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Claims QA Auditor jobs

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QA Training Spec
Symetra - 38 reviews - Enfield, CT
Must be familiar with the role of a claim auditor. Facilitate QA results information sharing sessions, assess skill gaps and make recommendations for the...
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Quality Engineer - Investigations
Auditor certification from an industry recognized organization desired. Provide QA technical and compliance expertise as part of development teams in...
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Global Customer Quality Assurance Engineer
BASF - Southfield, MI
TS Auditor Certifications. Accountable for coordinating the investigation of customer complaints in partnership with local QA and responsible to communicate...
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Senior Quality Manager

Constellis Corporate - Reston, VA
Hold an American Society for Quality (ASQ) Certified Quality Auditor (CQA) certification or be an ISO 9001:2008 Lead Auditor....
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QA Auditor/Trainer

Molina Healthcare - 239 reviews - Boise, ID
Experience with claims processing and provider relations in a Medicaid environment. Knowledge/Skills/Abilities....

Claims QA Auditor

University of Massachusetts Medical School - 57 reviews - Shrewsbury, MA
Work with claims processing staff to resolve difficult or complex claims, and recommend related training and staff development opportunities that will improve...

LMU Quality Assurance & Training Lead

Chubb - 144 reviews - Hartford, CT
Training and QA background required. The mission of the Claim Litigation Management Unit (LMU) is to provide Chubb's insureds with the highest quality legal...

Quality Control Manager

Chugach Alaska Corporation - 9 reviews - Nevada
Serves as QA Representative on small to medium projects, if necessary. Acts as a quality auditor and may follow up on audit findings and corrective actions....

QA Training Spec

Symetra - 38 reviews - Enfield, CT 06082
Must be familiar with the role of a claim auditor. Facilitate QA results information sharing sessions, assess skill gaps and make recommendations for the...

Claims Quality Assurance Manager

Security First Managers - Ormond Beach, FL
Oversight and direct management of Claim Auditors, Field Re-inspectors, and Claims Trainer. Develop and refine QA claim audit process....
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Sr. DRG QA Auditor

Change Healthcare - 124 reviews - Illinois
AHIMA Standards of Ethical Coding or appropriate rules per claim type. Perform individual employee quarterly coding and claim screening assessments to determine...

HEALTHCARE INFORMATICS ANALYST - HEDIS

Beacon Health Options - 181 reviews - Boston, MA
Develop and maintain QA and validation documentation on reporting outcomes that are delivered to Beacon’s clients and auditors....

Coding Quality Auditor

Aetna - 1,631 reviews - Pittsburgh, PA 15220  +1 location
Technical - QA Tools//1-3 Years/Power User. Functional - Clinical / Medical/Clinical claim review & coding/1-3 Years....
Manager, RCM Audit
Mednax - 39 reviews - City of Sunrise, FL
Acts as liaison to the SOX and PwC auditors. Conducts quarterly audit reviews and attends meetings with auditors as required....
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Quality Engineer CAPA Investigations
Auditor certification from an industry recognized organization desired. Provide QA technical and compliance expertise as part of development teams in...
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