospace and defense industry's most difficult problems. Drawing strength from our differences, we're innovating for the future. And you can, too. Our flexible work environment provides you a chance to change the world without giving up your personal life. We put our customers first - exemplified by our missions: "We Protect Those Who Protect Us®" and "We Innovate For Those Who Move The WorldTM." Sound like a team you want to be a part of? Come build your career with us. We are looking for an experienced Supplier Quality Professional to implement tools and processes to ensure suppliers are prepared and have robust plans to meet product quality requirements for BAE Systems program...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care that are member centric and part of a master hierarchy based on best practices. As a clinical quality consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our C&S Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills,...

Company Overview Join us on our mission to elevate customer experiences for people around the world. As a member of the Everise family, you will be part of a global experience company that believes in being people-first, celebrating diversity and incubating innovation. Our dedication to our purpose and people is being recognized by our employees and the industry. Our 4.5/5 rating on Glassdoor and our shiny, growing wall of Best Place to Work awards is a testament to our investment in our culture. Through the power of diversity, we celebrate all cultures for their uniqueness and strengths. With 13 centers around the world and a robust work at home program, we believe great things happen when we work with people who think differently from us. Find a job you'll love today! Position Purpose: The Senior Manager - Quality Assurance will assure consistent quality of customer experience by developing /implementation of best practices, validation, and measurement processes to...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges. Primary Responsibilities: Develop testing programs including test plans, test scripts, and test cases that address areas such as database impacts, software scenarios, regression testing,...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) Optum seeks a Clinical RN Quality Consultant to ensure quality and patient safety standards are adhered to at Optum's care delivery organizations. The Clinical RN Quality Consultant will be part of the national Clinical Performance team and will be accountable for achieving results primarily in an assigned region of the United States. If you are located withinNW Pacific region, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Conduct desktop, virtual and on-site surveys...

Pearl Interactive Network is seeking to hire a Quality Analyst - Remote. The Quality Analyst monitors and evaluates various transaction types to identify issues that cause errors, inefficiency, and end-user dissatisfaction in order to develop improvements, improve the customer experience, decrease costs, and reduce cycle time. Why choose Pearl Interactive Network? Join Our Team and embrace the winning Pearl Culture which promotes our employee's desires and efforts to serve our consumers, clients, and community. Our values of customer satisfaction, teamwork, a family atmosphere, quality services, respect for each other, transparency, and innovation are what make Pearl, the employer of choice. As a woman-owned, HUBZone certified social enterprise, Pearl offers hiring priority to our Veterans, Military Spouses, and their families, as well as individuals with disabilities. Pearl offers a Competitive Compensation and Benefits package to include: Rate: $18.15 per hour...