- Navy Federal Credit Union (Pensacola, FL)
- …document imaging; Ensure adherence to documentation SLAs, policies and regulatory requirements Compliance & Quality Control + Conduct quality control ... insurance policies in order to prevent risks and ensure thorough understanding and compliance . Only the most complex and difficult questions would need to be… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ... ensure compliance requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.… more
- Travelers Insurance Company (Tampa, FL)
- …evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and ... resolving assigned Construction Defect and latent Property Damage claims. Provides quality claim handling throughout the claim life cycle (customer contacts,… more
- Deloitte (Miami, FL)
- The team The Quality and Risk Management (QRM) team's mission is to protect the earnings, assets, and reputation of the firm, facilitate consistency of delivery, and ... reduce the cost of quality . The primary responsibility of QRM is to provide...gaps in contract terms that could impact delivery or compliance + Periodically interface with internal stakeholders to help… more
- Molina Healthcare (FL)
- …accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with ... regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider… more
- Truist (Orlando, FL)
- …corporate clients and internal departments to resolve wire exceptions maintaining quality client experiences executing the attributes and behaviors as designated for ... operational procedures for changes, streamline processes, and compliment payments channel compliance . 8. Perform queries and provide reports using various data… more
- HCA Healthcare (Orange Park, FL)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our… more
- AssistRx (Orlando, FL)
- …associated with the company's copay assistance programs. Within this role, the Quality Assurance Specialist serves customers by identifying, analyzing, and ... in productivity, quality , client relationships, and customer service. The Quality Assurance Specialist regularly provides support to the department manager… more
- ManTech (Doral, FL)
- **MANTECH** seeks a motivated, career and customer-oriented **Journeyman** ** Quality Specialist ** to join our team in **Doral, FL** . **Responsibilities include ... limited to:** + Provides support in implementing the program Quality Management Plan (QMP) on assigned projects and at...projects in a timely manner, under the direction of senior Specialists + Perform document peer reviews, gap analyses,… more
- Defense Contract Management Agency (Orlando, FL)
- …learned. Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist , your resume and supporting documentation must ... in order to evaluate government and contractor data and determine contractor compliance with many aspects of quality control. Performing investigations of… more