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AmeriHealth Caritas · 2 days ago

Supervisor Quality Auditing

Philadelphia, PA

Full-time

Hybrid

Mid Level

3+ years exp

AmeriHealth Caritas is a mission-driven organization delivering comprehensive healthcare solutions. The Quality Auditing Supervisor oversees the Operations Quality Analyst team, ensuring compliance with quality standards and driving process improvements while mentoring team members.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

Supervise and provide coaching to Quality Analysts on production, quality, and audit resolution

Coordinate work distribution and monitor inventory to ensure timely completion of quality monitoring activities

Serve as a resource for escalated or complex issues, process/system challenges, and regulatory updates

Manage audit disputes through all levels of appeals

Collaborate with Service Coordination leadership and training teams to identify process improvement opportunities

Escalate trends and ensure corrective actions to prevent recurrence of issues

Support automation initiatives within quality monitoring processes

Identify and mentor key team contributors for professional development

Qualification

Quality assuranceSupervisory experienceHealthcare experienceMicrosoft Office proficiencyProcess improvementLeadership skillsProblem-solving skillsCommunication skills

Required

Minimum 3 years of relevant experience in healthcare, quality assurance, appeals, or grievances

Proficiency in Microsoft Word, PowerPoint, Excel, Access, and Project

Strong leadership and team management skills

Excellent problem-solving and decision-making abilities

Ability to manage multiple priorities and meet deadlines

Effective communication and interpersonal skills

Preferred

Bachelor's degree preferred

Previous supervisory experience preferred

Familiarity with Member Appeals, Claims, Call Center operations, Member Enrollment, Provider Data, and/or Credentialing

Benefits

Flexible work solutions include remote options

Hybrid work schedules

Competitive pay

Paid time off

Holidays and volunteer events

Health insurance coverage for you and your dependents starting Day 1

401(k) retirement savings plan

Tuition reimbursement

And more.

Company

AmeriHealth Caritas

Glassdoor3.4

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.

Founded in 1982

Philadelphia, Pennsylvania, USA

10001+ employees

http://www.amerihealthcaritas.com

H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (18)

2024 (17)

2023 (12)

2022 (14)

2021 (4)

2020 (11)