• Quality Auditor

    Cleveland-Cliffs Inc. (Bowling Green, KY)
    …a division of Cleveland-Cliffs Tooling and Stamping, has an immediate opportunity for a Quality Auditor in our Bowling Green, Kentucky stamping facility. The ... Quality Auditor is responsible for the final...Quality Auditor is responsible for the final stages of the...+ 2 years of related work experience in a quality environment + Ability to communicate effectively, both written… more
    Cleveland-Cliffs Inc. (01/15/25)
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  • Auditor , Call Center Quality

    Molina Healthcare (Louisville, KY)
    …Summary** Under general direction, this position is responsible for supporting total quality methods, processes, and procedures for the Call Center division. This ... Associates; documenting agent performance strengths and weaknesses using a Quality Management System (NICE); highlighting immediate compliance issues; assisting in… more
    Molina Healthcare (01/21/25)
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  • Manufacturing Quality Engineer

    Eurofins (Louisville, KY)
    …+ Official ISO 9001/13485, cGMP, and FDA certifications and trainings + Advanced degree in quality management + Lead auditor for a regulatory agency + Lean Six ... origin, traceability and purity of biological substances and products. Manufacturing Quality Engineer main purpose is to ensure that all manufacturing processes… more
    Eurofins (01/18/25)
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  • Auditor

    PPL Corporation (Louisville, KY)
    …are based off the entry and intermediate levels. The Senior level Auditor may have additional responsibilities which include working with minimal guidance, mentoring ... to address areas identified as needing improvement + Prepares quality and timely workpapers supporting the results of audit-related...customers Qualifications **_This position may be filled at the Auditor , Staff Auditor or Senior Auditor more
    PPL Corporation (01/15/25)
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  • Inpatient Medical Coding Auditor

    Humana (Frankfort, KY)
    …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (12/12/24)
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  • Pharmacy Internal Auditor

    Elevance Health (Louisville, KY)
    …lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by ... **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid...including a minimum of 1-year related experience in a quality audit capacity; or any combination of education and… more
    Elevance Health (01/09/25)
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  • Coding Auditor I - Education Program

    Baylor Scott & White Health (Frankfort, KY)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including third party suppliers… more
    Baylor Scott & White Health (12/18/24)
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  • Internal Auditor Sr. - SOX & Soc1

    Elevance Health (Louisville, KY)
    **Internal Auditor Sr. - SOX & SOC1** **Location:** Elevance Health supports a hybrid workplace model with pulse point sites used for collaboration, community, and ... Health major office (pulse point) is required. The **Internal Auditor Sr.- SOX & SOC1** is responsible for responsible...limited to: + Lead the development and execution of high- quality assessments of the Company's complex processes and controls… more
    Elevance Health (01/17/25)
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  • Senior Internal Auditor

    Humana (Frankfort, KY)
    …achievement of Humana's strategic and financial objectives. The Senior Internal Auditor provides value-added service by evaluating the efficiency and effectiveness ... of Humana's operational processes. The Senior Internal Auditor owns audit engagements by leading walkthrough discussions, performing detail reviews, and identifying… more
    Humana (12/03/24)
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  • Senior IT Internal Auditor

    Humana (Frankfort, KY)
    …of Humana's strategic and financial objectives. The Senior IT Internal Auditor provides value-added service by evaluating the efficiency and effectiveness of ... Humana's operational processes. The Senior IT Internal Auditor audits information systems technology and applications to ensure...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (01/14/25)
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  • RN Compliance Auditor

    Humana (Frankfort, KY)
    …caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure adherence to ... fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit ensures mandatory reporting is completed. Conducts...past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers… more
    Humana (01/23/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Louisville, KY)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (01/01/25)
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  • Quality Systems Engineer

    Jabil (Florence, KY)
    …to join a growing team! Job Summary:In this position reporting to the Site Quality Management Systems Manager the Quality Systems Engineer will be responsible ... for supporting the development, maintenance, and improvement of the company's quality management systems (QMS) in alignment with ISO9001 industry standards and… more
    Jabil (01/18/25)
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  • Specialist, Quality Interventions/QI…

    Molina Healthcare (KY)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance… more
    Molina Healthcare (01/13/25)
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  • Senior Data Quality /Integrity Engineer

    Humana (Frankfort, KY)
    …caring community and help us put health first** The Senior Data Quality /Integrity Engineer understands end-to-end data processes and flows and uses that knowledge ... processes. **Location:** Remote In this key role on the Quality Systems Integration (QSI) team, the QSI Senior Data...and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required… more
    Humana (01/11/25)
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  • Supplier Quality Product Senior Manager…

    GE Appliances, a Haier company (Louisville, KY)
    …. Interested in joining us on our journey? As a GE Appliances' Supplier Quality Senior Manager - RAC/HVAC you'll be responsible for driving quality improvements ... teams to enhance customer ownership experience and quickly resolve field quality issues. It leads efforts to proactively improve product performance by… more
    GE Appliances, a Haier company (01/08/25)
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  • Sr Quality Engineer - Shockwave Medical

    J&J Family of Companies (Frankfort, KY)
    Johnson & Johnson is recruiting for a Sr Quality Engineer for Shockwave Medical Inc. located in United States. At Johnson & Johnson, we believe health is everything. ... the treatment of calcified plaque. Description Position Overview: The Sr. Quality Engineer will support manufacturing and work cross-functionally to resolve… more
    J&J Family of Companies (01/23/25)
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  • Lead Overreader, HEDIS/ Quality Improvement…

    Molina Healthcare (Lexington, KY)
    **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical ... as well. Lead Overreader mentors and trains new team members. Leads special HEDIS/ Quality projects. **Job Duties** + Performs the lead role of the HEDIS medical… more
    Molina Healthcare (01/21/25)
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  • Manager, Quality Assurance - All Suites

    Hilton (Frankfort, KY)
    …owner relations, and more, for all of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our brands with the steadfast goal ... growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have responsibility for 100… more
    Hilton (01/16/25)
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  • Overreader, HEDIS/ Quality Improvement…

    Molina Healthcare (KY)
    **Job Description** **Job Summary** Molina's Quality Improvement Overread conducts oversight and audits of the data collected and abstracted from medical records for ... **Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the… more
    Molina Healthcare (01/26/25)
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