Senior Manager, Clinical Quality Audit - United States - Remote

The Company U.S. Financial Technology (U.S. FinTech) is seeking an experienced Internal Audit Quality Assurance Lead to join our team of talented professionals. · Continuously assess IA's conformance with professional standards and U.S. FinTech's IA methodology, · Lead IA quarter ...

+This position may be performed remotely, but requires the flexibility and willingness to travel as needed. · +Develop standard operating procedures, work instructions, forms, and templates to ensure a fit-for-purpose clinical auditing and inspection management program to ensure ...

This role focuses on identifying trends, risks and opportunities that inform how member issues are identified resolved escalated and prevented across the organization helping reduce downstream experience compliance and audit risk. · ...

GxP Auditor is an integral member of the Quality and Compliance team. · ...

Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and ...

This Welding Auditor position is an excellent opportunity for recent retirees or consultants that have working knowledge in welding processes. · ...

+p>The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. ...

We are seeking an Associate Director of Clinical Quality Assurance (CQA) Auditor who will serve as the primary auditor for GCP/GLP/GVP audits and oversee quality activities including leading and conducting internal and external audits.Serve as CQA audit program process owner. · L ...

The Clinical Quality team strives to ensure that the clinical quality management system is optimized to foster a culture where quality innovation matches the company's goals. The Senior Manager, Clinical QA is responsible for providing strategic input to GCP-related compliance ac ...

The Lead Quality Systems Administrator oversees the development implementation and maintenance of the Enterprise quality system at the assigned divisions. · Oversee Quality Systems administration team ensuring timely completion of assigned duties · Manage queue of requests from e ...

Join our team as a Contract Lead Certification Auditor and play a critical role in ensuring compliance with industry standards and regulatory requirements. · ...

The Sr. Specialist, Customer Audits is responsible for the day to day management of customer audit projects - including planning, preparation delivery and post assessment follow-up. · Create/manage Customer Audit SharePoint folder/file structure manage permissions and support col ...

The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan's outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and be ...

+Job summaryThis role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. · +Responsibilitie ...

This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. · Analyzes and Audits Claims.Effectively Utilizes Audit Tools.Meets or Exceeds Standards/Guidelines for Productivity.Meets or Exceed Standards/Guidelines for Accuracy and Quality. ...

Cotiviti Healthcare is seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare payment integrity. · ResponsibilitiesThis individual will receive direct supervision and ongoing support to ensure efficiency in pro ...

We are seeking an experienced Lloyd's/Delegated Authority Auditor. The role involves undertaking underwriting and claims audits to ensure high-quality reports meet client requirements. · Undertake underwriting, transactional, and claims audits in accordance with client scope requ ...

We believe in going the extra mile and aim to make a genuine difference in our participants' lives. · The Quality Operations Specialist monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures, · coordinates WelbeHealth audits, · and as ...

+Senior Social Compliance Auditor will perform third-party audits per SGS Certification procedures and requirements for standards. They have authority for control and performance of auditing activities including planning. · Responsibilities:Perform social compliance certification ...

Davies is currently looking for Independent Contract Part Time Premium Audit Reviewers to work within our organization. · Primary review of all premium audits (WC, GL, Garage etc) · ...