HealthEdge
The Claims Quality Auditor at HealthEdge performs audits of enrollment, disenrollment, and eligibility transactions for health plan clients to ensure accuracy and compliance with CMS and state standards. This role involves collaborating with operational teams to report findings, provide feedback, and support continuous improvement in quality and production. The position requires strong analytical skills and proficiency in MS Office to manage contractual SLAs and KPIs effectively.
Headquarters
Boston, Massachusetts, United States
Company Size
1001-5000 employees
Founded
2005
HealthEdge is a healthcare technology company that provides software platforms for health insurers and health plans, including core administration, payment integrity, care management, and provider network management. Its products are used to support claims processing, benefits administration, and related operational functions in the payer market.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for HealthEdge.
17% below the average for this role