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Senior QA & Audit Leader – Grievance & Appeals; Remote
Remote / Online - Candidates ideally in
Omaha, Douglas County, Nebraska, 68197, USA
Listed on 2026-07-15
Omaha, Douglas County, Nebraska, 68197, USA
Listing for:
NACBA
Remote/Work from Home
position Listed on 2026-07-15
Job specializations:
-
Quality Assurance - QA/QC
Regulatory Compliance Specialist -
Management
Regulatory Compliance Specialist
Job Description & How to Apply Below
CVS Health is seeking a Senior Manager, Quality Assurance and Audit to lead the QA program across Grievance & Appeals, ensuring regulatory compliance and audit readiness for Medicare, Medicaid and Duals. You will design, implement, and continuously improve QA processes, oversee case and letter quality reviews, and lead internal and external audits with cross‑functional partners.
The role manages a remote QA team, driving training and performance management while striving for best‑in‑class
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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