Remote Quality Specialist II - Healthcare Audit & Compliance
premera blue crossBrooklyn, NY
Remote Quality Specialist II - Healthcare Audit & Compliance
L5
premera blue crossBrooklyn, NY2 days ago
Industries
All Other Outpatient Care CentersAll Other Insurance Related ActivitiesOther Management Consulting ServicesPremera Blue Cross is seeking a Quality Specialist II to support its offshore operations in a telecommuting capacity. You will oversee audits such as MTM, LDLA, and FEP to ensure compliance with BCBS and corporate policies.
Daily tasks include examining claims, inquiries, enrollments, and electronic data exchanges for quality and timeliness. You will collaborate with stakeholders to drive quality improvements, identify trends, and lead audit activities across teams.
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Level
SeniorL5
Location
Brooklyn, NY
Occupation
Compliance Managers
Industry
All Other Outpatient Care Centers
Posted
2 days ago
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