Quality Auditor
$35K - $48K/yr
... Remote ** The annual US base salary range for this position is $35,000 to $48,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
Quality Auditor
$35K - $48K/yr
... Remote ** The annual US base salary range for this position is $35,000 to $48,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
Compensation Manager
$137K - $147K/yr
... Remote ** The annual US base salary range for this position is $137,000 to $147,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
Compensation Manager
$137K - $147K/yr
... Remote ** The annual US base salary range for this position is $137,000 to $147,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
Appeals RN (Temporary)
$50/hr
... Remote ** The annual US base salary range for this position is $50/hr. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview ...
Appeals RN (Temporary)
$50/hr
... Remote ** The annual US base salary range for this position is $50/hr. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview ...
Senior Technical Program Manager
$160K - $175K/yr
... Remote ** The annual US base salary range for this position is $160,000 to $175,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Senior Technical Program Manager
$160K - $175K/yr
... Remote ** The annual US base salary range for this position is $160,000 to $175,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Quality Auditor
$35K - $48K/yr
... Remote ** The annual US base salary range for this position is $35,000 to $48,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Quality Auditor
$35K - $48K/yr
... Remote ** The annual US base salary range for this position is $35,000 to $48,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Compensation Manager
$137K - $147K/yr
... Remote ** The annual US base salary range for this position is $137,000 to $147,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Compensation Manager
$137K - $147K/yr
... Remote ** The annual US base salary range for this position is $137,000 to $147,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $130,000 to $165,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $130,000 to $165,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $130,000 to $165,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $130,000 to $165,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Healthedge/ Healthrules Configuration QA Consultant (with HealthRules Payor (HRP) experience) 100% Remote 6+ months Key Responsibilities: * Develop and execute test strategies and scripts using ...
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Healthedge/ Healthrules Configuration QA Consultant (with HealthRules Payor (HRP) experience) 100% Remote 6+ months Key Responsibilities: * Develop and execute test strategies and scripts using ...
Senior Technical Program Manager
$160K - $175K/yr
... Remote ** The annual US base salary range for this position is $160,000 to $175,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
Senior Technical Program Manager
$160K - $175K/yr
... Remote ** The annual US base salary range for this position is $160,000 to $175,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $132,000 to $141,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $132,000 to $141,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $65,000 to $85,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $65,000 to $85,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...
... Remote ** The annual US base salary range for this position is $65,000 to $85,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
... Remote ** The annual US base salary range for this position is $65,000 to $85,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
... Remote ** The annual US base salary range for this position is $132,000 to $141,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
... Remote ** The annual US base salary range for this position is $132,000 to $141,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
... Remote ** The annual US base salary range for this position is $140,000 to $150,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
... Remote ** The annual US base salary range for this position is $140,000 to $150,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
Appeals RN (Temporary)
$50/hr
... Remote ** The annual US base salary range for this position is $50/hr . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview ...
Appeals RN (Temporary)
$50/hr
... Remote ** The annual US base salary range for this position is $50/hr . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview ...
Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
Technology Strategy & Solution Architect
$63 - $83/hr
Remote - USTravel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
Technology Strategy & Solution Architect
$63 - $83/hr
Remote - USTravel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
... Remote ** The annual US base salary range for this position is $132,000 to $141,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
... Remote ** The annual US base salary range for this position is $132,000 to $141,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...
Remote Healthedge information
How does working remotely as a HealthEdge professional impact collaboration with team members and stakeholders?
As a remote HealthEdge professional, you will frequently collaborate with colleagues and clients using digital communication tools such as video conferencing, project management platforms, and instant messaging. While remote work offers flexibility, it also requires proactive communication to ensure everyone stays aligned on project goals and timelines. Regular virtual meetings, clear documentation, and a collaborative mindset are essential for overcoming challenges related to time zones or differing schedules. Team members typically foster a supportive environment by sharing updates and best practices, which helps maintain productivity and a sense of connection.
What are the key skills and qualifications needed to thrive as a Remote HealthEdge Specialist, and why are they important?
To thrive as a Remote HealthEdge Specialist, you need a solid understanding of healthcare IT, business analysis, and HealthEdge platform configuration, typically supported by a degree in computer science or healthcare administration. Familiarity with HealthEdge software, SQL databases, claims processing systems, and relevant certifications such as HealthEdge Certified Professional are often required. Strong problem-solving, communication, and self-motivation are crucial soft skills for remote collaboration and resolving client issues. These skills ensure efficient system management, seamless client support, and successful project delivery in distributed healthcare environments.
What is the difference between Remote Healthedge vs Remote Medical Coder?
| Aspect | Remote Healthedge | Remote Medical Coder |
|---|---|---|
| Required Credentials | Health-related certifications, coding knowledge | Medical coding certifications (CPC, CCS) |
| Work Environment | Remote, flexible hours, healthcare industry | Remote, healthcare facilities or insurance companies |
| Employer & Industry Usage | Healthcare providers, telehealth companies | Hospitals, insurance companies, billing services |
Remote Healthedge and Remote Medical Coder roles both operate remotely within the healthcare industry. While Remote Healthedge may involve broader health management tasks, Remote Medical Coder focuses specifically on translating medical records into codes for billing. Both require healthcare certifications and offer flexible remote work, but their core responsibilities differ.
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Job description
Overview
Overview:
UST HealthProof is looking for a Quality Auditor with health plan claims administration operations experience. This role will report to the Lead Auditor or Quality Audit Manager.
The Opportunity:
- Perform audit of transactions processed by health plan administration associates for a specific customer.
- Be responsible for following the customer quality process and tools for audit and rebuttal process.
- Share QA results with individual associates, coordinate with operational Team Leads and managers to provide feedback to individuals, clearly identifying errors and opportunities of improvement.
- Collate, compile and reports both team and individual associates' QA performance to management and individuals.
- Provide inputs to Training team and Team Leads for up-to-date written processing instruction/refresher training needs.
- Participate in semi-annual or annual auditor calibration activities.
- Maintain currency on CMS claims processing rules and guidelines for Medicare Advantage organizations and ACA Exchange and Off Exchange lines of business
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
What You Need:
- High School Diploma or GED required
- 3 years health plan claims auditing operations experience required
- Medicare claims auditing experience preferred
- Proficiency in using MS Suite, specifically Excel, PowerPoint and Outlook
- HealthRules Payor or Guiding Care exp preferred
- Ability to analyze contractual SLAs and KPIs
- Ability to effectively communicate and collaborate with a remote team
Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
- The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
- Work across multiple time zones in a hybrid or remote work environment.
- Long periods of time sitting and/or standing in front of a computer using video technology.
- May require travel dependent on company needs.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
#LI-Remote
**The annual US base salary range for this position is $35,000 to $48,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education.
Employment Type: FULL_TIME
About HealthEdge
Sourced by ZipRecruiter
Health Edge ® provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise product suite, HealthRules ®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. An award-winning company, HealthEdge empowers payors to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit .
Industry
Computer and computer peripheral equipment and software wholesalers
Company size
201 - 500 Employees
Headquarters location
Burlington, MA, US
Year founded
2005