Medicare Advantage Claims Quality Control Reviewer

Mass General Brigham Health Plan Holding Company, Inc.

Not specified
$25.50 - $36.49phly; not specified; not specified
Fully remote
Quality control of claims processing
Experience with medicare regulations
Strong analytical abilities
Mass General Brigham is committed to advancing patient care and research

Job Summary

  • Mass General Brigham is committed to advancing patient care and research.
  • The role involves monitoring quality control of claims operations and reporting metrics.
  • This position offers remote work flexibility and comprehensive benefits.

Matching Summary

Mass General Brigham is committed to advancing patient care and research.

Salary

$25.50 - $36.49/Hourly; Not specified; Not specified

Skills & Requirements

Must-have

  • Quality control of claims processing
  • Experience with Medicare regulations
  • Strong analytical abilities

Nice-to-have

  • Excellent communication skills
  • Experience with compliance vulnerability
  • Ability to develop quality control processes

Key Requirements

  • Bachelor's Degree preferred
  • 2-3 years of quality control experience
  • 2-3 years of Medicare Advantage claims processing experience

Work Rights

Not specified

Tailored Resume

Cover Letter