Full-Time 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...

CompanyAltais
AddressRemote
CategoryManufacturing
Salary$80,000 - $95,000 a year
Job typeFull-time
Date Posted 4 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...

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...

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...

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...

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...

Quality Assurance/FSQR Technician - Now Hiring New

Cargill

Timberville, VA

Medical, Dental, Vision, and Prescription Drug Insurance. Health and Wellness Incentives. Marathon Health Clinic (Employer sponsored health center). Paid Vacation and Holidays. 401(k) with Cargill matching contributions. Flexible...

Quality Assurance Area Specialist III New

Novo Nordisk

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 contribut...

Clinical Quality Assurance Coordinator

University Of Michigan

Ann Arbor, MI

Maintain build relationship across participating sites?including visiting (at maximum) twice yearly to evaluate data Quality Assurance adherence to program procedures and data quality and evaluate the performance of participating...

Quality Assurance Tester

Itility, Llc.

Waukegan, IL

The Drive to Perform Beyond Perceived Limits. The Desire to Find Significance in All We Do. The Passion and Compassion That Powers Both. The successful candidate will help by working with the USMEPCOM Application Operations team t...

Quality Assurance Supervisor

Gpac Talent Network

Genoa, OH

Bachelor's degree preferred or equivalent combination of education and experience. Working knowledge of meat processing or similar. Comprehensive knowledge of USDA, and HACCP requirements. SQF Certified, preferred....

Quality Assurance Supervisor

Gpac Talent Network

Oregon, OH

Bachelor's degree preferred or equivalent combination of education and experience. Working knowledge of meat processing or similar. Comprehensive knowledge of USDA, and HACCP requirements. SQF Certified, preferred....

Quality Assurance Supervisor

Gpac Talent Network

Bowling Green, OH

Bachelor's degree preferred or equivalent combination of education and experience. Working knowledge of meat processing or similar. Comprehensive knowledge of USDA, and HACCP requirements. SQF Certified, preferred....

Quality Assurance Supervisor

Gpac Talent Network

Toledo, OH

Bachelor's degree preferred or equivalent combination of education and experience. Working knowledge of meat processing or similar. Comprehensive knowledge of USDA, and HACCP requirements. SQF Certified, preferred....

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...

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...

Quality Assurance Representative - Aircraft Mechanic III, MQ-9 (Yuma, AZ)

Amentum

Yuma, AZ

Perform O-Level QA on MQ-9 aircraft and/or Ground Control Stations (GCS). Work from blueprints, maintenance manuals, quality control procedures, quality instructions, contractor standard specifications, Naval inspection manual/car...

Quality Assurance Specialist / Investigator

Devereux Foundation

New York, NY

Opportunities to learn and grow professionally.. A role where you can contribute to programs across the facility.. Knowledgeable and experienced team members.. Paid orientation.. Over 5 weeks of paid time off your first year.. Qua...

Quality Assurance Technician - Now Hiring

Sysco

Florida, United States

Monitoring of FSQA programs including HACCP Program, sanitation standard operating procedures, pest control, good manufacturing practices, approved supplier program, foreign material control, plant sanitation, chemical control, pr...

Software Quality Assurance Engineer

Mercuryworks

Remote - Oregon, United States

Bachelors Degree favored, preferably in Business, Computer Science and/or Engineering 4+ years of hands-on experience with software testing 4+ years in a professional environment executing root cause analyses, continuous improvem...

Quality Assurance Specialist II

Thermo Fisher Scientific

West Hills, CA

Required Visa Status:CitizenGCUS CitizenStudent VisaH1BCPTOPTH4 Spouse of H1BGC Green CardEmployment Type:Full TimePart TimePermanentIndependent - 1099Contract W2C2H IndependentC2H W2Contract Corp 2 CorpContract to Hire Corp...

Manager, Food Safety and Quality Assurance - Corporate - US

Sysco

Lorida, FL

Responsible for the development, deployment, implementation, and on-going execution of the Food Safety preventive controls program (Policies, SOPs, Hazard Analysis, HACCP Plan, Prerequisite Food Safety Programs, Traceability & Rec...

Quality Assurance Receiving Technician

Thrive Foods

American Fork, UT

1-2+ years experience in field, laboratory, or production facility quality control. Demonstrated ability to communicate orally or in written form effectively with co-workers, departments, and carriers. Consistent and reliable att...

Quality Assurance Specialist (QAS) I, CAPA/CC

Sofie

Kansas City, MO

Assist with Quality Assurance initiatives and provide support with Quality Management System (QMS) compliance at is relates to SOFIE 21 CFR Part 212 network facilities. Review Change Control, Deviation, OOS investigation, and CAP...

Quality Assurance Specialist

Technical Safety Services

Millersville, MD

Investigation of customer complaints regarding quality, tolerances, specifications, and delivered level of quality. Improves the quality of services provided by the external suppliers to TSS. Evaluate TSS' Quality Management Syste...

Quality Assurance Specialist

U.s. Department Of The Treasury

Springfield, NJ

Must be a U.S. Citizen or National and provide proof of U.S. Citizenship. (Birth certificate showing birth in the U.S; Unexpired U.S. Passport; Certificate of Citizenship or Naturalization; or Report of Birth Abroad of a U.S. Citi...

Title:  Quality Assurance Auditor - 2nd Shift

Cintas

Menomonee Falls, WI

High School Diploma/GED Ability to accurately count and record number of products sampled Ability to work independently and quickly make quality decisions Ability to stand and/or walk for up to 7 hours per shirt Basic language and...

Sr Quality Assurance Engineer

Baker Hughes

Minden, NV

Own medium-sized quality engineering tasks. Mentor and help team members. Work with sustaining and new product engineering teams in development and execution of testing plans. Reduce risk and promote sustainability by utilizing an...

Quality Assurance Manager

Eclaro

New York, NY

The Quality Assurance Manager understands the QA and Testing needs of the Institute. This resource will bring mature QA, DevOps and Automation experience to the Agile Development team. The Quality Assurance Manager will develop, m...

Quality Assurance Co-op

Lcs London Computer Systems

Cincinnati, OH

Experience with software testing suites Understanding of databases Ability to execute simple SQL commands Strong computer skills and ability to use remote control software Detail-oriented with good written and verbal communication...

Compliance Quality Assurance Manager

Indivior

Olin, NC

Bachelor of Science degree, minimum, in a relevant scientific field 10+ years of experience with 5+ years of progressive supervisory experience in pharmaceutical manufacturing Prior Quality System Management experience including...