Quality Auditor

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Quality Auditor in United States.

This role plays a critical part in ensuring the accuracy, compliance, and consistency of health plan claims processing within a regulated healthcare environment. You will be responsible for auditing operational transactions performed by claims administration teams, helping maintain high standards of quality and adherence to contractual and regulatory requirements. The position requires strong analytical ability and attention to detail to identify errors, trends, and opportunities for process improvement. You will collaborate closely with operations, training, and leadership teams to provide actionable feedback and strengthen overall performance. The role is highly structured yet collaborative, offering exposure to CMS guidelines and health plan audit frameworks. It is well suited for professionals who enjoy working with data, compliance standards, and continuous improvement in a remote healthcare operations setting.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Quality Auditor in United States.

This role plays a critical part in ensuring the accuracy, compliance, and consistency of health plan claims processing within a regulated healthcare environment. You will be responsible for auditing operational transactions performed by claims administration teams, helping maintain high standards of quality and adherence to contractual and regulatory requirements. The position requires strong analytical ability and attention to detail to identify errors, trends, and opportunities for process improvement. You will collaborate closely with operations, training, and leadership teams to provide actionable feedback and strengthen overall performance. The role is highly structured yet collaborative, offering exposure to CMS guidelines and health plan audit frameworks. It is well suited for professionals who enjoy working with data, compliance standards, and continuous improvement in a remote healthcare operations setting.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

 

 

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