- Pall (Miami, FL)
- …science fields with 15 years of progressive Regulatory compliance and / or quality assurance experience.Thorough understanding of ISO 9001 and AS9100 / CAA ... Pall is there, helping protect critical operating assets, improve product quality , minimize emissions and waste, and safeguard health. For the exponentially… more
- TEKsystems (Detroit, MI)
- …Minimum 4+ years of experience in the mortgage industry conducting Default Servicing, claims filing, quality assurance or compliance filing - Must ... CMAX, Venderscape, Docuware, Assurant, Safegaurd, Meta, GFX Wires, USDA claims site, Moveit, Synergy, Quality Claims...GFX Wires, USDA claims site, Moveit, Synergy, Quality Claims , and iDesk application, Access, SiteX,… more
- Adecco US, Inc. (Dublin, OH)
- …resume!** **Responsibilities:** The Claims Specialist works on the full range of claims , correspondence, quality assurance and escalations to ensure the ... one of its clients in their search for **Remote** ** Claims Specialists!** Pay rate: $21.00 per hour Shift availability:...of the goals and priorities of the team. The Claims Specialist also does their part to meet expectations… more
- Adecco US, Inc. (Youngtown, AZ)
- …your resume.** The Claims Specialist works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction ... one of its clients in their search for a ** Claims Specialist** working **remotely (must reside in AZ or...goals and priorities of the team. Responsibilities for this ** Claims Specialist** position include but are not limited to:… more
- Adecco US, Inc. (Phoenix, AZ)
- …Summary** The Claims Analyst III works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction ... of the goals and priorities of the team. The CAIII also does their part to meet expectations of internal and external clients with respect to claim handling and Service Level Agreements. **Location:** AZ, Remote **Compensation:** $21/hr **Top 5 Required… more
- Wells Fargo (Chandler, AZ)
- …to ensure deliverables are met timely and accurately. + Lead the FCM Claims Assurance Quality Control organization including developing and executing ... a Quality Control Director to join the Fraud & Claims Management (FCM) Quality Control team. **Key Responsibilities** + Manage 140+ staff performing key … more
- AIG (Atlanta, GA)
- …referral point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ... 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
- Centene Corporation (Austin, TX)
- …which may need updating which are hindering the efforts of the team. + Work with Claims and Quality Assurance teams to develop root cause analysis for ... experience in claims , provider relations, network development, analytics, or quality assurance . Experience working independently in a lead role. Possesses… more
- Intermountain Health (Las Vegas, NV)
- …considered for the position.** Performs medical review activities pertaining to utilization review, claims review, quality assurance , and medical review of ... PCPs and Specialists in the community, utilization management, care management, claims , network management, and finance. As the Medical Director for Utilization… more
- Elevance Health (Tampa, FL)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- AIG (Boston, MA)
- …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... 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
- Elevance Health (Norfolk, VA)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- CVS Health (Hartford, CT)
- … assurance projects. + 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance , or related functions. + 5+ ... with extensive experience in provider and contract testing, test automation, and quality assurance . You will be responsible for managing a team of quality… more
- Legacy Parking Company (Coral Gables, FL)
- …or any unusual occurrence to Management. + Ensure compliance with loss prevention, claims reporting, quality assurance and company's policies and procedures. ... Non-Essential Duties and Responsibilities + Implementation and completion of other projects, programs and initiatives that may be assigned by management Minimum Job Qualifications + High School degree required. + One year related experience. + Ability to read… more
- Legacy Parking Company (Miami, FL)
- …or any unusual occurrence to Management. + Ensure compliance with loss prevention, claims reporting, quality assurance and companies policies and procedures. ... Non-Essential Duties and Responsibilities + Implementation and completion of other projects, programs and initiatives that may be assigned by management Minimum Job Qualifications + One year related experience. + Ability to read and comprehend verbal… more
- Equitable (Charlotte, NC)
- … Program with a lens on the customer experience. **Key Job Responsibilities** + ** Quality Assurance :** + Conduct thorough reviews of Paid Leave and Short Term ... management **Preferred Qualifications** + Prior experience with Group Insurance Claims Quality Review, is beneficial + Strong analytical skills with excellent… more
- UPMC (Pittsburgh, PA)
- …in managed care, healthcare, or related fields. The Associate Vice President (AVP), Quality Assurance & Operational Integrity reports to the Senior Vice ... Assurance ; and audit management, support and facilitation teams. The AVP, Quality Assurance & Operational Integrity evaluates statistical patterns and trends… more
- UCLA Health (Los Angeles, CA)
- … Claims Quality Supervisor to lead our audit and quality assurance initiatives across all aspects of claims operations. This role is responsible for ... regulatory requirements. Key responsibilities include: + Developing and implementing internal quality assurance monitoring systems and reporting tools. +… more
- US Pacific Fleet (CA)
- …will plan, develop, organize, administer, evaluate, and manage a comprehensive contract quality assurance program for conforming contractor quality systems ... and checklists to evaluate the effectiveness of the contractor's quality assurance programs. + You will provide...see what is allowed and what is required. Any claims you make in your resume or assessment questionnaire… 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 ...on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will… more
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