• Senior Quality Analyst, Claims

    Providence (Renton, WA)
    …organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual ... **Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million...assists the Claims leaders in managing a quality assurance program to ensure compliance with… more
    Providence (05/09/25)
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  • Director, Application Support and Quality

    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 ...accumulator exchange and provider contracts. Prior experience with implementing claims systems and QA programs. + Prior… more
    Brighton Health Plan Solutions, LLC (04/19/25)
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  • Supervisory Quality Assurance

    US Pacific Fleet (Pearl Harbor, HI)
    Summary You will serve as the Division Head (SUPERVISORY QUALITY ASSURANCE SPECIALIST) of the Non-Nuclear Inspection Division in the Quality Assurance ... or public sector. Specialized experience must demonstrate the following: managing or directing quality assurance programs related to the repair and overhaul of… more
    US Pacific Fleet (06/02/25)
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  • Coordinator Quality Assurance

    Kanaan Communications, LLC (Palatka, FL)
    Discover a more connected career as a Quality Assurance Coordinator (Damage Investigator) (supporting Volusia, Flagler, and St. John's Counties, FL area) This is ... the Operations Team at UtiliQuest, LLC as a Coordinator Quality Assurance . UtiliQuest, LLC a leading provider...and completion deadlines. + Provide witness testimony in small claims and litigated cases when necessary. + Promote and… more
    Kanaan Communications, LLC (06/03/25)
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  • Manager, Plant Quality Assurance

    Ball Corporation (Millersburg, OR)
    …time to apply!_ **Primary purpose of** **the** **position:** Manages the plant quality assurance function as directed. **Essential Responsible Areas:** + ... inspections, and investigating accidents, as required. + The plant quality assurance manager or designee is to... quality areas, including quality goals, quality problems, defective materials, claims and customer… more
    Ball Corporation (05/28/25)
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  • Quality Assurance Tester - AA2

    Iowa Department of Administrative Services (Ankeny, IA)
    Quality Assurance Tester - AA2 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4962479) Apply  Quality Assurance Tester - AA2 Salary ... is looking for an Administrative Assistant 2 position to serve on the Quality Assurance Testing Team. This position will identify and investigate operational… more
    Iowa Department of Administrative Services (06/05/25)
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  • Director - GI International Quality

    AIG (Charlotte, NC)
    …delivery management capabilities is required to have a deep understanding of Quality Assurance and Engineering (QA&E) practices and principles, solutions, ... risk and compliance. How you will create an impact The Director GI International Quality Engineering & Assurance is critical to the success of the Delivery… more
    AIG (05/30/25)
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  • Quality Assurance Specialist

    Defense Contract Management Agency (Kennedy Space Center, FL)
    …announcement. Responsibilities Performs duties associated with the administration of the quality assurance provisions of contracts by designing, implementing, ... Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist, your resume and supporting...to the GS-09 level or equivalent under other pay systems in the Federal service, military or private sector.… more
    Defense Contract Management Agency (06/04/25)
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  • Claims Implementation Analyst

    Healthfirst (NY)
    …methodology and core claims system changes. + Perform training and quality assurance on mass claim adjudications and automated data load processes. ... requirements of functional specifications and ensure proper system functionality and quality outcomes including claims configuration, provider set up,… more
    Healthfirst (05/29/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA- Claims **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets) in compliance… more
    Commonwealth Care Alliance (05/31/25)
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  • Pharmacy Quality Assurance

    Elevance Health (Winston Salem, NC)
    **Pharmacy Quality Assurance Specialist** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Quality Assurance Specialist** will be responsible for evaluating the… more
    Elevance Health (06/04/25)
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  • Revenue Cycle Quality Assurance

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a*Rev Cy Quality Assurance Specialist*to join our Self-Pay Collections.This full-time role will work in a hybrid ... systems * Insurance follow up and denials * Claims acceptance and Billing * Perform and lead staff...and ability to prioritize demands **Title:** * Revenue Cycle Quality Assurance Specialist, Self-Pay Collections * **Location:**… more
    Minnesota Visiting Nurse Agency (05/20/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of… more
    CHS (05/10/25)
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  • Contact Center Quality Assurance

    Mass Markets (Wichita, KS)
    …as a trusted partner in the industry. We are seeking a detail-oriented and strategic Quality Assurance Manager to lead the QA function in our BPO contact center. ... analytical, coaching, and communication skills. + Experience with QA software, CRM systems , and reporting tools. + Certifications in Quality , Six Sigma,… more
    Mass Markets (06/04/25)
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  • Experienced Call Center Quality

    Mass Markets (Mesilla, NM)
    …in the industry. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. You'll oversee QA analysts, ... with client standards, and drive continuous improvement in service quality . To be considered for this role, you must...and communication skills. + Familiarity with QA tools, CRM systems , and reporting platforms. + Detail-oriented with a focus… more
    Mass Markets (06/04/25)
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  • Quality Assurance Analyst

    Highmark Health (Buffalo, NY)
    …AND CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Auditing + Claims Processing + Customer Service + Billing Systems + Benefit Coding ... **Job Description :** **JOB SUMMARY** This job performs transactional non-clinical quality audits and tasks in compliance with all regulatory compliance guidelines,… more
    Highmark Health (05/23/25)
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  • Revenue Assurance Specialist

    TXNM Energy (Albuquerque, NM)
    Revenue Assurance Specialist Location: Albuquerque, NM, United States Job ID: 6088986 Date Posted:Apr 25, 2025 **POSTING DEADLINE** This position is posted until ... **DEPARTMENT** Department: CX Revenue Operations **PREFERENCES** **JOB DESCRIPTION** **Revenue Assurance Specialist** Salary Grade: G11 Minimum Midpoint Maximum $42,740… more
    TXNM Energy (04/25/25)
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  • Senior Cloud Automation Engineer - Claims

    CVS Health (Richardson, TX)
    …with GenAI concepts and usability in test automation. ​ + Experience with data quality assurance for systems integration. + Knowledge of IBM i-Series ... testing processes. + Continuously evaluate and improve the AI Hub's quality assurance capabilities, with a focus on automation and efficiency. **Required… more
    CVS Health (05/17/25)
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  • Sr. Manager, Provider Contract and Pricing Testing

    CVS Health (Hartford, CT)
    …projects. + 5+ years of experience in provider contract testing, claims adjudication systems , quality assurance , or related functions. + 5+ years of ... with extensive experience in provider and contract testing, test automation, and quality assurance . You will be responsible for managing a team of quality more
    CVS Health (04/23/25)
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  • Quality Systems & Compliance Analyst

    Access Dubuque (Dubuque, IA)
    Quality Systems & Compliance Analyst **Sedona Staffing Services** 0 Positions ID: 45871466 Posted On 05/08/2025 **Job Overview** ** Quality Assurance ... a local Dubuque, IA manufacturer, is hiring an experienced Quality Assurance Analyst to help lead its...Quality Technician Grainwell Puffed Grains Legal & Compliance Claims Manager Cottingham & Butler/ SISCO Quality more
    Access Dubuque (06/02/25)
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