- Cognizant (St. Louis, MO)
- …enhancing overall product quality . . Conduct manual end-to-end business process assurance testing, focusing on the Claims , Provider, and Payer domains. . ... **QA Analyst in Healthcare Domain with Payer & Claims Testing experience (Remote)** This is a remote...team. This role is ideal for someone passionate about quality assurance and automation, with a strong… more
- Mass Markets (Wichita, KS)
- …as a trusted partner in the industry. We are seeking a detail-oriented and strategic Quality Assurance Manager to lead the QA function in our BPO contact center. ... You will be responsible for ensuring service quality , compliance, and continuous improvement across multiple client accounts. This is a key leadership role that… more
- Mass Markets (Macdill AFB, FL)
- …in the industry. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. You'll oversee QA analysts, ... with client standards, and drive continuous improvement in service quality . To be considered for this role, you must...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- Guardian Life (Bethlehem, PA)
- …is responsible for meeting key service deliverables such as turnaround times, quality assurance , and overall customer experience. This position utilizes problem ... for initial and ongoing claim management (eg current earnings, other income benefits, medical information, etc.); notifies claimants when claims are pended for… more
- PennyMac (Fort Worth, TX)
- …required process infrastructure, policies, procedures, and operational routines + Audit functions/ quality assurance of key processes to ensure compliance + ... through the complete mortgage journey. A Typical Day The Claims Supervisor is responsible for providing structure and oversight...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
- Stanley Black and Decker (Towson, MD)
- …and detail-oriented individual to join our Legal Team as a Supervising Claims Coordinator. In this position, you will provide administrative support to Product ... Liability Counsel, Litigation Managers and Safety Assurance Managers. This is a hybrid role based in...balances. + Disseminating mail and assist with opening new claims /suits, pull files, photocopying, maintaining log of PTO and… more
- TEKsystems (Reston, VA)
- …ESSENTIAL FUNCTIONS: 50 Independently researches contractual benefits limitations exclusions and claims to assist medical professional staff in performing the ... to internal and external stakeholders without breaching confidentiality of medical information. Actively participates in monthly meetings and discussions regarding… more
- Emanate Health (Covina, CA)
- …indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and ... company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and… more
- GuideOne Insurance (West Des Moines, IA)
- …QA Automation Engineer, you will play a key role in ensuring the quality , performance, and reliability of our software solutions-focusing on insurance platforms and ... shared services applications that support policy administration, underwriting, billing, and claims processing. In this role, you will design, develop, and execute… more
- General Dynamics Information Technology (Menands, NY)
- …Be Able to Obtain:** None **Public Trust/Other Required:** None **Job Family:** IT Quality Assurance **Skills:** Healthcare Claims , Quality Assurance ... determine the possibility of adding test cases to the Quality Assurance Regression (QAR) baseline + Add...REQUIRED TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of… more