- BrightSpring Health Services (Dunbar, WV)
- …ensuring service quality and fostering compliance, apply today! Responsibilities + The Quality Audit Specialist will ensure that qualified providers of ... provide education for field operations regarding requirements and the audit process + Conduct Qualified Provider Quality ...the audit process + Conduct Qualified Provider Quality Audits using the required tool(s), based on service… more
- Cardinal Health (Charleston, WV)
- …reviewed for quality and documented. **_Job Summary_** The Senior Principal Specialist , executes programs, policies, and procedures within the area of quality ... of quality assurance concepts and technical capabilities, the Senior Principal Specialist supports the Manager, Quality Assurance in overseeing the Supplier… more
- Cardinal Health (Charleston, WV)
- …reviewed for quality and documented. **_Job Summary_** The Senior Principal Specialist , executes programs, policies, and procedures within the area of quality ... of quality assurance concepts and technical capabilities, the Senior Principal Specialist supports the Manager, Quality Assurance in overseeing the deviation… more
- Sedgwick (Charleston, WV)
- …medical management of claims, ensuring appropriate recommendations are made. + Consistently achieves high- quality audit scores. + Acts as a clinical resource to ... Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual Hindi, Japanese, Mandarin or more **We are looking for… more
- SitusAMC (Charleston, WV)
- …expertise related to work products under management and ability to complete quality control and provide deal risk assessments. Essential Job Functions: Apply subject ... matter expertise to production, quality control, and/or training to junior staff in one...of funds based on loan document covenants. + Perform audit of accounts payable and accounts receivable documentation to… more
- Trustmark (Charleston, WV)
- …Experience group. The primary function of this role is to train and audit new and existing staff in all products including appropriate claim handling. Ensures ... (training, procedures, processes, etc.); manage VB repository sections + Administer quality program (audits, feedback, coaching) + Track and administer VB-wide… more
- Highmark Health (Charleston, WV)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more