- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …be able to attend a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...- Certified HACCP Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …Registrations + Valid Driver's License with acceptable motorist history required. + Auditor Certification required (ie American Society for Quality - Certified ... allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in...Food Safety & Quality Auditor , Certified Supplier Quality Professional and/or able to obtain… more
- Conduent (Dallas, TX)
- …a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification ?** **Would you like to ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …as a Quality Assurance Manager in a manufacturing setting + A Certified Aerospace Auditor certification is preferred + Qualified candidates must be an ASQ ... Certified Manager of Quality/OE, Certified Quality Auditor or a Certified Quality Inspector + Experience with...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- NTT DATA North America (Decatur, IL)
- …Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and ... UM process which includes initiating Case Management, requesting Pre- Certification , submitting Medical Reviews, and Independent Dispute Resolution. The successful… more
- Actalent (West Des Moines, IA)
- …auditing and pricing a wide variety of claim types and identifying claims requiring further review. The Nurse Auditor will also maintain productivity goals, ... Job Title: Nurse Auditor Job Description We are seeking a highly...procedures. + Audit and price a diverse range of claim types. + Identify claims with inaccurate… more
- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
- Elevance Health (Richmond, VA)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- ManpowerGroup (Vienna, VA)
- …of life insurance products + In-depth knowledge of life insurance products, claims processes, and regulatory compliance requirements. + Certification in ... seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- Elevance Health (Indianapolis, IN)
- …provider management team by presenting preliminary review results. + Verifies dollar amount on claim is correct in claims system and writes report of the ... **Provider Auditor -** FRD > Audit **Hybrid 1:** This...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
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