Hedis Quality Auditor Jobs
By Community Health Group At , Chula Vista, 91914 $64,480 - $72,530 a year
Bachelor's Degree or equivalent combination of education and work experience.
Working knowledge of ICD-10/CPT/HCPCS/NDC coding, medical terminology and knowledge of managed care, claims payment processes and insurance terminology required.
Understands how to prioritize reports according to business needs, regulatory requirements, urgency and other key business factors.
Provides training and guidance to providers and staff on HEDIS technical specifications and requirements.
Minimum five years of experience in healthcare.
HEDIS reporting or collection experience.
Quality Auditor Jobs
By Tria Federal (Tria) At , Remote
Review the work of others to assess adherence and accuracy with process requirements
Demonstrate knowledge of the healthcare industry as related to handling Health Care related calls and appointments
1+ year auditing experience in the areas of customer service or appointment scheduling (calls/tasks)
3+ years customer service Call Center experience in the healthcare industry
Intermediate experience in Microsoft Word (creating / updating documents) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas)
Excellent verbal and written communication skills
Benefit Verification Auditor - Remote
By Orsini Specialty Pharmacy At , Elk Grove, 60007
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Design Quality Manager - Remote
By Parsons At , Remote $113,100 - $219,400 a year
10 - 12+ years of design, project management, and design quality experience with 5 years of Design Quality experience preferred
Strong leadership and management skills
develop and implement Design Quality Management Plans and Procedures
Engage during the proposal phase, to describe design quality processes and procedures in response to RFP requirements
Establish, implement, and maintain a Design Quality Assurance System (DQAS) commensurate with the Project requirements and complexity of the Project
Provide training of design personnel to ensure awareness of quality procedures and specific responsibilities in the QC process
Quality Auditor Jobs
By KBR At , Dayton, Oh
Desired Knowledge, Skills, and Abilities
Support AS9100 / ISO 9001 certification requirements
Manage internal quality audit program
Perform remote and on-site internal quality audits
Undergraduate Degree with 2+ year’s industry/quality experience or 6 years’ experience in lieu of degree
Experience performing internal audits and completing associated paperwork
Quality Auditor Jobs
By Dana Incorporated At , Humboldt, 38343, Tn
Maintains files containing control plans, flow charts, ISIR, shippers, and certifications. Files all process drawings.
Performs a non-repetitive function of auditing incoming raw materials and auditing products at different operations within the plant.
Follows verbal and written instructions and blueprints to determine dimensions.
Enters amounts and types of rejects, daily production, and gauge calibrations into PC.
Writes scrap, green "On Hold" tags, and deviations.
Conducts in process audits, capability studies, gauge R&R, and dock audits.
Benefit Verification Auditor - Remote
By Orsini Pharmaceutical Services At , Elk Grove, Il
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Senior Director, Quality - Remote
By WCG At , Puyallup, Wa $113,000 - $145,000 a year
Advanced skills in Microsoft Office required and experience in using complex database systems
Opportunities for career development with on-the-job training, certification assistance and continuing education reimbursement
Bachelor’s degree or equivalent experience
Minimum 5 years’ experience in a quality assurance function
Minimum of 3 years' experience managing teams, either directly or indirectly
Strong analytical skills with demonstrated ability to synthesize complex or diverse information
Remote Quality Specialist Jobs
By Qualfon At , Remote
Prior Experience with Quality Management Systems
Minimum of 6 months experience as a customer service agent
Prior quality experience OR familiar with QA format definitions
Excellent communication, spelling and grammar skills
Follow Quality Assurance guidelines and procedures
Perform Quality Assurance monitoring sessions
Quality Auditor & Trainer Jobs
By PopHealthCare At , Remote
Provide relevant and timely information to immediate management and peers.
Excellent computer skills, including MS office. Visio experience preferred.
Aligns with Engagement managers in effective onboarding, training, and refresher program schedule for new colleagues.
Providing feedback to supervisor and manager
Reviews QA performance reporting with Training/Quality manager and department managers and provides ongoing training/quality improvement plan for each colleague.
Proven customer support experience or experience in outreach and engagement.
Quality Control Auditor - Junior
By Bank of England Mortgage At , Little Rock, 72201, Ar
Knowledge of federal and state regulatory requirements and broad base of experience in multiple areas of mortgage servicing operations.
Preferred Education & Experience Requirements:
This position requires some knowledge of mortgage loan processing and underwriting or similar experience.
4. Document finds to provide management with an accurate and detailed picture of the issue.
11. Other duties as assigned by management.
Proficient computer skills in all Microsoft applications, Excel and Mortgage Loan Applications/Software) Encompass 360 desired.
It Auditor Ii - Remote
By Windstream Communications At , Remote
Collaborate with management and external auditors to ensure internal controls effectively mitigate risks.
Experience in assisting with audits, with a focus on both business processes and ITGCs
Understanding or experience with internal controls, including all phases of planning, evaluation, walkthroughs, documentation, sampling, testing and remediation is highly preferred.
Knowledge of Generally Accepted Accounting Principles (GAAP) is highly preferred.
Previous experience with audit and/or Sarbanes-Oxley compliance procedures desirable
Strong written, verbal, and analytical skills
Coding Quality Auditor Jobs
By Agilon Health At , Remote
Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
Performs coding audits providing expert coding and documentation education, timely feedback and coaching.
Performs expert level review of submitted visit notes; identifies gaps in clinical documentation that may require additional education.
Other duties as assigned by manager
Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers, market coders and third-party vendors.
Responds to coding questions submitted by market coders.
Quality Auditor Jobs
By MAUSER At , Oakville, Mo
Manage all inventory in the quality hold area
Job Type: QA - Quality Control
Coordination of and involvement in rework operations and related documentation
Training and orientation of production personnel in defect identification, Good Manufacturing/Hygiene Practices (GMP)
Adherence to Quality Inspection Procedures
Conducts daily performance testing on all product running in production as required
Claims Auditor- Remote Jobs
By Prime Therapeutics At , Remote $18.50 - $27.75 an hour
Completes special focused audits as assigned by management.
Knowledge of coordination of benefit guidelines.
Requires ability to read and understand benefit plans.
Experience with multiple claim processing systems.
Must function independently with strong organizational skills.
Strong verbal and written communication skills.
Dura-Line - Corporate Quality Engineer (Remote)
By Dura-Line At , Knoxville, 37934, Tn

At Dura-Line, we aspire to create a more connected world, because we believe every company, every community, every person deserves the chance to advance their lives through better access to high-speed ...

Job Insurance Quality Auditor 2
By State of Iowa Talent Gateway At , Des Moines, 50319, Ia $48,797 - $74,110 a year
Excellent communication skills with staff and customers
Provide corrective action recommendations for all improper cases investigated during the quarter.
May testify at administrative district court and grand jury hearings to present facts and evidence concerning agency employer investigations.
Able to prioritize work and meet established deadlines.
Complete other duties as assigned.
Quality Control Auditor Jobs
By Zeus Industrial Products At , Branchburg, Nj
Write reports to management on the results of the audits performed
Education: Associate of Applied Science (AAS) Degree or equivalent preferred
Minimum 2 years auditing experience
Proficient in reading comprehension and interpreting requirements and specifications
Effective planning and organizational skills; demonstrated ability to multi-task and set priorities
Strong interpersonal skills including effective written and verbal communication, and the ability to express ideas precisely, persuasively and effectively
Quality Compliance Auditor Jobs
By Philips At , Cambridge, Ma
Strong CAPA Knowledge and experience preferred.
Bachelor’s degree, or equivalent experience.
3+ years experience in a regulated industry (medical device, IVD, biologics, or Pharma for medical audit programs).
Solid oral and written communication skills.
*Montana employees are currently excluded from this requirement at this time.
In return, we offer you
Compliance Quality Auditor Jobs
By Cohere Health At United States
Communicate audit progress and findings by preparing reports, have discussions with management, and providing information in meetings
Assists in designing and implementing solutions to quality management issues.
Maintains a strong working knowledge of state and federal legislation, statutes, and regulations, as well as various client service level agreements
Completes audit work papers and memorandums by documenting audit findings
Presents audit findings to the Quality Committee or other leadership body
Maintains excellent documentation of all audits, methodologies employed, results, corrective action plans implemented, and monitoring
Quality Coordinator - Remote
By Naven Health At Montgomery, AL, United States
Basic Education And/or Experience Requirements
Other duties as assigned by the Manager of Quality
1yr of related healthcare quality experience
Strong communication skills - verbal, written and presentation
Excellent verbal and written communication skills within emails
Answering phones and typing skills
Quality Coordinator - Remote
By Naven Health At Nashville, TN, United States
Basic Education And/or Experience Requirements
Other duties as assigned by the Manager of Quality
1yr of related healthcare quality experience
Strong communication skills - verbal, written and presentation
Excellent verbal and written communication skills within emails
Answering phones and typing skills
Quality Manager (Remote U.s.)
By Acentra Health At United States
3+ years of experience in quality management and project management.
3+ years of experience in Utilization Management (UM) / Utilization Review (UR).
5+ years of experience in quality management and project management.
Are you an experienced Quality Manager looking for a new challenge?
The Quality Manager also assists with the development of requirements for system configuration and reports.
Oversee contract-specific Quality Program, providing guidance to the management team and client regarding quality-related issues.
Quality Auditor - Remote | Wfh
By Get It Recruit - Healthcare At Norristown, PA, United States

As a Quality Auditor, you will have a critical role in upholding the quality of our healthcare services. You will work closely with our MRT, consisting of nurse Case Managers and Medical Directors, to ...

Quality Auditor Jobs
By Plastipak Careers At , Plant City
Premium pay & benefits, including 18 days of paid time off a year!
Provide required support to Conversion in any aspect of conformance to requirements
Observe all local and Company safety policies and procedures as well as housekeeping requirements
Associates Degree or 3 years prior work experience
Must possess basic mathematical skills
Must possess strong verbal and communication skills
Quality Control Auditor Jobs
By Catalent At , Winchester, 40391
Work Experience – 3 to 5 Years in a Quality, Laboratory, Clinical or Chemical Manufacturing role (including internships or co-op experience)
Strong knowledge in Empower software
Catalent offers rewarding opportunities to further your career!
Read and understand test methods from multiple compendia (i.e. USP/NF, EP, JP), internal Catalent methods, or customer/supplier methods+
Participate in customer/agency audits as necessary
Assist in training QC Analysts
Quality Auditor Ii - Rn/Sw
By Horizon Blue Cross Blue Shield of New Jersey At , Newark, 07105 $75,300 - $100,800 a year
Completes other assigned functions, including special projects, as requested by management.
HEDIS experience is highly preferred in this role.
Prefers knowledge of audit methodologies and procedures.
Requires excellent verbal and written communication skills.
Prefers a Bachelor's degree. In lieu of degree, relevant work experience required.
Requires a minimum of three (3) years clinical nursing experience.
Quality Control Auditor Jobs
By Yamaha Motor At , Cypress, 90630
Associates degree or equivalent combination of education/experience, BA or BS degree preferred.
7+ years of consumer underwriting experience including credit and funding operations, Powersports or Auto Finance experience preferred.
Perform dealer and customer call monitoring reviews and provide summary/feedback to management.
3+ years of experience in Audits and Quality Reviews.
Excellent organizational, communication skills and attention to detail
Strong working knowledge of Microsoft office applications including Excel, Word, and PowerPoint..
Quality Control Auditor Jobs
By Whirlpool At , Fall River, 02720 $22.50 an hour
6+ months of quality work experience
Organization skills for different tasks and data collection.
1+ years of work experience of quality assurance in manufacturing environment RSRWH
Follow audit procedures to ensure critical parameters are in compliance
Perform investigations and report on findings and countermeasures.
Support assembly inspection and audits.
Coding Quality Auditor (Fully Remote)
By Cleveland Clinic At , Cleveland, 44195 $27.65 an hour
Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college preferred.
In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment, and modifier assignment.
Working knowledge of human anatomy and physiology, disease processes.
Demonstrated knowledge of medical terminology.
Knowledge of auditing concepts and principles.
A minimum of 5 years professional coding experience required.
It Quality Analyst (Remote)
By Tandym Group At Rockville, MD, United States
Solid problem solving and time management skills
Maintain current knowledge of relevant technologies, as assigned
5+ years of related Software Testing & 508 accessibility experience
Hands-on experience working with 508 tools - JAWS, Web Accessibility Evaluation Tool (WAVE) and Color Contrast Analyser (CCA)
Excellent communication skills (written and verbal)
Test and remediate web applications for Section 508 compliance
Quality Auditor Sr - Rhrp - 3
By QTC Management, Inc. At Hobson, TX, United States
Review the case management system to identify outstanding reports and diagnostic results
Upload diagnostic results received to the case management system
Interface with operational departments to ensure customer requirements are met
Perform other duties and responsibilities as assigned
High School diploma, or equivalent (GED) or 2 years of experience in lieu
Experience in a high volume healthcare setting
Quality Auditor Jobs
By Sterling Pharma Solutions At , Germantown, 53022 From $90,000 a year
Master's degree in related field with 5+ years related experience, or equivalent educational and work experience.
Performs internal and external (supplier) quality audits against applicable standards and Sterling requirements.
Good written and oral communication skills as well as presentation skills.
Bachelor's degree in chemistry, Biology, or related field with 8+ years GMP experience or
ASQ Auditor certification or other cGMP audit certification preferred
Work Location: Hybrid remote in Germantown, WI 53022
Record Integrity Auditor Editor Remote
By AdventHealth Corporate At , Altamonte Springs, 32714 $19.83 - $29.75 an hour
Bachelor’s in health information management or related field with 2 or more years of HIM Release of Information experience.
Associates degree in Health Information Management
Provide timely and consistent feedback to the AdventHealth HIM Corporate Manager/Director on vendor quality and medical staff feedback.
Monitoring M Modal Fluency Manager application to identify potential delays and address these with the appropriate Corporate/Vendor Representative.
All the benefits and perks you need for you and your family:
Mental Health Resources and Support
Sr. Gcp Qa Auditor - Remote
By Medpace, Inc. At , Raleigh, 27513
Develop audit management plans and audit strategy with clients for ongoing clinical trials.
5+ years of experience in a QA department in a related industry;
Experience conducting audits of vendors and investigative sites;
Experience hosting regulatory authorities and interacting with sponsor/client representatives;
Knowledge and application of Good Clinical Practice (GCP) is required;
Medical Device and or Phase 1 experience is a plus;
Auditor - Quality Management Systems
By The Smithers Group At , Akron, 44308

Smithers Quality Assessments (SQA) is looking to grow our talent of qualified individuals in the third-party quality and certification industry. The role of Lead Auditor is to perform third-party ...

Laboratory Quality Auditor Jobs
By Booz Allen Hamilton At , Atlanta $65,300 - $149,000 a year
4+ years of experience establishing, maintaining, or improving laboratory quality management systems
1+ years of experience with molecular biology or immunology laboratory techniques
1+ years of experience with writing laboratory documents, including SOPs
1+ years of experience with assessing laboratory operations and systems for laboratory regulatory compliance
Ability to obtain and maintain a Public Trust or Suitability/Fitness determination based on client requirements
Experience with lab quality systems, including CLIA, CAP, ISO, GLP or QSR
Quality Auditor I ($17.97 - $18.72 Hourly)
By Adidas At , Spartanburg $17.97 - $18.72 an hour
Requisite Education and Experience / Minimum Qualifications:
Must possess good communication skills
Must have working knowledge in word, excel, and outlook
Quality and Lean manufacturing experience preferred
Experience with Microsoft office with an emphasis in Microsoft excel preferred
Direct Reporting Line: Quality Assurance Manager

Are you looking for a rewarding career that allows you to work from the comfort of your own home? Become a Remote Quality Auditor and join a team of professionals who are dedicated to ensuring the highest quality standards for our clients. With flexible hours and competitive pay, this is the perfect opportunity to take your career to the next level.

Overview A Remote Quality Auditor is responsible for ensuring that products and services meet the standards of quality set by the company. They are responsible for conducting audits of products and services, both remotely and on-site, to ensure that they meet the company’s standards. They must be able to identify areas of improvement and recommend corrective action when necessary. Detailed Job Description A Remote Quality Auditor is responsible for conducting audits of products and services to ensure that they meet the company’s standards. They must be able to identify areas of improvement and recommend corrective action when necessary. They must be able to analyze data and provide feedback to management. They must be able to communicate effectively with all levels of the organization. They must be able to work independently and as part of a team. Job Skills Required
• Knowledge of quality assurance principles and practices
• Ability to analyze data and provide feedback
• Excellent communication skills
• Ability to work independently and as part of a team
• Ability to identify areas of improvement and recommend corrective action
• Knowledge of relevant regulations and standards
• Ability to use relevant software and tools
Job Qualifications
• Bachelor’s degree in Quality Assurance, Engineering, or related field
• At least 3 years of experience in Quality Assurance or related field
• Certification in Quality Assurance (e.g. ISO 9001) is preferred
Job Knowledge
• Knowledge of quality assurance principles and practices
• Knowledge of relevant regulations and standards
• Knowledge of relevant software and tools
Job Experience
• At least 3 years of experience in Quality Assurance or related field
Job Responsibilities
• Conduct audits of products and services to ensure that they meet the company’s standards
• Analyze data and provide feedback to management
• Identify areas of improvement and recommend corrective action
• Communicate effectively with all levels of the organization
• Work independently and as part of a team