The Claims QA Auditor is primarily responsible for pre-payment, post-payment, and adjudication audits of claims across multiple employer groups and products, ensuring accuracy and compliance with processing standards.
Centivo
Centivo is an innovative health plan designed for self-funded employers, dedicated to providing affordable, high-quality healthcare to millions facing financial challenges with their medical bills. Utilizing a primary care-based ACO model, Centivo offers significant savings—15 to 30 percent—compared to traditional insurance carriers, while also delivering substantial benefits to employees, including free primary care and a no-deductible plan design. The company serves a diverse range of employers, from small businesses to Fortune 500 companies, and is headquartered in Buffalo, NY, with additional offices in New York City. Centivo is supported by prominent healthcare and technology investors, including Morgan Health, a unit of JPMorgan Chase & Co.
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Jobs from Centivo:
Plan & Benefits Configuration Specialist III
Configuration Business Analyst
Recovery Analyst
Provider Data Analyst
SVP of Product Management - Managed Care & Plan Architecture
Centivo
Centivo is an innovative health plan designed for self-funded employers, dedicated to providing affordable, high-quality healthcare to millions facing financial challenges with their medical bills. Utilizing a primary care-based ACO model, Centivo offers significant savings—15 to 30 percent—compared to traditional insurance carriers, while also delivering substantial benefits to employees, including free primary care and a no-deductible plan design. The company serves a diverse range of employers, from small businesses to Fortune 500 companies, and is headquartered in Buffalo, NY, with additional offices in New York City. Centivo is supported by prominent healthcare and technology investors, including Morgan Health, a unit of JPMorgan Chase & Co.
Share This Job!
Save This Job!
Jobs from Centivo:
Plan & Benefits Configuration Specialist III
Configuration Business Analyst
Recovery Analyst
Provider Data Analyst
SVP of Product Management - Managed Care & Plan Architecture
B.H
Banner Health
The Claims Auditor position involves auditing claims for accuracy and compliance in a fully remote setting.
Centivo
Centivo
The Claims QA Auditor Lead oversees the Claims Quality Team, ensuring accuracy and adherence to standards while fostering team development.
LifeMD is seeking a QA Auditor to monitor and ensure the quality of virtual primary care services.
The QA Auditor ensures compliance with aviation regulations through audits of maintenance processes and vendor operations.
M.S
Morgan Stephens
The Claims Auditor ensures accurate processing of claims and compliance with regulations, focusing on Medicare.