- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- Illumination Foundation (Santa Ana, CA)
- …County, Los Angeles County and the Inland Empire. Job Description The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim ... critical role in supporting the organization's revenue cycle by ensuring claims meet payer requirements, coordinating with internal departments, and maintaining… more
- Grant Thornton (Newport Beach, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions on ... **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
- Under Armour, Inc. (Sparrows Point, MD)
- …(DOT, FMCSA, TSA, Customs, Import/Export compliance). * Familiarity with freight audit processes, claims management, and carrier agreements/contracts. * Working ... Logistics Compliance & Claims Analyst **Logistics Compliance & Claims ...Develop and present weekly, monthly, and quarterly reports to senior leadership highlighting chargeback trends, financial impact, and opportunities… more
- Henry Ford Health System (Detroit, MI)
- …claim defense costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... Coordinators reviewing allocation of staff to ensure productivity and quality standards meet or exceed expected goals. 4. Review,...order to provide account loss ratios and claims history to senior management.… more
- Aflac (GA)
- …training for all claims specialist to understand how we can improve quality for the department. The next phase includes getting more granular with the data, ... 2026 Summer Intern-Individual Claims The Company: Aflac Columbus The Location: GA,...looking to optimize our processes to provide the best quality to our policyholders. Most recently, we kicked off… more
- Zurich NA (Schaumburg, IL)
- …the ability to organize teams, prioritize effectively, and coach others to deliver high- quality audit outcomes. + You'll have meaningful experience or strong ... Audit Manager 129341 **Let's grow together!** **About Zurich...working closely with the Chief Auditor. + You'll deliver high- quality audits on time and within budget, collaborating with… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- …actions (CAPAs). + Monitor audit trends and escalate recurring issues to senior leadership. ** Quality Systems & Compliance** + Support the implementation and ... **Job Summary** The Senior Manager of Global Quality Management...standards across global clinical trials. This role provides hands-on quality oversight, supports audit and inspection readiness,… more
- NJM Insurance (Trenton, NJ)
- …coordinating quality and compliance audits/reviews including pre-work such as audit program development and file selection, assuring the review process is proper ... Reporting to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor, the WC Quality...to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …leading, and optimizing one or more prioritized CoEs within the Global Quality Operations organization-such as Inspection Readiness, Audit Effectiveness, or ... The Senior Manager, Centers of Excellence (CoEs) is responsible...execution of one or more CoEs (eg, Inspection Readiness, Audit Effectiveness) aligned with global quality priorities.… more
- Saint-Gobain (Mankato, MN)
- "This Job Matters" **_What's the job?_** The Senior Quality & Process Control (Q&PC) Manager is a strategic and operational leader responsible for driving ... quality excellence and process control across multiple manufacturing facilities... Council to align with strategic goals. - Ensures audit readiness via structured reviews and root cause analysis.… more
- Molina Healthcare (Miami, FL)
- …care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support HEDIS audit and revenue ... **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and… more
- Zurich NA (Schaumburg, IL)
- …time as we integrate the newly acquired Travel Guard business and evolve our global audit landscape. As a Senior Auditor, you will play a hands-on role across ... Senior Auditor 129340 **Let's grow together!** **About Zurich...all stages of the audit lifecycle-planning, execution, risk assessment, and reporting-while gaining exposure… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …transform healthcare? Bring your true colors to blue. As a valued member of the Audit and Risk Management (ARM) team, the Senior Internal Auditor will lead and ... role will be asked to use data analytics tools and techniques to enhance audit testing, identify emerging risks, and drive automation and efficiency in audit … more
- Dana-Farber Cancer Institute (Brookline, MA)
- Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer will be responsible for the identification and performance of Billing ... Compliance inpatient and ambulatory activities. The Senior Reviewer will assist in the development and execution of the annual Billing Compliance work plan. They… more
- Houston Methodist (Bellaire, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of ... specific practices. Serves a subject matter expert. + Effectively communicates audit results to faculty and staff. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS**… more
- DXC Technology (Plano, TX)
- …with senior leaders across L&A customers, including Operations, IT, Claims , Actuarial, Distribution, Policy Admin, and Customer Experience. + Conduct regular ... + Ensure all transformation and run-rate services are executed with compliance, audit -readiness, and quality . **Basic Qualifications** + Bachelor's degree in a… more
- MyFlorida (Fort Lauderdale, FL)
- SENIOR TAX SPECIALIST - 79011439 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 867792 Agency: Business and Professional Regulations Working Title: SENIOR TAX SPECIALIST - 79011439 Pay Plan: Career Service Position Number:… more