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Claims Team Leader
access_time Posted 18 days ago
account_balance PacificSource Health Plans
location_on Bend
Manage claims production and quality that meets or exceeds company standards. Resolve claims ... Research skills and ability to evaluate claims in order to audit accurately. Advanced skills in ...
Audit Examiner
access_time Posted 9 days ago
account_balance HME Specialists LLC
location_on Albuquerque
Provide applicable feedback directly to Compliance Director and applicable department director(s ... Experience in DME, medical records, claims/record auditing, or quality assurance in a Healthcare or ...
Claims Quality Assurance Analyst
access_time Posted 2 months ago
account_balance SAN JOAQUIN COUNTY HEALTH COMMISSION
location_on Modesto
Basic knowledge of audit, control and monitoring processes, and the ability to effectively ... Claims auditing experience. Licensure, Certification, Registration Required * None Preferred
Compliance & Risk Management Director
access_time Posted 1 month ago
account_balance One Community Health - CA
location_on Sacramento
Manages all regulatory audits and readiness activities; including mock audits, submission quality ... Oversees the risk management functions for the Compliance department including notice of claims ...
DIRECT HIRE Quality Control Clerk (Food Industry)
access_time Posted 1 month ago
account_balance CONFIDENTIAL
location_on Commerce
... QC related data · Document findings and assist in preparing recommendations · Handle consumer ... claims. · Support food safety activities and conduct internal audit. · Other duties as required ...
QA Specialists - Billing/ Medical Claims Review
access_time Posted 2 months ago
account_balance Morgan White Group
location_on Ridgeland
The QA Specialists - Billing/ Medical Claims Review will ensure that the company's quality ... Minimum of 2 years of Audit or Quality Assurance experience. * Minimum of 2 years of Insurance ...
TAX/AUDIT STAFF/MANAGER/DIRECTOR/PARTNER
access_time Posted 25 days ago
account_balance California Professional Accountants Group
location_on Irvine
We are seeking a TAX STAFF/MANAGER/DIRECTOR/PARTNER CPA Group is a dynamic and innovative ... The ideal candidate will have a proven track record of delivering high-quality audit services ...
Senior Claims Examiner
access_time Posted 8 days ago
account_balance Carl Warren & Company
location_on Anaheim
Proactively work claims to ensure file quality meets Carl Warren & Company Claim Handling ... Consistently achieves audit scores of 90% and above. Focuses on providing the client with an ...
Regional Human Resource Director
access_time Posted 1 month ago
account_balance Discovery Senior Living
location_on San Francisco
Coordinates filing of Employment Practices Liability claims (EPLI) as needed with Oasis HR. Assists ... Performs HR audit for respective Region annually to assess compliance and strategic needs
Medical Director
access_time Posted 2 months ago
account_balance Health Plan of San Joaquin
location_on French Camp
... claims review, grievances, appeals, and other medical management issues. * Works closely with the ... depth knowledge of audit, control and monitoring processes, and the ability to effectively ...
Long Term Care Claims Adjuster - Remote
access_time Posted 16 hours ago
account_balance Harrison Gray Search
location_on San Diego
... audit and Supervisors' work review. 4. Demonstrates a purposeful, steady pursuit (sense of urgency ... Performs all job duties in accordance with departmental standards for accuracy, quality and ...
Claims Auditor
access_time Posted 10 days ago
account_balance Delta Health Systems
location_on Stockton
... quality services to our clients. We seek a dynamic Benefits & Eligibility Auditor Trainer to join ... audit statistics · Accurately interprets claim policy, procedures and standard group benefit ...
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