- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...service level agreements. You'll manage relationships with vendors, spearhead quality improvements, and foster a culture of transparency and… more
- Elevance Health (Miami, FL)
- …we are actively defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist** **Location:** This role requires associates to be ... as required by law._ **Schedule: Monday - Friday; 8:00am-5:00pm** The **Pharmacy Quality Assurance Specialist** is responsible for evaluating the quality… more
- ICW Group (Orlando, FL)
- …support appropriate financial forecasting, reinsurance reporting and risk scoring. + Oversees quality assurance processes and conducts regular audits of complex ... here! **PURPOSE OF THE JOB** The Senior Manager Major Claims Unit (MCU) leads a team of specialized complex... Unit (MCU) leads a team of specialized complex claims professionals focused on managing and resolving catastrophic, high-dollar… more
- Mass Markets (Macdill AFB, FL)
- …in the industry. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. You'll oversee QA analysts, ... ensure compliance with client standards, and drive continuous improvement in service quality . To be considered for this role, you must complete a full application on… more
- CHS (Clearwater, FL)
- …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is strongly preferred. **Certificates, ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance … more
- USAA (Tampa, FL)
- …and design methodologies, eg Six Sigma and Lean, business operations, risk management, quality assurance and control, or internal audit (in addition to the ... minimum years of experience required) may be substituted in lieu of degree. + 8 years business process execution/knowledge/experience, consulting, and/or process engineering/optimization. + 3 years of direct team lead, supervisory or management experience. +… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …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 (FL)
- …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
- MetLife (Tampa, FL)
- …cause analysis and the PDCA methodology. * Identify opportunities to improve the quality assurance evaluation process. * Performs internal audits such as peer ... How You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Working with senior team members and areas… more
- Bank of America (Miami, FL)
- …1+ years of experience working with customers (internal/external) + Experience interpreting quality assurance standards and procedures for the organization. + ... + Monitoring, Surveillance, and Testing + Policies, Procedures, and Guidelines Management + Quality Assurance + Attention to Detail + Investigation Management +… more