- Cognizant (Albany, NY)
- …and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **...Claims Processors to join our growing team. The ** Claims Processor** is responsible for the timely and accurate… more
- Elevance Health (Latham, NY)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Defense Contract Management Agency (Bohemia, NY)
- …announcement. Responsibilities Performs duties associated with the administration of the quality assurance provisions of contracts by designing, implementing, ... Requirements Conditions of Employment Qualifications To qualify for a(n) Quality Assurance Specialist, your resume and supporting...at the time of application) to support your educational claims . Or, if you are using education to qualify… more
- Axis (New York, NY)
- …opportunities the increased use of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices measured by monthly ... taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims...Quality Assurance and Management Initiated Audit scores… more
- Zurich NA (New York, NY)
- …testing, thematic reviews, and deep-dive assessments. + You will oversee and perform quality assurance on regional/local Compliance assurance activities. + ... Head of Assurance 125664 **Let's grow together!** Zurich Cover-More is...of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts and customer service professionals. We… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …in distribution and co-manufacturing product complaints. + Organize and audit co-manufacturers' quality assurance documentation stored in the Quality ... the Boar's Head Audit Team in conducting comprehensive Food Safety and Product Quality audits across a variety of venues, including Food Service Operations, Retail… more
- Actalent (Clayville, NY)
- …Skills + Quality control and inspection + Data entry and admin support + Quality assurance and visual inspection + Use of calipers and inspection equipment + ... Quality Technician Job Description The Quality ...and prevent defects in supplied materials and verify defect claims . + Lead cross-functional teams to pursue performance improvements… more
- City of New York (New York, NY)
- …the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division (SID), Office of Accountability ... Trusts is responsible for the settlement of liens and claims for recoupment of money expended in Medicaid and...the Estates Unit represents DSS and asserts liens and claims against recipients' assets for the recovery of benefits… more
- Sedgwick (Buffalo, NY)
- …RESPONSIBILITIES** + Performs other duties as assigned. + When not in the field, assist quality assurance team and be available for desk appraisal work as well ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- City of New York (New York, NY)
- Job Description ONLY CANDIDATES SERVING PERMANENTLY IN THE TITLE OF QUALITY ASSURANCE SPECIALIST OR THOSE WHO APPLIED FOR EXAM #4124 ARE ELIGIBLE TO APPLY. The ... Quality Assurance Specialist 1 serves as one...and deviations. Conduct analysis and recalculation to confirm/verify vendor's claims of quality , quantity, and other specifications.… more
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