Claims Quality Assurance Supervisor
- Remote, United States
- Mid-level
- Posted 5 days ago
or apply from Claude / ChatGPT / Muse
Supervise a team of para-professional claims auditors at a senior care health plan, keeping payments accurate and compliant with Medicare and Medicaid rules.
About the role
The role sits on the management team and works across departments on audit trends, workflows and training.
At a glance
- Pay
- Not stated in the posting
- Remote scope
- Remote, United States
- Seniority
- Mid-level
- Skills
- Claims auditing, Medicaid billing, Managed care
- Posted
- 30 Oct 2026
- Last checked
- 3 Nov 2026
What you will do
- Oversee pre-pay and post-pay claims audits for accuracy and timeliness
- Track audit results and report status to the people affected
- Write and update team procedures, workflows and resource materials
- Supervise, coach and evaluate team members, flagging training gaps
What they look for
- At least five years in health plans such as managed care or PACE
- Experience auditing claims in a claims processing environment
- Working knowledge of Medicare or Medicaid billing rules
- Prior responsibility for mentoring or supervising staff
Benefits
- Medical, dental and vision coverage
- 17 days PTO, 12 holidays and 6 sick days
- 401K savings with employer match
- Base pay plus bonus
How Keywordise applies for you
Alex Demo
[email protected]
From your CV
Yes, fully remote
- Sent
- 09:41
- Attached
- Your tailored CV
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- 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
- 3The form fills itselfName, email, experience and screening questions, field by field.
- 4Application sentYou get a receipt and follow it in your dashboard.
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Connect Keywordise to your assistant once, then send it the prompt. It applies for you.
Claude
- In Claude, open Settings, then Connectors, and choose Add custom connector.
- Name it Keywordise and paste the connector URL.
- Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
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- In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
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- Log in to Keywordise and approve. Then send the prompt in a new chat.
https://keywordise.com/mcpDisconnect any time in your Keywordise settings.
Muse
- Open Muse (muse.ai or the app) and send it the message below.
- If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
- Send the prompt. Muse asks before it sends anything.
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.Muse is available in the US only for now.
Apply to Keywordise job k4wj2vpqbvQuestions about this job
Is this job fully remote, and from where?
Yes, it is listed as remote, aimed at candidates in the United States.
What does this job pay?
No pay range is stated in the posting.
What experience is needed?
It is a mid-level role. The posting asks for: at least five years in health plans such as managed care or PACE; experience auditing claims in a claims processing environment; working knowledge of Medicare or Medicaid billing rules. Skills it names include Claims auditing, Medicaid billing, Managed care.
How do I apply with Keywordise AI?
Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.
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