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 ...

Quality Audit Specialist Jobs
By Mastech Digital At Oakland, CA, United States
- Knowledge of regulatory agencies and associated requirements involved in human research and pertinent laws and regulations
Office Location (if remote, please provide the Client Site address):
Remote Options (Fully Remote, Partially Remote, Client Onsite):
Required Level of Education and Preferred Level of Education:
How many years of related experience are you looking for in your ideal candidate?
- Performs compliance reviews to ensure ongoing regulatory compliance and ensure proper Principal Investigator oversight
Quality Review And Audit Analyst
By HireTalent - Diversity Staffing & Recruiting Firm At United States
Strong communication (oral and written), time management, organizational, and prioritization skills
Experience with communications writing or editing a plus
Previous experience with quality assurance is preferred but not required
Strong analytical skills and ability to multitask
Ability to be flexible with job responsibilities and workflow changes
Exposure/experience with Chinese or Korean languages is a plus
Quality Audit Data Coordinator
By USDM Life Sciences At Nashville, TN, United States
• Provide data queries and reports from the PIL tool as request/required by management and/or process
• Generates departmental metrics and reports to management
• Advanced experience with data entry
• 1-3 years working in quality management systems and/or regulatory affairs
• Support the audit BPO/BPE with updating qualification data in PIL tool
• Bachelor’s degree, or equivalent experience
Audit Coordinator Jobs
By HealthMark Group At Dallas, TX, United States
Reports directly to Quality Control/Data Entry Manager Team Lead and ROI Manager
Preparing and sorting documents for data entry.
Completes Data Entry of all requests
Knowledge of grammar and punctuation
Entry Level Job Duties Include But Not Limited To
Manipulating and deduplicating excel lists.
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
Quality Review And Audit Analyst
By The Cigna Group At , Hartford, 06152, Ct $23 - $36 an hour
Experience with medical documentation audits and medical chart reviews and proficiency with ICD-10-CMcoding guidelines and conventions
Must be detail oriented, self-motivated, and have excellent organization skills
Communicate effectively across all audiences (verbal & written).
Computer competency with excel, MS Word, Adobe Acrobat
Understanding of medical claims submissions is preferred
Ability to meet timeline, productivity, and accuracy standards
Quality Inspection Audit Specialist
By Zoetis At , Lincoln, Ne
Qualification of New suppliers, management of the Approved supplier database, and creation/ review of Quality Agreements
> 5 years’ project management of multi-disciplinary teams
Utilize expertise of quality systems, data integrity, software compliance and GMP requirements to conduct internal quality audits
Monitor and manage Supplier Complaint Process
Undergraduate degree in engineering, science, or other degree with applicable experience
2-4 years of relevant experience applying regulations and communicating with regulatory agencies, Animal Health/ Pharma industry.
Audit Coordinator Jobs
By ATTAC Consulting Group LLC At , Remote $50,000 - $70,000 a year
2-3 years’ commensurate work experience in project management support, insurance company operations, auditing, compliance
Familiarity with project management tools (e.g. MS Project, Smart Sheets, etc.).
a. Provide administrative and project management support to specific project managers for assigned audit and consulting engagements.
Demonstrated capabilities in managing complex projects and assignments.
Detailed oriented. Ability to manage multiple priorities for numerous audits.
Experience working in a team oriented, collaborative environment.
Healthcare Audit Coordinator Jobs
By WelbeHealth At United States
Strong organization, analytical, time management, and communication skills
Benefits of Working at WelbeHealth:
Oversee auditing schedule for internal HPS and within its related entities
Conduct internal audits to ensure that policies and procedures are followed, and provide outcomes to the department supervisor
Conduct external audits of vendors to ensure that agreements are being implemented as devised in contracts
Contribute to WelbeHealth’s overall compliance vision by upholding excellence partnerships with federal and state regulators
Remote Audit Quality Consultant
By AMN Healthcare At United States
Industry experienced workforce management team
Medical, dental and vision benefits
Earned time off and paid holidays
Short-term disability, life insurance, paid jury duty
Access to the largest network of facilities and providers in the country
Claims Quality Audit Professional
By Humana At , Sandy, 84070, Ut
Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
Strong communications and research skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
1-2 years Knowledge related to provider contracts, CIS and CISPRO
1-2 years Medical Claims Processing Experience
Critical thinking, problem solving, initiative and decision making skills
Eligibility Audit Coordinator Jobs
By Harris Health System At , , Tx

Hospitals & Health Networks magazine.

System Of Quality Management - Internal Audit Quality Staff
By EY At , Atlanta, 30308, Ga
Strong project management skills and ability to flex with evolving priorities
Strong written and verbal communication skills; ability to collaborate within a large team; professionally present and engage with EY leadership
Bachelor’s degree in accounting, finance or other related field
Experience with SOX (auditing internal controls over financial reporting for public companies)
Continuous learning: You’ll develop the mindset and skills to navigate whatever comes next.
Assist in developing and executing monitoring plans