- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. 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...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- LA Care Health Plan (Los Angeles, CA)
- …Services/Population Health department. Advanced knowledge of and experience in health plan quality assurance (especially related to claims , health ... and analytical work related to the testing, validation, and quality assurance of business requirements for and...root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key… more
- Robert Half Finance & Accounting (Starkville, MS)
- Description We are seeking a Quality Assurance Manager to join our team in Mississippi. This role involves overseeing and maintaining the Quality Management ... according to ISO, API, and other relevant standards. The Quality Assurance Manager will also focus on...quality requirements and ensure compliance. * Manage warranty claims and ensure efficient resolution. * Evaluate and manage… 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...regulatory compliance of NFP's, SFP's and other product label claims + Perform other duties as assigned depending upon… more
- Walmart (Bentonville, AR)
- …determine validity of claim; and ensuring settlement or denial of the claim. Manages quality assurance reviews to improve claims handling procedures by ... future business needs to develop innovative strategies to improve efficiencies; evaluating claims quality and processes through standardized reviews and audits;… more
- Kelly Services (Glastonbury, CT)
- **Now Hiring:** ** Medical Claims Account Manager-Direct Hire** **_Location_** _: Glastonbury, CT_ **Pay Rate:** $85,000/yr **Schedule:** Monday-Friday 8:30am-5pm ... service team leaders, provides guidance on issues. + Conducts quality assurance checks to ensure that SLAs...experience as a supervisor or manager. + Familiarity with medical claims clearinghouse. + Bachelor's degree in… more
- Prime Healthcare (Weslaco, TX)
- …Us! (https://careers-primehealthcare.icims.com/jobs/182895/risk-management-rn-coordinator quality - assurance ... Overview Knapp Medical Center is looking for a Risk Managment Coordiantor RN to become part of their Quality Assurance Team. If you have experience in… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.** + Meets quality assurance and productivity ... innovative treatments and technologies. **Responsibilities** This job is responsible for submitting claims for the Franciscan Medical Group (FMG) in accordance… more
- CHS (Clearwater, FL)
- …Experience:** + A high school diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is ... (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to… more
- Prime Healthcare (Chino, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/184417/risk-management-manager quality - assurance /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Chino Valley Medical Center has been recognized nationally for its quality , including as among the 100 Great Community Hospitals by Becker's Hospital Review… more
- Abbott (Livermore, CA)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... can grow the career you dream of. + Free medical coverage for employees* via the Health Investment Plan...Specialist you'll have the chance to analyze and audit claims , including the billing, collections and insurance verification functions.… more
- Conduent (Erlanger, KY)
- …noticed and valued every day. **Primary Location: United States-Kentucky-Erlanger** **Category: Quality Assurance ** **Pay $16 hr** **Schedule: 2** **nd** **Shift ... providing quality process and/or customer satisfaction and loyalty support.** **The Quality Control Assurance must be detailed, well organized and have… more
- GEHA (Lee's Summit, MO)
- …a personalized customer experience, sustained by a nimble and efficient organization. The Quality Assurance Specialist audits claims coding, customer service ... Data Management policy and procedures. **PREFERRED:** + Experience as an Associate Quality Assurance Specialist within Provider Relations department. + Candidate… more
- Hartford HealthCare (Farmington, CT)
- …moment.* **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** *Mgr Quality Assurance Rev Cycl / Rev Cycle Prof Svcs Adm* ... organization to comply with all federal/state guidelines. Responsible to insure high quality , cost-effective product or service is delivered in support of the HHC… more
- Guardian Life (Columbus, OH)
- …communicating progress, and holding the staff accountable for adhering to all quality assurance , turnaround time, operational efficiency, and best practice ... The **Team Leader, Absence Claims Management** is responsible for leading a team...pertain to claim administration procedures, cost containment activities, reports, quality control and complex customer issues. The Team Leader… more
- Emanate Health (Covina, CA)
- …indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and ... company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and… more
- Fairview Health Services (Minneapolis, MN)
- …needs. + Effectively unit test all code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues in a timely manner. ... **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional...members of the technology and business teams to ensure quality and minimize impact on other applications and business… more
- Envista Holdings Corporation (Brea, CA)
- …The Sr. Quality Engineer plans and conducts activities concerned with the quality assurance of industrial processes, materials, and products. The Sr. ... closely with cross-functional teams to develop, implement, and maintain quality assurance protocols that comply with regulatory...a related field. + 5 years of experience in quality engineering within medical device industry. +… more
- UIC Government Services and the Bowhead Family of Companies (Charleston, SC)
- …during predetermined visits. + Provide, as requested by the Government, a copy of the quality Assurance Plan (QAP) and any other quality related documents. + ... the Government's Manage quality processes which address Quality Control, quality Assurance , Software...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Medical Mutual of Ohio (OH)
- …assist with determining appropriate rates for provider contracts. . Updates and provides quality assurance of provider rate loading. . Prepares monthly contract ... or remote;_** **_Eastern Time Zones preferred._** **Founded in 1934, Medical Mutual is the oldest and one of the...of financial and/or clinical outcomes. . Updates and provides quality assurance of provider rate loading. .… more
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