Qlarant
501 - 1000 employees
Founded 1973
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
Qlarant is a US-based services and technology firm specializing in healthcare program integrity, offering quality improvement, fraud, waste & abuse (FWA) detection and investigative services, and advanced data analytics and predictive modeling tools (the RIViR® Risk Solution Suite) for government agencies, health plans, and related sectors. The company also operates initiatives like the Qlarant Foundation and Qlarant Capital to fund grants and early-stage startups, and provides pharmacy, drug pricing, and transportation-focused solutions.
Auditor/Investigator II
🕒 July 15
⛰️ Colorado, Louisiana, +4 more states – Remote
💵 $56.1k - $83.7k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔎 Auditor
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Qlarant
501 - 1000 employees
Founded 1973
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
Qlarant is a US-based services and technology firm specializing in healthcare program integrity, offering quality improvement, fraud, waste & abuse (FWA) detection and investigative services, and advanced data analytics and predictive modeling tools (the RIViR® Risk Solution Suite) for government agencies, health plans, and related sectors. The company also operates initiatives like the Qlarant Foundation and Qlarant Capital to fund grants and early-stage startups, and provides pharmacy, drug pricing, and transportation-focused solutions.
📋 Description
• Ensures the integrity and accuracy of claims processes and protocols. • Collects data for audits/investigations into claims. • Utilizes analytical skills and attention to detail. • Reviews documentation and communicates with various stakeholders. • Identifies opportunities to target fraud, waste, and abuse. • Adheres to industry regulations and policies. • Analyzes data to assess the validity of claims. • Prepares comprehensive reports for legal or audit/investigative purposes.
🎯 Requirements
• Minimum Bachelor's Degree required • 2 - 4 years of experience required; 5 - 7 years preferred • Medicare experience preferred • Certified Fraud Examiner preferred
🏖️ Benefits
• Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities • Drug-free workplace
Apply NowSimilar Jobs
🕒 July 14
Medical Bill Auditor supporting AuditIQ Bill Review Service Operations team through conducting line-level audits for processed medical bills. Responsible for ensuring compliance and identifying billing errors.
🕒 July 14
Revenue Cycle Management Auditor conducting comprehensive audits in healthcare billing processes. Evaluating charge capture, coding accuracy, and compliance for optimal reimbursement in a remote setting.
🕒 July 14
Auditor overseeing audits for MGAs, TPAs, and delegated authority. Responsible for successful audit completion and stakeholder communication in a remote setting.
🕒 July 14
Automotive Auditor providing quality auditing and client service for IATF 16949 certification. Join Smithers' Automotive Sector team for high-touch service and accurate data.
🕒 July 14
Aerospace Auditor responsible for auditing compliance with AS91XX standards at Smithers. Evaluating documentation and processes while maintaining client relationships.
