- Highmark Health (Raleigh, NC)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Glenmark Pharmaceuticals Inc., USA (Monroe, NC)
- QA Director - Site Investigations & Quality systems Department: Quality Plant Head Location: Monroe, NC START YOUR APPLICATION ... SUMMARY: This position is responsible for overall adequacy of all non-conformances investigations logged at site in respect to local and global procedures as… more
- City of Durham (Durham, NC)
- …Planning and Compliance Coordinator - Stormwater Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4886589) Apply Environmental Planning ... and Compliance Coordinator - Stormwater Salary $62,338.00 - $96,700.00 Annually Location Durham, NC Job Type Full time with benefits Remote Employment Flexible/Hybrid… more
- University of North Carolina at Charlotte (Charlotte, NC)
- …Full-time Months Per Year: 12 Essential Duties and Responsibilities: The IBC Coordinator provides program support to the Office of Research Protections and Integrity ... review of training records and adherence to best practices. + Coordinate investigations and resolve complex problems, including but not limited to noncompliance… more
- ATI (Monroe, NC)
- …high performers as proven as our products. Join us. We are seeking a Safety Coordinator to work in the Environmental, Health and Safety department at our Monroe, NC ... line management. + Serve as an active leader in the review of incident investigations . + Review safe task procedures and assure adherence to company policy and… more
- Cardinal Health (Raleigh, NC)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Raleigh, NC)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Raleigh, NC)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Raleigh, NC)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- HAECO (Greensboro, NC)
- …customer auditors. + Processes customer audit findings and responds to customer investigations on behalf of HAECO within specified timelines. + Maintains the ... Request's as necessary to address vendor performance. + Conducts all investigations , interviews and identifies root causes. Reviews recommended corrective and… more
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