- TEKsystems (Los Angeles, CA)
- …and support departmental improvement projects. + Perform audits and contribute to quality assurance efforts. Qualifications: + Prior experience in healthcare ... Medical Claims Examiner Location: Remote (must be located in...be located in Santa Barbara or Los Angeles) Department: Claims Processing Job Summary: We are seeking a detail-oriented… more
- Insight Global (Irvine, CA)
- … claims examiner or auditor preferred. Experience with claim investigation, quality assurance process, ad-hoc audits, claim reviews, claim auditing ... An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working...be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and… more
- Emanate Health (Covina, CA)
- …sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews ... Minimum of three years of utilization management experience. Experience in quality - related job preferred. Computer proficiency is required. Excellent customer… more
- Envista Holdings Corporation (Pomona, CA)
- …The **Sr. Quality Engineer** plans and conducts activities concerned with the quality assurance of industrial processes, materials, and products. The Sr. ... working closely with cross-functional teams to develop, implement, and maintain quality assurance protocols that comply with regulatory requirements and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...human subjects. Managing compliance with this standard to provide assurance that the rights, safety and wellbeing of trial… more
- Banner Health (CA)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care… more
- Unilever (El Segundo, CA)
- …supply of Liquid IV for extraordinary hydration. **About the Role:** The Quality Assurance Compliance Manager is responsible for the development, implementation, ... and continuous improvement of our food safety and quality assurance programs throughout the supply chain...not limited to:** + Support compliance of certifications and claims including Non-GMO Project verified, Vegan, Gluten-Free, OSMO, NSF,… more
- Evolent (Sacramento, CA)
- …members, providers + A minimum of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / ... culture. **What You'll Be Doing:** Job Description **Analyst, Integration Quality ** Integration testing in the healthcare ecosystem requires complete...or claims data. + Demonstrable experience with Testing, Writing Test… more
- Subaru of America (Los Angeles, CA)
- …staff. Works in partnership with Zone, District, and SOA personnel including Field Quality Assurance , Techline, and the Customer Advocacy Department (CAD). Must ... SUMMARY Serves as Subaru of America's (SOA's) Service and Quality representative in the SOA Field. Travels to retailers on a regular basis to proactively monitor and… more
- Prime Therapeutics (San Diego, CA)
- …pharmacy and PBM experience to include: + 2 years of work experience in audit or quality assurance + 1 year of work experience in customer service or a client ... and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance,...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more