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Claims Quality Audit Representative 4 Jobs

Ifp Quality Review And Audit Senior Representative - Cigna Healthcare
By The Cigna Group At , Hartford, 06152, Ct $20 - $30 an hour

The US Individual (IFP) Quality Review and Audit Senior Representative is responsible for daily auditing of those interacting in a multi-functioning capacity with our individual customer. This ...

Claims Audit Specialist_Quality Assurance
By Versant Health At , Remote $22 - $23 an hour
Provide feedback to associates and management to improve how individuals and departments can improve workflow to eliminate repeated errors
Provide regular feedback and recommendations to department Manager regarding staff performance and improvement
Responsible for conducting a quality review of functions performed
Recommend corrections/changes to the systems, policies, and procedures, to ensure a higher quality of work performed
Responsible for conducting quality reviews and maintaining documentation as mandated by control activity for SSAE 16 and Financial audits
Quality Review And Audit Lead Representative - Remote
By The Cigna Group At , Hartford, 06152, Ct $22 - $34 an hour

How you’ll make an impact:

Quality Review And Audit Lead Representative- Evernorth Health Services - Remote
By The Cigna Group At , Hartford, 06152, Ct $22 - $34 an hour

The Quality Review & Audit Lead Representative will audit the accuracy of client installation loaded into Diamond to ensure that the implementation process complies with CGHB policies and procedures ...

Quality Analyst 4 Jobs
By Boeing At Bingen, WA, United States
Monitors corrective measures and verifies documentation is compliant with requirements.
Leads in the identification, collection, summarization and analysis of quality data.
Oversees the application of continuous improvement tools.
Collaborates in the design of quality audits.
Oversees the identification and application of cost of quality discipline.
Provides oversight in the creation and delivery of quality systems training.
Claims Quality Audit Representative 4
By Humana At , San Antonio, 78229, Tx
Risk management or Audit Experience
Minimum of 2 years of Healthcare experience (Medicare or Commercial or Medicaid or Medicare Dual Eligible)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Strong Analytical skills with the ability to identify root causes of risks and develop robust remediation plans
In-depth experience in Microsoft Excel including formulas, pivots, charts, graphs, etc.
Advanced MS office suite experience