- Providence (Renton, WA)
- …organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual ... **Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million...assists the Claims leaders in managing a quality assurance program to ensure compliance with… 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 ...accumulator exchange and provider contracts. Prior experience with implementing claims systems and QA programs. + Prior… more
- US Pacific Fleet (CA)
- …comprehensive contract quality assurance program for conforming contractor quality systems conformance to contract requirements. + You will identify and ... 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
- Army National Guard Units (Decatur, IL)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a QUALITY ASSURANCE SPECIALIST (TITLE 32), Position Description Number D1065000 and is ... part of the IL AASF 1, National Guard. Responsibilities As a QUALITY ASSURANCE SPECIALIST (TITLE 32), GS-1910-9, you will establish, develop, and implement the… more
- Ball Corporation (Millersburg, OR)
- …time to apply!_ **Primary purpose of** **the** **position:** Manages the plant quality assurance function as directed. **Essential Responsible Areas:** + ... inspections, and investigating accidents, as required. + The plant quality assurance manager or designee is to... quality areas, including quality goals, quality problems, defective materials, claims and customer… more
- AIG (Charlotte, NC)
- …delivery management capabilities is required to have a deep understanding of Quality Assurance and Engineering (QA&E) practices and principles, solutions, ... risk and compliance. How you will create an impact The Director GI International Quality Engineering & Assurance is critical to the success of the Delivery… more
- Defense Contract Management Agency (Santa Clara, CA)
- …a risk-based surveillance program and assessment plan associated with the quality assurance provisions of contracts. Identifies opportunities for process ... Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist (Deployable), your resume and...to the GS-09 level or equivalent under other pay systems in the Federal service, military or private sector.… more
- Defense Contract Management Agency (Tukwila, WA)
- …announcement. Responsibilities Performs duties associated with the administration of the quality assurance provisions of contracts by designing, implementing, ... Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist, your resume and supporting...to the GS-09 level or equivalent under other pay systems in the Federal service, military or private sector.… more
- Healthfirst (NY)
- …methodology and core claims system changes. + Perform training and quality assurance on mass claim adjudications and automated data load processes. ... requirements of functional specifications and ensure proper system functionality and quality outcomes including claims configuration, provider set up,… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets) in compliance… more
- Wells Fargo (Roanoke, VA)
- …Ability to communicate effectively, in both written and verbal formats + Quality assurance or control experience + Knowledge of systems such as AFS, Blast, ... you. **About this role:** Wells Fargo is seeking a Quality Assurance Analyst in Lending Fulfillment Board...you will:** + Examine and research complex programs, processes, claims , documentation, or files to ensure compliance with internal… more
- Defense Logistics Agency (Coronado, CA)
- …(BOM). Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist, your resume and supporting documentation must ... to the GS-07 level or equivalent under other pay systems in the Federal service, military, or private sector....or LL.B. or JD, IN THE FOLLOWING major study: quality assurance , statistics, mathematics, production management, industrial… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Rev Cy Quality Assurance Specialist*to join our Self-Pay Collections.This full-time role will work in a hybrid ... systems * Insurance follow up and denials * Claims acceptance and Billing * Perform and lead staff...and ability to prioritize demands **Title:** * Revenue Cycle Quality Assurance Specialist, Self-Pay Collections * **Location:**… more
- CHS (Clearwater, FL)
- …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of… more
- Robert Half Accountemps (Glastonbury, CT)
- …contractual obligations, including deliverables, procedures, and renewal deadlines. * Conduct quality assurance checks to guarantee compliance with service-level ... service delivery. If you have a strong understanding of healthcare terminology, claims processing, and experience with accounting software systems , this position… more
- Prime Therapeutics (Madison, WI)
- …Management experience to include 1 year of work experience in an operations, audit or quality assurance environment + Must be eligible to work in the United ... fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is… more
- Highmark Health (Buffalo, NY)
- …AND CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Auditing + Claims Processing + Customer Service + Billing Systems + Benefit Coding ... **Job Description :** **JOB SUMMARY** This job performs transactional non-clinical quality audits and tasks in compliance with all regulatory compliance guidelines,… more
- TXNM Energy (Albuquerque, NM)
- Revenue Assurance Specialist Location: Albuquerque, NM, United States Job ID: 6088986 Date Posted:Apr 25, 2025 **POSTING DEADLINE** This position is posted until ... **DEPARTMENT** Department: CX Revenue Operations **PREFERENCES** **JOB DESCRIPTION** **Revenue Assurance Specialist** Salary Grade: G11 Minimum Midpoint Maximum $42,740… more
- CVS Health (Richardson, TX)
- …with GenAI concepts and usability in test automation. + Experience with data quality assurance for systems integration. + Knowledge of IBM i-Series ... testing processes. + Continuously evaluate and improve the AI Hub's quality assurance capabilities, with a focus on automation and efficiency. **Required… more
- Thrivent Financial (WI)
- …and provide recommendations for improvement in all applicable areas including training, quality assurance , process improvement, systems , and overall business ... RESPONSIBILITES: + Maintain a thorough understanding of products, services, affiliated systems and applicable operational policies and procedures. + Build and… more