- Axis (New York, NY)
- …sample selection, systems access management and documentation, AXIS is seeking a Claims Quality Assurance & Audit Coordinator, Claims Shared Services ... support the development and execution of the North America Claims Quality Assurance and Compliance...international operations. Quality Assurance or audit related experience is required Other claims … more
- AIG (Atlanta, GA)
- …+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring mitigation of ... Join us asa Complex Claims Director to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- AIG (Boston, MA)
- …You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity ... Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will… more
- Independent Health (Buffalo, NY)
- …Development of effective relationships that support appropriate feedback and development. + Report quality assurance and audit results to management and ... perks, benefits and commitment to diversity and inclusion. **Overview** The Quality Assurance Auditor is responsible for performing monitoring, oversight,… more
- Healthfirst (FL)
- …issues + Keep abreast of industry issues and trends to proactively shape Internal Audit , Quality Assurance and Testing practices and procedures + Collaborate ... in managing audit planning, conducting audits, preparing audit evidence, assessing the quality of ... findings and follow-up actions + Develop and implement quality assurance frameworks and standards across various… more
- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls ... and adjustment processing including federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing and… more
- Healthfirst (MT)
- …methodology and core claims system changes. + Perform training and quality assurance on mass claim adjudications and automated data load processes. ... before sign-off and Production. + Assist in the on-going audit of configurations for new and existing claims... claims system changes. + Perform training and quality assurance on mass claim adjudications and… more
- Gummi World (Chandler, AZ)
- …your customers with the brand they have learned to trust. Job Overview: The Quality Assurance (QA) Manager is responsible for overseeing quality activities ... and regulatory agencies and manage a staff of both quality assurance and quality control...quality . + Oversee and develop the corporate Facility Audit Program to help assure compliance to internal/external requirements,… more
- Independent Health (Buffalo, NY)
- …accurately, as well as for the audit reporting and monitoring. The Supervisor- Quality Assurance will be responsible for the creation and maintenance of ... first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Supervisor- Quality Assurance is a professional who displays a passion for… more
- Naval Sea Systems Command (Mobile, AL)
- …to GS-12 and GS-13. You will serve as a Branch Supervisor in the Quality Assurance Department of the Supervisor of Shipbuilding, Conversion & Repair (SUPSHIP) ... expertise and creativity for the solution of complex Shipbuilding Production and Quality Assurance problems involving multiple new construction contracts for… more
- Walmart (Bentonville, AR)
- … assurance reviews to improve claims handling procedures by performing quality assurance audits; analyzing audit results for trends in claims ... future business needs to develop innovative strategies to improve efficiencies; evaluating claims quality and processes through standardized reviews and audits;… more
- Army National Guard Units (Decatur, IL)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a QUALITY ASSURANCE SPECIALIST (TITLE 32), Position Description Number D1065000 and is ... part of the IL AASF 1, National Guard. Responsibilities As a QUALITY ASSURANCE SPECIALIST (TITLE 32), GS-1910-9, you will establish, develop, and implement the… more
- The Cigna Group (Seattle, WA)
- . **Job Description Summary** Provides advanced professional input to complex Quality Assurance / Audit assignments/projects to identify pharmacy audit ... to develop models and procedures, and monitor trends, within Quality Review and Audit . Using independent judgement...the CSP, Access, Excel, Teradata etc., identify pharmacies and claims representing audit risks and develop an… more
- Defense Contract Management Agency (Monroeville, PA)
- …announcement. Responsibilities Perform duties associated with the administration of the quality assurance provisions of contracts by designing, implementing, and ... and customers. Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist, your resume and supporting documentation must… more
- Elevance Health (St. Louis, MO)
- **Pharmacy Quality Assurance Specialist** **Location:** The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of ... in the office 1-2 days per week. The **Pharmacy Quality Assurance Specialist** will be responsible for...Identifies and reports on systemic issues which create ongoing quality concerns. + Generates monthly reports of audit… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Quality Assurance + **Schedule:** Monday-Friday + **Hospital:** Ascension Medical Group, Clinic + **Location:** Off-site, ... the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting… more
- American Medical Association (Chicago, IL)
- …As a Insurance Compliance Audit Specialist, you will lead AMA Insurance. quality assurance , carrier audit and privacy compliance RESPONSIBILITIES: ... required, preferably Life / Health + Demonstrated experience in quality assurance in the service industry, compliance,...assurance in the service industry, compliance, or internal audit + Knowledge or willingness to acquire knowledge of… more
- CareOregon (Portland, OR)
- …of principles, practices, procedures, and professional standards associated with quality assurance program management, utilization review and techniques ... Education Required: + Minimum 5 years' experience in healthcare, compliance, and/or quality assurance , including minimum 3 years in Medicaid/Medicare compliance,… more
- Ball Corporation (Westminster, CO)
- …the volume of applicants. **Purpose of Position:** Provides technical support for the quality assurance function as directed. **What will you be responsible ... process related concerns. + Performs and assists in reviewing quality assurance policies used in all existing...and processes comply with the relevant requirements of the quality management system. + Conducts audits, creates audit… more
- LMI Aerospace (Lenexa, KS)
- …a Quality Manager. This position is responsible to lead the total plant Quality Assurance / Quality Control system. This includes all traditional ... status. + Provides budgetary inputs for training and ongoing quality assurance activities to meet near and...quality . This may entail technical responses to written claims and complaints, on-site visits to customer facilities, negotiation… more