- Elevance Health (Atlanta, GA)
- ** Performance Quality Auditor I** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... for employment, unless an accommodation is granted as required by law. The ** Performance Quality Auditor I** is responsible for evaluating the quality … more
- FM (Alpharetta, GA)
- …within the Auditing and Quality Assurance department. The role of the Quality Auditor is expected to independently schedule and conduct conformity assessment ... facilities-to verify they meet rigorous loss prevention standards of quality , technical integrity and performance . How? By...and interpret engineering technical drawings **Preferred Skills** + Lead Auditor , Quality Engineer, or Quality … more
- Actalent (Atlanta, GA)
- Job Title: Quality Improvement Auditor - Fully remote Job Description The Quality Improvement Auditor will lead medical record audits, monitor and ... to measure member outcomes. This role involves assessing provider performance and quality of care through clinical...of quality improvement experience or similar to Quality Improvement Auditor . + Audit experience, including… more
- Humana (Atlanta, GA)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you'll have the ... professional needs. **PRIMARY PURPOSE** **OF THE ROLE** The Independent Adjuster Auditor reviews Independent Adjuster and other Non-Legal Vendor invoices on behalf… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient… more
- Cognizant (Atlanta, GA)
- …Follows all team procedures, including HIPAA policies and procedures, and meets team quality , turnaround time and productivity performance standards and goals + ... **Claims Auditor ** (remote) This is a remote position open...team: + Monitor, evaluate and score claims against established quality assurance instruments and standards + Verifying if the… more
- Highmark Health (Atlanta, GA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
- WestRock Company (Atlanta, GA)
- …process owners and external auditors; provide appropriate support in the performance of walkthroughs as well as internal control/substantive testing * Support ... of IA approaches, tools and methodologies, and productivity; support an internal Quality Assurance and Improvement Program to maintain compliance with The Institute… more
- Elevance Health (Atlanta, GA)
- ** Performance Quality Analyst II** **Location:** This...you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as ... an accommodation is granted as required by law. The ** Performance Quality Analyst II** is responsible for... auditor in charge on small and less complex audits.… more
- Truist (Atlanta, GA)
- …assignments among teammate effectively to complete assignments within budget while maintaining quality standards. 2. Set clear quality expectations based on ... team members and providing effective project feedback, including setting clear performance expectations. 7. Assist audit management to develop and maintain… more
- Molina Healthcare (Atlanta, GA)
- …enterprise wide. These functions include, but may not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, ... information systems experience + Knowledge of HOS pay for performance , basic experience with other quality metrics... (CPHQ) + Nursing License + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
- Google (Atlanta, GA)
- …to statistically connect design, construction, and equipment line metrics, tests, and quality audits to field performance . + Manage validation of developer's ... quality , Factory Witness and Acceptance Testing. + Manage third-party developer quality assurance and control programs performance and KPIs. Information… more
- Humana (Atlanta, GA)
- …operational audits and consulting projects to help minimize risk and enhance performance of Humana's organization. This role is responsible for planning, executing, ... automated audit tools and data analytics to help minimize risk and enhance performance + Proactively inform segment management of significant risks or exposures +… more
- Truist (Atlanta, GA)
- …assignments among teammate effectively to complete assignments within budget while maintaining quality standards. 2. Set clear quality expectations based on ... team members and providing effective project feedback, including setting clear performance expectations. 7. Assist audit management to develop and maintain… more
- Truist (Atlanta, GA)
- …and completion of the plan while maintaining responsibility for the overall quality of audit work performed. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a ... ensure all assigned responsibilities are performed in a high quality manner and on a timely basis. 2. Directly...assigned BUs. Effectively lead and manage resources to ensure performance measures and metrics are established and met. Provide… more
- Coinbase (Atlanta, GA)
- …the goal of mitigating risk and improving technology, security, and operational performance without compromising 3rd Line of Defense independence and objectivity. * ... an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of...analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written… more
- DoorDash (Atlanta, GA)
- …owned and operated by DoorDash, offering customers fast, reliable, and high quality delivery. Customers order their convenience, grocery, retail, and prepared foods ... your assigned shifts including warehouse and kitchen processes, safety/cleanliness, quality , and training. Maintain accountability for inventory, equipment, and… more
- Truist (Atlanta, GA)
- …management responsibilities for teammates: hiring, disciplinary, coaching, terminating, performance reviews. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a ... on IT and focuses on long-term operations planning and performance , and broader business objectives and priorities. 4. Apply...where warranted. Partner effectively with 2nd line of defense, Auditor , and regulators to ensure Risk is identified and… more
- DoorDash (Atlanta, GA)
- …center owned and operated by DoorDash, offering customers fast, reliable, and high quality delivery. About the Role We're looking for a hands-on, people-first leader ... hourly associates. Set the tone for culture, safety, and performance during every assignment. Assignment duration will be dependent...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more