• Clinical Account Manager - Georgia PDL - Remote

    Prime Therapeutics (Santa Fe, NM)
    …management activities including assurance of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate ... Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy payment/ administrative policies, rate maximization… more
    Prime Therapeutics (07/24/25)
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  • Pharmacy Technician a€" Specialty and Retail…

    WMCHealth (Valhalla, NY)
    …designated Point of Sale (POS) system for specialty prescriptions + Compliance & Quality Assurance : + Ensure all activities are compliant with HIPAA, ... designated Point of Sale (POS) system for specialty prescriptions + Compliance & Quality Assurance : + Ensure all activities are compliant with HIPAA,… more
    WMCHealth (08/01/25)
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  • Clin Supv-HC

    Covenant Health Inc. (Knoxville, TN)
    …this area (https://www.covenanthomecareandhospice.com/locations/) . Since 1978, we have provided quality home healthcare to allow patients to live with comfort, ... to the physician. + Communicates information among departments as necessary for Quality care and Process Improvement. + Takes administrative on-call when required as… more
    Covenant Health Inc. (05/15/25)
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  • Food Safety/ QA Superintendent

    JBS USA (Omaha, NE)
    …functions performed. + Organizes and coordinates the activities of the Food Safety and Quality Assurance team to meet and exceed quality , export, animal ... food/meat science skillsets. + Conducts investigations of plant Food Safety and Quality Assurance processes and ensures process improvements projects and tasks… more
    JBS USA (08/01/25)
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  • Supplier Process Lead

    O'Neal Industries, Inc. (Hamilton, OH)
    …relationships with commercial and technical representatives. + Collaborate with supplier and Quality Assurance to document non-conforming claims and promote ... + Develops and administers the supplier scorecard process in conjunction with Quality Assurance and Product Management to ensure a comprehensive approach… more
    O'Neal Industries, Inc. (06/06/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …and Operations teams regarding critical issues and trends. + Ensure adherence to quality assurance guidelines. + Monitor, research, and summarize trends, coding ... and support ad hoc projects, including time-sensitive requests. + Ensure adherence to quality assurance guidelines. + Maintain awareness of and ensure adherence… more
    Zelis (08/02/25)
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  • Intake Clerk

    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
    City of New York (06/29/25)
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  • Regional Field Service Manager II

    AO Smith (Lebanon, TN)
    …order to support and maintain assigned region. + Communicate with manufacturing, quality assurance , sales and engineering to resolve customer complaint issues. ... company policies, processes and procedures. + Negotiate validated labor claims with Reps & non-CSP's + Travel 80% in...+ Record, analyze, and inform concerned associates of production quality assurance , and sales departments of status… more
    AO Smith (07/09/25)
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  • Patient Accounts Rep - Cash Posting, Oceanport…

    RWJBarnabas Health (Oceanport, NJ)
    …and analyze reports related to billing, collections, and aging accounts. Compliance and Quality Assurance + Stay updated on healthcare billing regulations, HIPAA ... . This includes billing insurance companies, following up on outstanding claims , collecting payments from patients, responding to patient inquiries, and maintaining… more
    RWJBarnabas Health (07/22/25)
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  • Manager, Patient Safety and Risk Management

    Beth Israel Lahey Health (Boston, MA)
    …More than 10 years of related work experience required in Patient Safety, Quality Assurance , Risk Management, and/or Claims Investigation, including ... Provides notice to CRICO/RMF of all actual or potential claims , assists in the investigation of actual or potential... Quality team with responsibilities for patient safety, quality assurance , and risk management. + Training… more
    Beth Israel Lahey Health (08/01/25)
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