- FirstBank PR (San Juan, PR)
- …You'll Need: Bachelor's degree in Accounting, Finances or related field. 3-5 years in audit or quality assurance and banking operational experience. 1-2 years in ... RETAIL QUALITY ASSURANCE ANALYST GOVERNANCE, ASSURANCE AND REGULATORY AFFAIRS...well as compliance with servicing and investor requirements. The review encompasses portfolios in Puerto Rico, Florida, and the… more
- FirstBank PR (San Juan, PR)
- …planning phase for the assigned audits, to propose audit scope and extent of audit procedures for review . + Develops or analyzes existing audit programs ... audit program and to ensure compliance with internal quality standards. + Prepares and reviews Observation Write up...up Sheets (OWUS) to document observations noted during the audit / review performed. + Disposes review … more
- Cardinal Health (San Juan, PR)
- …experience, preferred. Diploma or degree in relevant field desirable. + 3+ years' call quality audit experience strongly preferred. + 3+ years' experience in a ... remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Sedgwick (San Juan, PR)
- …medical management of claims, ensuring appropriate recommendations are made. + Consistently achieves high- quality audit scores. + Acts as a clinical resource to ... : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with… more
- Cytel (San Juan, PR)
- …internal conversion framework, utilities, and global checks. Lead, and/or oversee programming of, quality review checks and reports for use by Data Managers and ... and deliverables are aligned with the relevant regulatory requirements. Responsible for quality control and audit readiness of all assigned Clinical programming… more
- Mentor Technical Group (Caguas, PR)
- …Dominican Republic, Mexico, Germany, Canada, and South America. Responsibilities: * Review plant defect reports, customer complaints, failure investigations and ... audit findings to assess manufacturing related issues that may impact quality and recommend courses of corrective action. * Conduct manufacturing non conformances… more
- Cardinal Health (San Juan, PR)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... and continuous improvement. Accurately score interactions to gauge employee's quality performance based on organizational and departmental policies and requirements.… more
- West Pharmaceutical Services (Cidra, PR)
- …documentation, test methods, and any other necessary quality records. Provide quality reports and review trending on assigned areas of responsibility. + ... Sr Quality Engineering (Compliance) Requisition ID: 69500 Date: May...ensuring all relevant safety procedures are employed. + Author, review , and/or approve design history documentation and design manufacturing… more
- Mentor Technical Group (Juncos, PR)
- …and South America. Responsibilities: + Quality Professional with Manufacturing Process Audit and Batch Record Review experience. + Available for non-standard ... shifts which include nights and weekends. + Basic knowledge of the process, PASx/MES application, MAXIMO, SAP, and LIMS. Education & Qualifications + Bachelor's degree and 5 years of directly related experience or Master's degree and 3 years of directly… more
- Sedgwick (San Juan, PR)
- …analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract ... individual examiner. + Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims… more
- Reyes Holdings (Toa Baja, PR)
- …review preparation of monthly/quarterly financial and management reporting . Oversee and review preparation of annual accounts for audit and annual statutory ... initiatives . Develop/maintain key metrics as required . Support annual external audit process . Manage/lead direct report(s) within the Finance department . Oversee… more
- Kelly Services (Barceloneta, PR)
- …This includes support on: policy & procedure, program management, patient record review , internal/external audit , and metrics and trend analysis and reporting. ... or outputs of this position. The QA Analyst position supports the activities and initiatives of the Quality Manager to implement and manage the Quality System.… more
- Mentor Technical Group (Carolina, PR)
- …Perform Root Cause Analysis. + Develop, revise and/or conduct trainings for SOP's ( Quality , EHS and Facilities Maintenance). + Audit facilities areas for ... participate in the creation of emergency preparedness plans. + Review furniture needs and keep the office supply and...compliance with standards set by the Maintenance, Quality & EHS Owner's Departments. Areas to … more
- Humana (San Juan, PR)
- …agent/agency misconduct and assign the appropriate corrective action, based on a review of relevant documentation for Internal agents. + Analyze, identify and report ... training on compliance requirements, best practices, and regulatory changes. + Review marketing materials and communications to ensure compliance with CMS guidelines… more
- CBRE (San Juan, PR)
- …associated forms. + Direct program assessment and audit efforts. Approve audit templates and review calendar, progress, and provide additional resources as ... objectives and goals. Champion and drive change while ensuring quality while mitigating risk to our clients and company....on the assessment process and educate on exposure. + Review and approve updates to the departmental policies &… more
- Evolent (San Juan, PR)
- …matrixed Physician Business Manager. + Provides medical direction to the support services review process. Responsible for the quality of utilization review ... is a key member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical Directors and interacts with… more
- Datavant (San Juan, PR)
- …realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. You will: + Maintain a quality … more
- Datavant (San Juan, PR)
- …the application of learning to the work environment through various methods + Review client level audits and advise training content to re-educate team on coding ... support to client relations for trainings needed for client audit findings + Research and analysis of coding error...analyze data to determine the root cause of identified quality /production concerns + Ability to work in a fast-paced… more
- Datavant (San Juan, PR)
- …challenges. + Lead Audit Team which receives requests from Payors + Review data and provide client and leadership solutions + Comfortable bringing new ideas, ... Video or in person. + Solution provider and forward thinking + Detail and quality oriented as it relates to accurate and compliant information for medical records. +… more
- Bowman (San Juan, PR)
- …knowledge of principles and practices in broad areas of assignments and related fields. Review work produced by staff for quality assurance. **At the Operational ... but not limited to accounts payable, payroll, etc. + Review and analyze key performance metrics to support operations...and accounts receivables issues. + Assist with annual financial audit preparation as needed. + Maintain petty cash account… more