- Insurance Recruiting Solutions (Chapel Hill, NC)
- …pivotal role that blends complex claims oversight with leadership in claims strategy, quality assurance , litigation management, and reinsurance ... and a collaborative work environment. With a strong emphasis on technical excellence and quality claims outcomes, we are seeking an experienced Home Office … more
- Goldbelt, Inc. (Frederick, MD)
- …Professional Services' experts create solutions customized to the client's needs. Summary: This Quality Assurance role for the JPM CBRN Task Order 3 contract ... by providing advice and aid in the implementation of quality systems and procedures to ensure compliance with all...and provide review, comments and approval of all product claims for technical accuracy and regulatory compliance. Represent the… more
- Blink Health (Chesterfield, MO)
- …satisfaction by owning and solving all escalated patient concerns. Compliance & Quality Assurance Ensure adherence to all regulatory requirements and company ... policies in pharmacy operations. Monitor quality standards by conducting audits and reviewing agent work...is strongly preferred. Experience in the pharmacy, healthcare, or medical insurance industry, with an understanding of the regulatory… more
- Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
- Job Summary We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...years of experience in a FDA regulated pharmaceutical and/or medical device industry environment Strong knowledge of current global… more
- Scout Motors (Blythewood, SC)
- …the electric pick-up truck & rugged SUV marketplace by achieving the following: Quality Assurance in BIW and Closures: Develop and implement quality ... Mechanical Engineering, Automotive Engineering, or a related field. Advanced knowledge of quality assurance methodologies such as Six Sigma, Lean Manufacturing,… more
- AUROBINDO (Durham, NC)
- …family consists of an experienced management team with expertise in manufacturing, R&D, Quality Assurance and Quality control and regulatory affairs. In ... resumes, conducting phone screens, and interviewing.Assist with benefits administration including medical , dental, vision, COBRA and 401(k), health and welfare open… more
- PRIMORIS USA (Denver, CO)
- …claims , including intake, validation, RMA coordination, and resolution. Collaborate with quality assurance and engineering teams to validate claim legitimacy ... position is responsible for ensuring that our clients receive prompt, effective, and high- quality support throughout their lifecycle. The manager will lead a team of… more
- Mom's Meals (Ankeny, IA)
- …or local agencies Research and resubmit of billings to assigned agencies Reviewing quality assurance of all referrals or updated clients from assigned state ... to Create billing reports of assigned agencies Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies Reconciliation of… more
- Jamie Grayem (Downey, CA)
- …Planning; Project Management; Risk Assessment; Health Care Quality Standards; Quality Improvement; Quality Assurance and Effectiveness; Evidence-Based ... the reimbursement structure, and the impacts of changes in medical science to hospital performance, among others; maintaining a...Patient Safety Data CenterWill work with other peers in quality , IP Director, Clinical Quality Director for… more
- ICL (Queens Village, NY)
- …resulted in ICL property becoming lost, stolen, missing, or damaged. Provides Quality Assurance Oversight: Ensures internal program compliance with federal, ... Conducts Investigations: Conducts internal investigations of untoward incidents as directed by Quality Assurance or Human Resources in accordance with agency… more
- Goodman Solutions (Circle Pines, MN)
- …ensuring Goodman Solutions performance goals and metrics are met, and maintaining quality assurance standards. The Delivery Services Technician Supervisor will ... hire delivery services technicians. Ensure operational efficiency in the field. Conduct quality assurance audits, including random or targeted audits of delivery… more
- Baylor Scott & White Healthcare (Pflugerville, TX)
- …repairs, as needed and in conjunction with the Manager or Supervisor. Performs quality assurance audits. Orders supplies as requested. Key Success Factors ... and tactful. Knowledge of patient registration procedures and documentation. Knowledge of medical insurance claims procedures and documentation. Needs to have… more
- Thomas Jefferson University Hospitals, Inc. (Montgomery, PA)
- …undamaged; intervene where necessary to reship delivery *Contributes to departmental Quality Assurance / Quality Improvement activities. Expected participation ... with the law. Job Description ESSENTIAL FUNCTIONS: *Adjudicate and review claims responses for reimbursement and profitability *Analyze claims messages… more
- Sedgwick (Wilmington, MA)
- …and RESPONSIBILITIES Performs other duties as assigned. When not in the field, assist quality assurance team and be available for desk appraisal work as well ... information regarding their vehicle's cost of repair estimate and explains claims /repair process Maintains accurate vehicle's cost of repair estimate and explains… more
- Bristol Health (Bristol, CT)
- …accrediting bodies. Participate in clinical guideline development, care management programs and quality assurance as directed. Provide input and support to the ... to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication,… more
- ICL (New York, NY)
- …by being compassionate and hopeful May be directed to coordinate with the Dept of Quality Assurance and the Corporate Compliance Dept for staff assistance in the ... inspect staff case records to evaluate the completeness and quality of treatment plans Ensure that the charts by...of compliance Ensure staff are obtaining info, such as medical , psychological, and social factors contributing to the residents'… more
- Denver Health (Denver, CO)
- …other Patient Access personnel for proper screening and insurance verification. (5%) Maintain quality assurance scores of 98% or higher in conjunction with ... drawers. (20%) Works to properly identify patients to increase clean claims and minimize errors associated with misidentification. (10%) Completes documentation for… more
- AdaptHealth LLC (Des Moines, IA)
- …updates and offer additional options to facilitate the referral process. Meet quality assurance requirements and other key performance metrics Facilitate ... - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services to empower patients to...are passionate about making a profound impact on the quality of patients' lives, please click to apply, we… more
- Nova Southeastern University (Fort Lauderdale, FL)
- …payment receipt and accounting, and provides customer service within established quality assurance , HIPAA regulations, and compliance guidelines in accordance ... salaries, a comprehensive benefits package including tuition waiver, retirement plan, excellent medical and dental plans and much more. NSU cares about the health… more
- LanceSoft (New York, NY)
- …minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance *Experience in acute episodic care, wellness care and ... counseling of adults *Proficiency in use of electronic medical record keeping systems desirable *BLS certification required *Case Management and COHN-S and preferred… more
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