Remote QA Specialist: CMS Compliance & Career Growth

North Haven Solutions; United States; Remote; USD 45,000 - 70,000; Full time

Benefits offered by this job

Apple equipment

Media stipend

Remote work

Medical, dental, and vision coverage

Disability insurance

401(k) plan with company match

Generous paid time off

Job summary

North Haven Solutions seeks an IDRE QA Specialist to join our remote Operations team. You’ll review reviewer reports for accuracy, ensure CMS guidelines are met, and deliver timely CMS submissions in a deadline-driven environment.

This role emphasizes HIPAA/PHI privacy, collaboration with arbiters and customers, and opportunities for growth within a remote-first government services firm that provides Apple equipment and a media stipend.

Qualifications

• LPN license or related degree preferred; experience may substitute.
• Healthcare QA and regulatory compliance experience is ideal.
• Familiarity with CMS reporting and HIPAA/PHI handling desired.

Responsibilities

• Review reviewer reports for accuracy and completeness.
• Coordinate with customers, reviewers, and management to resolve questions.
• Ensure CMS submissions are timely and meet quality standards.
• Identify discrepancies and opportunities for process improvements.
• Maintain HIPAA/PHI privacy and secure handling of data.
• Support continuous improvement and team collaboration with Operations.

Skills

Healthcare QA

Regulatory compliance

CMS/HIPAA knowledge

Communication skills

Education

LPN license

Associate's/Bachelor's degree preferred

Tools

Remote collaboration tools

CMS portals

Job description

North Haven Solutions seeks an IDRE QA Specialist to join our remote Operations team. You’ll review reviewer reports for accuracy, ensure CMS guidelines are met, and deliver timely CMS submissions in a deadline-driven environment.

This role emphasizes HIPAA/PHI privacy, collaboration with arbiters and customers, and opportunities for growth within a remote-first government services firm that provides Apple equipment and a media stipend.