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Claims Quality Auditor
access_time Posted 26 days ago
account_balance HealthCare Resolution Services
location_on Columbia
Audit a portion, as mutually agreed between the parties, of the combined financially stratified/attribute claim sample of medical and dental claims processed by medical care administrators. During ...
Claims Representative
access_time Posted 9 days ago
account_balance Quality Services Moving
location_on Lorton
Your contributions to the team have a direct impact on the bottom line and ultimately influence how ... E.O.E. Company Description Quality Services Moving is a premier moving, hauling, and storage ...
Director of Procurement
access_time Posted 12 days ago
account_balance INTRA-CELLULAR THERAPIES INC
location_on Towson
... audit current state for compliance and continuous improvement * Negotiate, or renegotiate, and ... claims or quality issues * Use data and analytics, in conjunction with finance personnel, to define ...
Director of Federal Health Growth
access_time Posted 1 month ago
account_balance J29
location_on Millersville
... of medical cases, claims, disputes, appeals, and audits. Our team is experienced in program ... quality, compliant and compelling proposals are submitted on time. The ideal candidate is a proven ...
Director Contract Administration
access_time Posted 19 days ago
account_balance J & J Worldwide Services
location_on Washington
... and contract claims/disputes. * Provides guidance and leadership to contract/subcontract ... audit management and response (internal/external), and reporting. * Analyzes contract funding ...
Manager, Claims
access_time Posted 18 days ago
account_balance Interstate Moving Relocation Logistics
location_on Springfield
Participate in the quality programs of the service provider network, assisting with other team ... SUPERVISORY RESPONSIBILITIES Manages, supervises and coordinates work effort of 6 - 8 direct ...
Director of Manufacturing
access_time Posted 2 months ago
account_balance McCormick Paints
location_on Frederick
Ensure Manufacturing facility is always tour ready for formal audits/inspections * Establish and ... claims. * Maintain compliance with all regulatory items Training: * Implement capital projects and ...
Workers' Compensation Claims Supervisor
access_time Posted 4 days ago
account_balance CorVel Enterprise Comp, Inc.
location_on Baltimore
The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and ...
Claims Representative I
access_time Posted 20 days ago
account_balance Legal & General America
location_on Frederick
Complete all other claims related tasks to meet or exceed pre-defined productivity and quality standards. Complete other administrative duties and projects as directed by management. Responsibilities ...
Lead Analyst - DOJ Audit
access_time Posted 4 days ago
account_balance FedWriters
location_on Washington
Planning, organizing, directing, and controlling tasks under the project/program to ensure related ... quality standards are met, and associated expectations of performance are achieved * Managing ...
Senior IT Audit & Compliance Specialist
access_time Posted 1 month ago
account_balance Gunnison Consulting Group Inc
location_on Washington
... quality control, data entry, and drafting executive-level reports, memos, and communications. The ... Direct demonstrated experience in FISMA related audits and compliance * Subject Matter Expert (SME ...
Business Objects Data Coach (Temp to Perm, Full-time, Remote)
access_time Posted 27 days ago
account_balance Integrity Management Services, Inc.
location_on Washington
Results are achieved through data analytics, technology solutions, audit, investigation, and ... Ability to review claims for medical necessity, utilization, and level of care to identify aberrant ...
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