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Claims Audit and Recovery Specialist (Medical)
access_time Posted 1 month ago
account_balance Cedar Gate Technologies Inc
location_on Houston
This is viewed as a key position for our continued success, and it will have a direct impact on ... Prepare reports on audit results, identify trends, and implement quality improvement activities for ...
Claims Team Leader
access_time Posted 4 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 ...
Medical Claims Examiner III
access_time Posted 1 month ago
account_balance Ultimate Staffing
location_on Long Beach
Conduct quality audits of claims processing, including generating and maintaining standard reports. * Collaborate with the Claims Supervisor/Director to assess auditing tracking and reporting
Claims Quality Assurance Auditor
access_time Posted 1 month ago
account_balance Altais
location_on Oakland
Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits
Claims Quality Assurance Analyst
access_time Posted 1 month 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 ...
Director, Regulatory Affairs
access_time Posted 17 days ago
account_balance CND Life Sciences
location_on Scottsdale
... (2) acceptable claims, wording, performance data and other information at the pre-clearance ... Provide subject matter expertise during Technical Audits by Notified Bodies to maintain design ...
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 ...
Finance Director
access_time Posted 18 days ago
account_balance destinationone Consulting
location_on Blaine
... audit functions, and purchasing. Oversees development, operations, and maintenance of the City ... Serve as the primary contact for risk management, oversees claims process, maintain adequate ...
Regional Human Resource Director
access_time Posted 25 days 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
Quality Control Manager
access_time Posted 4 days ago
account_balance Triple H Food Processors, Inc.
location_on Riverside
... audit and verify compliance with claims and certifications such as Organic, Kosher, Halal, and BRC ... direct the daily responsibilities and performance standards of the QA Technicians. · Supervise ...
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 ...
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