WelbeHealthHiring

Claims Quality Assurance Supervisor

  • Remote, United States
  • Mid-level
  • Posted 5 days ago
In one line

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

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Questions 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.

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