- Zoltek-Toray Group (St. Louis, MO)
- Senior HR Generalist Title: Senior HR Generalist Classification: Exempt / Full Time Reports To: US HR Manager Location: Corporate Headquarters - Bridgeton, MO ... Date: November 5, 2025 Job Summary The Senior HR Generalist delivers strategic and hands-on HR support across US sites, overseeing recruitment, onboarding,… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …those upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on ... as well as state and federal regulatory requirements; maintains audit -ready status. Creates a continuous learning culture and leads...routine basis. Quality Management In collaboration with the Senior … more
- HP Inc. (Spring, TX)
- **Job Summary** As the Senior Director of HP's Global Logistics Procurement you will lead the strategy and performance for logistics sourcing including ... sustainable logistics operation worldwide. You will oversee a global team of senior managers leading the sourcing, contracts and freight cost governance. You will… more
- DESC (Seattle, WA)
- …regulatory requirements. + Research, audit , and investigate proper payment of claims . + Assist in various quality assurance activities, including but not ... Analyst - Foundational Community Supports (FCS) Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) - Quality & Information Management Apply Job Type Full-time Description… more
- ICW Group (Sacramento, CA)
- …lines of business. The Senior Manager will focus on specific areas within claims such as ** Audit , Compliance, and Claims Support.** **ESSENTIAL DUTIES ... why you want to be here! **JOB** **SUMMARY** The Senior Manager of Claims is responsible for...Focus** . + Develop and execute strategies that align audit , compliance, technical claims management, and support… more
- Elevance Health (Nashville, TN)
- ** Claims Auditor I, II and Senior **...a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or ... claims , working independently and without significant guidance. The ** Claims Auditor Senior ** is responsible for auditing...a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or… more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- Grant Thornton (Newport Beach, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions on ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... Coordinators reviewing allocation of staff to ensure productivity and quality standards meet or exceed expected goals. 4. Review,...order to provide account loss ratios and claims history to senior management.… more
- Aflac (GA)
- …training for all claims specialist to understand how we can improve quality for the department. The next phase includes getting more granular with the data, ... 2026 Summer Intern-Individual Claims The Company: Aflac Columbus The Location: GA,...looking to optimize our processes to provide the best quality to our policyholders. Most recently, we kicked off… more
- Johns Hopkins University (Baltimore, MD)
- **General Summary** We are seeking an **Internal Audit Manager,** who demonstrates subject matter expertise in operational internal auditing and the healthcare ... and/or higher education industry. Manages multiple complex internal audit projects. Manages and serves as a technical expert to internal audit staff. Partners… more
- Zurich NA (Schaumburg, IL)
- …the ability to organize teams, prioritize effectively, and coach others to deliver high- quality audit outcomes. + You'll have meaningful experience or strong ... Audit Manager 129341 **Let's grow together!** **About Zurich...working closely with the Chief Auditor. + You'll deliver high- quality audits on time and within budget, collaborating with… more
- NJM Insurance (Trenton, NJ)
- …coordinating quality and compliance audits/reviews including pre-work such as audit program development and file selection, assuring the review process is proper ... Reporting to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor, the WC Quality...to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit… more
- Saint-Gobain (Mankato, MN)
- "This Job Matters" **_What's the job?_** The Senior Quality & Process Control (Q&PC) Manager is a strategic and operational leader responsible for driving ... quality excellence and process control across multiple manufacturing facilities... Council to align with strategic goals. - Ensures audit readiness via structured reviews and root cause analysis.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Practice) compliance + Ethics and Compliance + Pharmacovigilance + Partner with Quality , Regulatory, R&D, Manufacturing, Supply Chain, and IT to ensure training ... + Ensure global training programs meet regulatory inspection readiness and support audit preparedness. + Develop and monitor key performance indicators (KPIs) to… more
- CVS Health (Helena, MT)
- …customer and regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations ... regarding training needs, quality controls, and procedures to senior management....and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High… more
- Molina Healthcare (Columbus, OH)
- …care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support HEDIS audit and revenue ... **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and… more
- Zurich NA (Schaumburg, IL)
- …time as we integrate the newly acquired Travel Guard business and evolve our global audit landscape. As a Senior Auditor, you will play a hands-on role across ... Senior Auditor 129340 **Let's grow together!** **About Zurich...all stages of the audit lifecycle-planning, execution, risk assessment, and reporting-while gaining exposure… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory compliance of ... payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development and execution of the annual… more
