• Senior Claims Specialist

    Axis (Alpharetta, GA)
    …& Quality Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the ... taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims... Claims Specialist** AXIS is seeking a Senior Claims Specialist to join our North America Claims… more
    Axis (06/25/25)
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  • Senior Compliance Coding Analyst - Audit…

    Houston Methodist (Houston, TX)
    …risk and identify and capture potential revenue opportunities. This position performs quality assurance , detailed claims analysis and medical record ... are being billed to patients and third-party payers. Performs quality assurance . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Proactively stays up-to-date… more
    Houston Methodist (05/30/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
    CHS (06/14/25)
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  • Quality Assurance (BlueCard) LOS-…

    CareFirst (Baltimore, MD)
    …regulations. **ESSENTIAL FUNCTIONS:** Perform BlueCard Plan to Plan and General Inquiry quality assurance audits to investigate all aspects of the systems ... of BlueCard-related transactions in a specific area of operations (ie, claims , customer service) within the organization. Incumbent conducts a variety of… more
    CareFirst (07/17/25)
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  • Pharmacy Quality Assurance…

    Elevance Health (Tampa, 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
    Elevance Health (08/02/25)
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  • Manager, Claims Management

    Walmart (Bentonville, AR)
    …Monitor the team's phone queue to ensure that customer needs are addressed timely. ** Quality Assurance & Compliance** + Conduct claim reviews to ensure accurate ... **Position Summary ** **What you'll do ** The ** Claims Manager** is responsible for **leading** a team...coding, claim quality , accuracy, compliance with jurisdictional requirements, timeliness of benefits,… more
    Walmart (07/29/25)
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  • DCT Revenue Cycle Quality Assurance…

    State of Minnesota (Vadnais Heights, MN)
    **Working Title: DCT Revenue Cycle Quality Assurance Analyst** **Job Class: Management Analyst 4** **Agency: Direct Care and Treatment** + **Job ID** : 87792 + ... exciting and rewarding opportunity as a DCT Revenue Cycle Quality Assurance Analyst! As the DCT Revenue...the revenue cycle, including billing, coding, insurance verification, and claims processing. The goal is to identify areas of… more
    State of Minnesota (07/25/25)
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  • Raw Material Audit Technician

    Sysco (Las Vegas, NV)
    **SUMMARY** : Implement Food Safety & Quality Assurance (FSQA) raw material audit support/evaluation program and inspection/ audit process to ensure ... of meat, poultry and/or seafood products including product specifications. Experience as a Quality Assurance or Quality Control Technician in a meat… more
    Sysco (06/28/25)
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  • Feed Quality Assurance Technician

    New Vision Co-op (Worthington, MN)
    Feed Quality Assurance Technician Worthington, MN (http://maps.google.com/maps?q=1301+County+Road+5+Worthington+MN+USA+56187) Job Type Full-time Description With ... and share in-house test results with Supervisor. + File claims and monitor results on feed ingredients that do...+ Accept additional responsibilities as directed by Feed Division Quality Assurance Manager. Requirements + HS Diploma/GED… more
    New Vision Co-op (07/15/25)
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  • Head of Assurance

    Zurich NA (Schaumburg, IL)
    …testing, thematic reviews, and deep-dive assessments. + You will oversee and perform quality assurance on regional/local Compliance assurance activities. + ... activities remain relevant and forward-looking. + You will partner with Legal, Risk, Audit , and other assurance functions to deliver a coordinated and integrated… more
    Zurich NA (07/19/25)
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