- Premier Administrative Solutions (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. *Responsibility for final hiring decisions on ... continual quality improvement. *Coordination of all activities of the Claims Department Management Team. This includes Supervisors and/or Team Leaders assigned… more
- Kaiser Permanente (San Diego, CA)
- …Delegation; Project Management; Risk Assessment; Health Care Quality Standards; Quality Improvement; Quality Assurance and Effectiveness; Evidence-Based ... analyzing and managing the process flow of investigations and claims for potential errors, red flags, and areas of...Three (3) years of experience in National Committee of Quality Assurance (NCQA) or related surveys. Primary… more
- MCI Careers (Tampa, FL)
- …such as quality assurance , training, IT, and recruiting. Develop and audit quality assurance strategies to ensure the delivery of world-class service ... originating from a call center Proven ability to meet performance, efficiency, and quality assurance targets Monitoring of individual and team results to… more
- Burns & McDonnell (Conshohocken, PA)
- …sections of the Project Execution Plan, including construction execution, construction quality assurance plan, safety & health plan, subcontracting plan, ... Manager is responsible for managing the construction project safety, quality , schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates,… more
- Covenant Health (Knoxville, TN)
- …tell the truth. Maintains established departmental policies and procedures, objectives, quality assurance program and safety standards. Demonstrates an ability ... collection of patient accounts. Work load is consistently completed and accurate. Departmental Quality Audit results of 95% accuracy or higher. Performs other… more
- LanceSoft (White Plains, NY)
- …/ consultants / equipment vendors / customers to provide project construction quality assurance in adherence to project specifications and compliance to ... customers. *Prepare engineering calculations, estimates, and cost analyses for feasibility/ audit reports. *Manage and implement multiple lighting, HVAC, controls,… more
- Grace Community Health (Corbin, KY)
- …Follows policies and procedures of the office, including administrative, clinical, quality assurance , and personnel. Maintain good attendance (daily, meetings, ... cross training and performance evaluation. Collaborate with Payers, ACO, Director of Quality and other Leaders to ensure processes are established to maximize Pay… more
- FedEx (Eagle River, WI)
- …any or all hub and station operational areas, including linehaul, records management, quality assurance and customer service. Tends to damaged and incorrectly ... area assignments have additional essential functions as noted below: Additional Quality Assurance /Loss Prevention essential functions. Supports ability for… more
- NIH Federal Credit Union (Rockville, MD)
- …monthly activity and make adjustment according to specific procedures. Quality Assurance /Controls/Operational Integrity: Attends required training and takes ... it relates to the consumer loans functions, and maintains such accounts. Provides quality member service to the outsourced Call Center, NIHFCU members, and staff.… more
- AIG (Atlanta, GA)
- …+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring mitigation of ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- DXC Technology (Richmond, VA)
- …cross-functional teams to address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails. + Support ... of experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance . + Strong understanding of insurance regulations, … more
- AIG (Boston, MA)
- …You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity ... Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will… 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 ... core platform strategic roadmap. + Establishes processes to audit configuration before deployment to production to streamline timeline… more
- Air National Guard Units (Fairchild AFB, WA)
- …Washington Air National Guard Title 32 Excepted Service Unit Technician position: QUALITY ASSURANCE SPECIALIST Location: 141st Maintenance Group Fairchild AFB, ... in its entirety and complete all application requirements. Responsibilities A GS-1910-11, QUALITY ASSURANCE SPECIALIST: Serves as the Office of Primary… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
- Commonwealth Care Alliance (Boston, MA)
- …states will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...claims systems (eg, Salesforce, Facets) in compliance with audit standards and MassHealth requirements. + Maintain awareness of… more
- Wells Fargo (Charlotte, NC)
- …and better serving customers. **The Role** The Global Operations Head of Quality Assurance , Business Accountability Executive will manage and develop multiple ... Operations, Wholesale Operations, Shared Services Operations, and Fraud and Claims Management. Operations goal is to build a more...internal and external partners associated with the area of Quality Assurance and who are affected by… more
- AIG (Charlotte, NC)
- …delivery management capabilities is required to have a deep understanding of Quality Assurance and Engineering (QA&E) practices and principles, solutions, ... of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with...you will create an impact The Director GI International Quality Engineering & Assurance is critical to… more
- Adecco US, Inc. (Los Angeles, CA)
- **Job Summary** We are seeking a ** Quality Assurance Specialist** to ensure our products and operations comply with all applicable US federal, state, and local ... quality and regulatory standards **Qualifications** + 5-10 years of experience in quality assurance , preferably in a US-based beauty or personal care platform… more
- Prime Therapeutics (Denver, CO)
- …Pharmacy Benefit Management experience to include 1 year of work experience in an operations, audit or quality assurance environment + Must be eligible to ... for error; utilize analytics and professional knowledge to select claims or pharmacies for audit in alignment...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
