Claim Quality Assurance jobs
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CLAIMS QUALITY ASSURANCE AUDITOR
Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...
| Company | Altais |
|---|---|
| Address | Remote |
| Category | Manufacturing |
| Salary | $80,000 - $95,000 a year |
| Job type | Full-time |
| Date Posted | 3 weeks ago See detail |
Claims Quality Assurance Auditor
Altais
Remote
$80,000 - $95,000 a year
Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...
3 weeks ago seen See more...
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Sr. Specialist, Quality Assurance, CSV New
Biospace
Marlborough, MA
Review and audit computerized system validation deliverables according to 21 CFR Part 11, Annex 11 and other regulatory requirements. Review validation documentation - such as user requirements, functional requirements, validation...
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Associate Quality Assurance Specialist New
Biospace
Gaithersburg, MD
Compliance Monitoring and Assurance: Ensure organizational adherence to established Quality Assurance processes and standards across manufacturing, production, and customer service operations, facilitating ongoing monitoring and c...
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Quality Assurance/FSQR Technician New
Cargill
Timberville, VA
Want to build a stronger, more sustainable future and cultivate your career? Join Cargill's global team of 155,000 employees who are committed to safe, responsible and sustainable ways to nourish the world. This position is in Car...
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Quality Assurance Manager New
Disney Vacation Club
Anaheim, CA
Contract Creation Ensuring submitted contracts meet legal, regulatory, and financial guidelines. Preparing contract to be sent to Members through electronic document process.. Closing Facilitating closing process by reviewing...
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Claims Quality Assurance Analyst
San Joaquin County Health Commission
Modesto, CA
Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...
4 weeks ago seen See more...
Claims Quality Assurance - Temp
Corvel Corporation
Folsom, CA
$67,086 - $111,634 a year
Model ethical behavior and executes job responsibilities in accordance with CorVels core values, ethics, and information protection policies. Serve as technical QA lead to assigned offices or various departments within assigned o...
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Claims Quality Assurance - Temp
Corvel Enterprise Comp, Inc.
Folsom, CA
Model ethical behavior and executes job responsibilities in accordance with CorVels core values, ethics, and information protection policies. Serve as technical QA lead to assigned offices or various departments within assigned o...
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Claims Quality Assurance Analyst (Remote)
Vaya Health
Olin, NC
$40,831.00 - $59,204.95 a year
Ability to tactfully communicate audit results when providing feedback to co-workers, supervisor, and managers Strong attention to detail and data accuracy Strong computer skills and the ability to learn additional databases and r...
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Claims Quality Assurance Analyst
San Joaquin County Health Commission
Placerville, CA
Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...
2 months ago seen See more...
Claims Quality Assurance Auditor
Altais
Oakland, CA
Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...
2 months ago seen See more...
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Quality Assurance Area Specialist IV New
Biospace
Clayton, NC
Leading pay and annual performance bonus for all positions. All employees enjoy generous paid time off including 14 paid holidays. Health Insurance, Dental Insurance, Vision Insurance effective day one. Guaranteed 8% 401K contri...
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Quality Assurance Technician (2nd Shift) New
Magna
Carrollton, GA
Report all accidents and near misses in a timely manner when they occur. To meet and maintain all customer quality standards as well as the standards of Decostar.Who we are looking for Immediately respond, in a positive an...
3 hours ago seen See more...
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Quality Assurance Analyst, Compliance (Remote or Glastonbury, CT) New
Crum & Forster
Glastonbury, CT
Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles. Works with the Claim Review Lead to aggregate and a...
7 hours ago seen See more...
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RN Quality Assurance/Infection Control New
Winter Garden Rehab & Nursing Center
Winter Garden, FL
Maintains confidentiality of information discovered through the quality assurance program. Screens patient charts following admission and every three days thereafter to identify potentially suboptimal patterns of care using compre...
7 hours ago seen See more...
Administrative Specialist 4 (Quality Assurance Specialist) New
Jersey Courts
East Orange, NJ
See Position Description
Act as lead worker in ensuring the QA process is followed with integrity in accordance with policy and practice, including: scheduling, facilitating, and conducting risk and need observation; documenting client interviews for scor...
10 hours ago seen See more...
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QUALITY ASSURANCE LOADER New
Froedtert Health
Milwaukee, WI
$34.6K - $43.9K a year
Paid time off. Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities Academic Partnership with the Medical College of Wisconsin Referral bonuses Retirement plan - 403b Medical, Dental, Vision, Life Ins...
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Quality Assurance Specialist New
Above Expectations Llc
Harrington, DE
-Possess a comprehensive understanding of DDDS HCBS Standards, Policies and Procedures along with DHCQ Standards. . -Relay reported incidents to Operations Leadership and Human Resources . -Reviews and investigates reported incide...
14 hours ago seen See more...
Quality Assurance Area Specialist IV New
Biospace
West Lebanon, NH
Reviews all manufacturing and support records to certify compliance with specifications and procedures. Works closely with Manufacturing and Quality Control to resolve open issues resulting from record reviews, internal audits of...
16 hours ago seen See more...
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Quality Assurance Area Specialist II New
Biospace
West Lebanon, NH
Leading pay and annual performance bonus for all positions. 36Paid days off including vacation, sick days & company holidays. Health Insurance, Dental Insurance, Vision Insurance. Guaranteed 8% 401K contribution plus individual c...
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Energy Services Quality Assurance Supervisor New
Community And Economic Development Assoc
Chicago, IL
Handles and resolves critical issues, prepare management reports, and oversee Quality Specialists performance. Monitors team attendance records, vacation and staffing schedules/forecasts. Coordinate the design, delivery, and conti...
21 hours ago seen See more...
Quality Assurance Manager - Houston, TX New
Textron
Houston, TX
Directs the activities of Aircraft and Avionics Inspectors, ensuring that their work, as well as the work performed by Service Center Maintenance Technicians, meets the technical quality standards defined by various specifications...
22 hours ago seen See more...
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Quality Assurance Tech New
Koin
Oregon, United States
Provide technical expertise and promote effective business relationships between corporate FSQA and assigned CHEF'STORES. Support continuous improvement in the areas of sanitation, food and product safety, quality, and regulatory...
23 hours ago seen See more...
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Quality Assurance Processing Lead New
Express Employment Professionals
Redding, CA
Use of stereoscopes, microscopes, moisture analyzers, analytical balances, and aspirators for the appropriate method of counting is necessary. Use stereoscope, microscope, moisture analyzers, analytical balances, and aspirator...
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Quality Assurance Engineer - Vice President
Icapital
New York, NY
Design, build, and maintain advanced automated testing frameworks and performance test suites. Conduct comprehensive testing across various types, including functional, monitoring, performance, and load. Integrate automated testin...
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Quality Assurance - TS Fabrication Technician 1
Cargill
Schuyler, NE
This position is in Cargills protein and salt business, where we provide wholesome, high-quality food products to a wide range of customers, from foodservice operators and grocery stores to manufacturers and exporters.Job Locatio...
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Associate Director, Quality Assurance
Biospace
Pasadena, CA
Shape the implementation of Global R&D Quality Strategies, Projects, Systems, and Quality Operations for Gene Therapy Product Development. R&D Quality Site operations head of Pasadena Cell and Gene Therapy site. Develop R&D Qualit...
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Quality Assurance Claims Processor II
Pennymac
Moorpark, CA
Reconcile servicing expenses/corporate advances as required by MI, investor, insurer and internal guidelines including: foreclosure fees and costs, eviction requirements, property inspections and preservation, HOAs, taxes, hazard...
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Head of Quality Assurance & Compliance, Claims Shared Services
Axis Capital
Alpharetta, GA
Developing and executing the vision of the Axis Claims Quality Assurance & Compliance function within Axis Claims with an immediate focus on North America claims, continuously improving, and enhancing this function in accordance w...
2 months ago seen See more...
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Quality Assurance Technician
Atlas Staffing
Boise, ID
Follow guidelines / regulations for FDA and GMP compliance according to CSP standard operating procedures. Perform inspections on incoming material with the responsibility for properly identifying product characteristics and with...
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