- Selective Insurance Company of America (Branchville, NJ)
- …issues and controls. Participate in the Large Loss Review process and Quality Assurance Reviews as necessary. Provides exceptional customer service to ... Insurance Services (AAIS). Works in conjunction with Sr. LOB Analyst and C/L Manager to manage inventory of bureau...the team to understand how coverage applies by analyzing claims activity compared to underwriting practices. Analyze and interpret… more
- RIT Solutions, Inc. (Rockville, MD)
- …Proficient in validating data generated internally and submitted by vendors to perform Quality Assurance prior to sending data to state. Working experience ... Expected skillset: Experience working on any state APCD (All Payer All Claims ) process is preferred. Exposure to risk adjustment, Kick payment processes will… more
- Paul Davis Restoration, Inc. (Jacksonville, FL)
- …serve as a member of the Claims Force Team (formerly known as the Quality Assurance ). The primary responsibility of the Reviewer is to complete estimate and ... reviews through our main technology platforms; XactAnalysis & Xactimate, Claims Connect & Mobile Claims , Validate, CMS,...second to none. At Paul Davis, our passion for quality drives everything we do. Our Vision: To Provide… more
- County of Los Angeles, CA (Los Angeles, CA)
- …manufacturer's specifications and b) aircrews can perform their mission. Assists quality assurance inspectors when Federal Aviation Administration (FAA) ... questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: The County… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical role in ensuring ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- State of Minnesota (Vadnais Heights, MN)
- **Working Title: DCT Revenue Cycle Quality Assurance Analyst ** **Job Class: Management Analyst 4** **Agency: Direct Care and Treatment** + **Job ID** : ... exciting and rewarding opportunity as a DCT Revenue Cycle Quality Assurance Analyst ! As the...the revenue cycle, including billing, coding, insurance verification, and claims processing. The goal is to identify areas of… more
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Pay Plan: Career...determinations processed, and 50 expenses paid monthly. + Finalizes quality assurance corrective actions within 5 business… more
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims...team. This role is ideal for someone passionate about quality assurance and automation, with a strong ... We are seeking a highly skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims ...efficient workflow and communication. Conduct manual end-to-end business process assurance testing focusing on the Claims Provider… more
- C&S Wholesale Grocers, Inc. (Keene, NH)
- **Position Overview** As an Senior Analyst Inventory Control and Quality Assurance , you will be responsible for researching, compiling and presenting ... with operational leadership in order to drive improvements in inventory quality for customers, inventory accuracy (including reduction of inventory shrink) and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director of Application Support and Quality Assurance will oversee initiatives that align with the strategic goals of the ASG department. This ... to drive business growth, with a strong emphasis on quality control and improvements to enhance claims ...ongoing auditing of system changes. Works with Technical Business Analyst and Programmer Analyst to support day… more
- DXC Technology (Richmond, VA)
- …Minimum 2 years of experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance . + Strong understanding of ... in customer experience. **Position Summary** We are seeking a ** Quality Analyst ** with experience in **Life and...address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails.… more
- Bank of America (Charlotte, NC)
- Treasury - Senior Quality Analyst Charlotte, North Carolina **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer a ... **Join us!** **Job Description:** This job is responsible for performing Inline Quality Assurance (ILQA) reviews for depository and treasury product… more
- Chenega Corporation (San Antonio, TX)
- …Minimum three (3) years of experience within the last seven (7) years evaluating disability claims within an Internal Quality Assurance , Office of Quality ... + Participate in special studies and case reviews, reports findings respective Quality Assurance Manager for administrative action. + Assist with program… more
- LA Care Health Plan (Los Angeles, CA)
- …are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing. ... to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease… more
- Elevance Health (Woodbridge, NJ)
- …adaptable workplace. Alternate locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr.** is responsible for developing and conducting ... **Clinical Quality Management Analyst Sr. Behavioral Health**... and Management (HCQM) by the American Board of Quality Assurance and Utilization Review Physicians. **Preferred… more
- Cognizant (Cincinnati, OH)
- …ideal opportunity for you! **About Cognizant's QEA Practice:** We are the largest Quality Assurance Practice Globally servicing 800+ Clients. We bring the ... We provide Next Gen QA offerings like System Modernization assurance , Business Process Assurance , Quality ...for completeness of vision, test advisory and Digital Business Assurance in Gartner Magic Quadrant! **Senior QA Analyst… more
- The County of Los Angeles (Los Angeles, CA)
- …staff and/or coordinated by contracted agencies; develops standards for evaluation for quality assurance . + Investigates aspects of contracted agency operations ... HEALTH PROGRAM ANALYST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4940023) HEALTH PROGRAM ...and monitors program related activities and services to ensure quality assurance with grant activities. + Attends… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on key...+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / ... within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will be responsible for handling all aspects of multi-line,… more
- Prime Therapeutics (Eagan, MN)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... assignments within project + Educate and advance business systems analyst practice within the Claims IT team...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Center For Health Information And Analysis (Boston, MA)
- …Data Integrity: Participate in advancing comprehensive practices in documentation, data quality assurance , and management. Your meticulous attention to detail ... in health policy impact! We seek a Health Policy Analyst to support projects, share content expertise, and provide...with an extensive range of health care enrollment, spending, quality , and claims data. You will be… more
