- CVS Health (Trenton, NJ)
- …systems and on daily operations and programs + Responsible to support targeted quality audit projects. Report results and make recommendations eg, training ... service to our internal and external customers. **Position Summary** + Performs routine quality audits for network operations and claim testing for PPO … more
- Bristol Myers Squibb (Princeton, NJ)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... . **Position Summary** Reporting to the Vice President, Corporate Quality , this role provides strategic and tactical direction for the… more
- Cardinal Health (Trenton, NJ)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... and continuous improvement. Accurately score interactions to gauge employee's quality performance based on organizational and departmental policies and requirements.… more
- Kelly Services (Fort Washington, PA)
- ** Quality Assurance Specialist** Kelly(R) Science & Clinical is seeking a Quality Assurance Specialist for our client a top consumer product company in Fort ... and packaging materials. + Use of electronic gauges + Provide support in process improvements and SOP modifications. +...and SOP modifications. + Provides support to audits and audit observation resolution. + Prepare samples including labeling and… more
- Highmark Health (Trenton, NJ)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all...in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of… more
- Cardinal Health (Trenton, NJ)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... point of contact handling inbound calls, with ability to determine needs and provide one call resolution + Process enrollments via inbound fax, phone, and… more
- Bank of America (Pennington, NJ)
- …volume, performance metric reporting, escalating concerns where appropriate + Conducts quality assurance reviews and provides routine supervisory manager approvals + ... for maintaining timely and accurate client performance returns for the branch office network . The team lead supports the performance measurement analysts with a wide… more
- Humana (Trenton, NJ)
- …with upstream business partners such as Claims, Clinical Guidance, and the Provider Network to identify opportunities and drives initiatives that will ... midst of a people, process and technology transformation that will improve quality , timeliness and the overall experience for our associates, members and providers.… more
- Cardinal Health (Trenton, NJ)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced...inquiry + Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related… more
- Cardinal Health (Trenton, NJ)
- …experience, preferred. Diploma or degree in relevant field desirable. + 3+ years' call quality audit experience strongly preferred. + 3+ years' experience in a ... remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer...that can be improved or celebrated. + Analyze and provide weekly & monthly trend analysis to leadership. +… more
- Datavant (Trenton, NJ)
- …presenting to leadership, clients, and your Team via Video or in person. + Solution provider and forward thinking + Detail and quality oriented as it relates to ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...with leadership on issues, opportunities, or challenges. + Lead Audit Team which receives requests from Payors + Review… more
- Nelnet (Trenton, NJ)
- …with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. ... with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. The… more
- Terumo Medical Corporation (Somerset, NJ)
- …Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for ... drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part of...Questions + Prepare & support exhibits + Review and provide summary of Testimony + Prepare Document Production +… more
- Atlas (Burlington, NJ)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... the Atlas Laboratory Information Management System (LIMS) across a nationwide laboratory network . Another major duty is the coordinating and management of Atlas… more
- Datavant (Trenton, NJ)
- …life experiences to realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...pertaining to auditing functions as assigned. The individual will provide superior customer experience by educating internally and externally… more
- Datavant (Trenton, NJ)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... content to re-educate team on coding error trends + Train and provide ongoing teaching/technical assistance to internal staff/external partners + Oversee the… more
- TD Bank (Mount Laurel, NJ)
- …related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. **Line of Business:** Risk Management ... the first line to ensure compliance with same. Internal Audit is the third line of defense, providing periodic...Framework across the bank, we collaborate with a broad network of risk management practitioners who form TD's extended… more