The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan’s, providers and/or members by seeking a partnership approach that will meet the company goals and vision. The CQA auditor will coordinate Health Plan’s audits activities with preparation and provide preliminary results on non-compliant issues to CQA manager. Oversees, audit findings and provide education to claims s...
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan’s, providers and/or members by seeking a partnership approach that will meet the company goals and vision. The CQA auditor will coordinate Health Plan’s audits activities with preparation and provide preliminary results on non-compliant issues to CQA manager. Oversees, audit findings and provide education to claims s...
Job Title: Medical Claims Auditor - RN AuditorLocation: Massachusetts – 90% RemoteJob Type: 1 Year Contract - Potential for Perm HireHours: 40 hours per weekStart Date: December 1, 2025Job DescriptionWe are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state healthcare program. This role focuses on conducting both desk and onsite audits of healthcare providers to ensure compliance with contra...
Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 12 years, based in Chandler, Arizona, and are an affiliate of ...
