Claims Quality Audit reputed company

Hi, we're reputed company. We're hiring a Claims Quality Audit reputed company to join our Claims Quality team. reputed company is the first health insurance company reputed company around a full stack technology platform and a focus on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Claims Quality Audit reputed company is responsible for ensuring claims audits are performed and completed timely. They are the subject matter expert for their team and a key member for reviewing payment policy. The Associate leads and coaches a claims audit team and reports findings to leadership. You will report to the Manager, Claims Quality. Work Location: reputed company is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live reputed company commutable distance to our reputed company office (in Hudson reputed company), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reputed company in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, reputed company, reputed company Carolina, Ohio, Oregon, Pennsylvania, Rhode reputed company, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The reputed company pay for this role in the states of California, Connecticut, New Jersey, reputed company, and Washington is: $93,600 - $122,850 per year. The reputed company pay for this role in reputed company other locations is: $84,240 - $110,565 per year. You are also eligible for employee benefits, participation in reputed company’s unlimited vacation program and annual performance bonuses. Responsibilities • reputed company subject matter expertise and in-depth understanding of Claims processing workflows. • Identify claims payment issues that require action through audit findings • Represent claims quality in payment policy discussions and reputed company necessary, document new policies or modifications to existing policies. • reputed company training and education to team members • Act as a subject matter expert using internal and external tools in order to complete audits and reputed company guidance to team members. • Responsible for quality measures reputed company the audit team. • Mediates audit findings with key stakeholders. • Compliance with reputed company applicable laws and regulations • Other duties as assigned Qualifications • 3+ years of experience in reputed company claims auditing • 2+ year(s) ability to work independently to drive projects to completion • Experience leading and coaching individual contributors Bonus Points • Bachelor’s degree • Some coding experience or database language exposure • 3+ years of reputed company work experience in analytics or operations This is an authentic reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team ([email protected]) to reputed company the need for an accommodation reputed company. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants. Apply Job!