- Formation Bio (New York, NY)
- …harmonizing, and unifying complex biomedical and healthcare data into high- quality , stakeholder-ready assets. You'll lead efforts to transform structured, ... curated data assets. You'll partner closely with domain experts in areas like claims , EHR, and biomedical research - ensuring their deep knowledge is translated into… more
- Formation Bio (New York, NY)
- …consistent, and actionable. You'll work across healthcare (EHR, claims , real-world data), commercial/pharma (pricing, formulary, market data), biomedical ... and unstructured text, ensuring inputs are reliable, well-documented, and metadata-rich. Data Quality & FAIR Principles: Apply FAIR principles to ensure data is… more
- Merck & Co. (Rahway, NJ)
- …and category strategy alignment, sourcing and contracting execution, contract and claims management, project and risk management practices, and supplier relationship ... capital projects, ensuring predictable project performance in alignment with safety, quality , cost, and schedule objectives. Manage Project Procurement Plans and… more
- Takeda Pharmaceutical (Boston, MA)
- …others as appropriate) to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure that Takeda products have ... products, ensuring seamless coordination, timely delivery, and adherence to quality standards.Continuous ImprovementActively contributes to the continuous improvement of… more
- Sentry Insurance (Milwaukee, WI)
- …and maintain quality relationships with businesses Work directly with Underwriting, Claims , Loss Control, Audit, Customer Service and other key partners Call on ... Wisconsin, with offices located throughout the United States. From sales to claims , and information technology to marketing, we enjoy a rewarding and challenging… more
- Insmed Incorporated (NJ)
- …studies and clinical trial endpoint selection, disease natural history, medical claims and electronic health records, database analyses, economic models, and ... protocols, analysis plans, reports, and publications building on the high quality and scientific rigor of these deliverables.Communicate and counsel Insmed senior… more
- Eisai, Inc (Nutley, NJ)
- …and appropriate utilization based on generation and communication of quality data. Essential Functions Educate population-based decision makers on health ... applied research experience in conducting health economic, health related quality of life, and/or health services research studies. Experience in… more
- Eisai, Inc (Atlanta, GA)
- …local and national, health care issues/strategies, customer issues/trends, pathway and quality trends, and best practices to establish credibility beyond product and ... local and national, health care issues and strategies including pathway and quality trends (340B, buy & bill, Government, and commercial payer coverage)… more
- Lyra Health Inc (Searcy, AR)
- …twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra ... Empower, the only fully integrated, AI-powered platform combining the highest- quality care and technology solutions.About the RoleLyra is committed to addressing… more
- Sentry Insurance (Stevens Point, WI)
- …key stakeholders as part of a high functioning team, delivering high quality results within prescribed timelines. Design complex and standard user interfaces, ... Wisconsin, with offices located throughout the United States. From sales to claims , and information technology to marketing, we enjoy a rewarding and challenging… more
- Sentry Insurance (Edwardsville, IL)
- …producers for defined territories. You'll understand Sentry's desire to write high- quality , profitable risks and be well-versed in commercial insurance. You could ... state requirements. Work independently with excellent time management, organization, quality decision making, and communication. Independently manage small commercial… more
- Sentry Insurance (Irvine, CA)
- …Work closely with other Commercial Lines functions to ensure service and quality objectives are met including rating, general services, audit, safety services, ... Wisconsin, with offices located throughout the United States. From sales to claims , and information technology to marketing, we enjoy a rewarding and challenging… more
- AMN Healthcare (Lebanon, TN)
- …as Steitztown and has a long history as a steel producing town. One of the town's claims to fame is its audacious New Year's Eve celebration, in which a 150 lb piece ... trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human,… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a ... corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. Make ... your mark in Claims . Our Claims teams are the proven...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… more
- Cognizant (Lansing, MI)
- ** Claims Quality Review** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our Cognizant ... quality standards, processes and procedures and policies + Ensures the claims processing reps adhere to predetermined quality assurance standards and the… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- UCLA Health (Los Angeles, CA)
- …random and focus audits of all claim processing activities to identify inaccurate claims adjudication. This will involve reviewing UB04 and CMS 1500 healthcare ... claims and adjustments for accuracy, and appropriate application ...maintain statistical data and ensure compliance with production and quality standards in accordance with department policy. Salary Range:… more
- Quad (Sussex, WI)
- …improvement in paper quality and performance. Key Responsibilities + Credit and Claims Management + File claims related to quality issues across ... outcomes + Operational Documentation + Co-author and maintain templates for production claims and quality tracking. + Contribute to technical specification… more
- UNUM (Columbia, SC)
- …the highest level of quality + Implement claim management and quality claims decision strategies which support business objectives that will achieve ... This position is responsible to lead a high performing claims organization that ensures quality management of...a high performing claims organization that ensures quality management of claims in a multi-disciplined,… more
