- Guardian Life (Bethlehem, PA)
- …and function with various business and IT stakeholders. + Issue Management and Quality Assurance + Good Communication skills **Location:** + Three days a ... **Overview** As Claims Technical Analyst in Individual Markets Claims , you will play a key role in supporting the Life Insurance claims processing,… more
- Zurich NA (Stevens Point, WI)
- Quality Assurance Analyst 119466 Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel ... hear from you! Zurich North America is seeking a ** Quality Assurance Analyst ** tojoin our...of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A National Healthcare Organization is seeking a knowledgeable and detail-oriented Quality Assurance /Risk Analyst to join its Los Angeles Team. ... the effectiveness of insurance and risk management programs. + Claims Management: Collaborate with the Risk Management team to...Medicare - Medicaid, Medical Insurance, Risk Management, QA - Quality Assurance Robert Half is the world's… 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. (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 Skills**… more
- Healthfirst (NY)
- …insurance policies, and industry regulations + Support audits, compliance checks, and quality assurance initiatives to ensure coding accuracy + Provide coding ... and prevent claim denials and accurate claim adjudication + Collaborate with clinical, claims and benefits teams to clarify appropriate claim coverage and denials as… more
- Motion Recruitment Partners (Memphis, TN)
- …problems. + Assume responsibility for project completion. + Provide guidance and training to Quality Assurance Analyst I colleagues. + Become familiar with ... 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part...release procedures. + Assist in the professional growth of Quality Assurance Analyst I colleagues.… more
- Henry Ford Health System (Troy, MI)
- …as the secondary contact for ClaimsXten including providing medical coding expertise, quality assurance , education and training initiatives for the Claim ... GENERAL SUMMARY: Under minimal supervision provide assistance to the Claims Project Analyst to support medical coding (ICD-9, ICD-10, HCPCS, CPT, DRG, and DSM)… 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
- General Dynamics Information Technology (Falls Church, VA)
- …to Obtain:** Secret **Public Trust/Other Required:** None **Job Family:** Quality Assurance **Skills:** Communication,Detail-Oriented, Quality Assurance ... your opportunity to make a personal impact as a ** Quality Analyst ** supporting the _Bureau of Medicine...YOU WILL MAKE AN IMPACT** + Conduct Centralize Credentials Quality Assurance System (CCQAS) database information … 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
- Baylor Scott & White Health (Temple, TX)
- …other job duties as required. (10%) **KEY SUCCESS FACTORS** . Knowledge of software quality assurance methodologies, tools, and processes . Knowledge of TFS / ... **JOB SUMMARY** **Hybrid Position/ - Temple/Austin** The Systems Analyst II figures out how to best use...process results, troubleshooting and problem-solving . Skill in tracking quality assurance metrics, including defect densities and… 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- …and systems implementation tools, techniques and methodologies, as needed. Establishes quality assurance procedures, as needed. Supervises lower level technical ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply … more
- Cognizant (Oakland, CA)
- …ideal opportunity for you! About Cognizant's QEA Practice: We are the largest Quality Assurance Practice Globally servicing 800+ Clients. We bring the leading ... 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 Test Analyst… more
- Prime Therapeutics (Columbus, OH)
- …work experience in claims processing in an operations, audit or quality assurance environment##1 year of work experience in insurance, billing, collections ... and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for… more
- The Childrens Place (Secaucus, NJ)
- …Secaucus, New Jersey **Job Summary:** The Manager, Global Product Safety & Quality Assurance will oversee and optimize communication regarding Product Safety ... Support Monthly TCP Product Safety Report by TCP HK Analyst + **Product Safety Seasonal Reviews:** + Oversee and...operations support (DC) **Business Knowledge and Critical Skills - Quality Assurance :** + Knowledge of statistical sampling… more
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