- Insight Global (New York, NY)
- Job Description Responsibilities: Perform detailed quality audits on credentialing files to ensure compliance with NCQA, TJC, and organizational standards. ... and timeliness of all credentialing data. Ensure credentialing files meet internal SLAs and quality ... and/or payer enrollment experience, with demonstrated exposure to audit or quality review processes. Strong understanding… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …your success. This position has dually aligned responsibilities, while striving for excellent quality of patient care; 1). Payer Credentialing initial and re- ... requirements of delegated agreements, creating file review rosters, file review audit (electronically), coordinating quality reporting, reviewing findings and… more
- Medtronic (Los Angeles, CA)
- …compassionate world. **A Day in the Life** In this exciting role as an Audit Compliance Manager, you will have responsibility for leading the compliance audit ... Compliance Manager is responsible for managing the compliance audit program, for internal, external and supplier audits at...in the office and 2 days working in a remote capacity. A Day in the Life: Responsibilities may… more
- Magellan Health Services (Boise, ID)
- …and other metrics. + Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary ... action as necessary. + Coordinates quality improvement activities under the direction of clinical management. + Assists management in the development of strategic… more
- Molina Healthcare (TX)
- …and accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial ... customers as it pertains to contracting, network management and credentialing . **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from outside party(ies) for… more
- Guthrie (Sayre, PA)
- …, privileging, and medical staff governance support. This position supports quality patient care by conducting thorough credentialing activities in ... This is a hybrid position, with a combination of remote work and on-site presence as required by operational...3 years of experience in a medical staff or credentialing role. + * Knowledge of NAMSS ICS, Joint… more
- University of Pennsylvania (Philadelphia, PA)
- …Specialist C, prepares submissions to the FDA in CTD or eCOPY format, conducts quality reviews of all regulatory documents for submission and any data reports, and ... templates). This individual communicates independently at all levels and ensures audit /inspection readiness of assigned projects. The Regulatory Affairs Specialist C… more
- Organon & Co. (Plymouth Meeting, PA)
- …with key stakeholders in Commercial, Legal, Compliance, Privacy, Procurement, Business Technology, Quality & Audit , and Pharmacovigilance at all levels of our ... Global, Regional and Market level stakeholders including Commercial, Legal, Compliance, Quality & Audit , Privacy, Pharmacovigilance, and other associated… more
- Fujifilm (St. Paul, MN)
- …Director, Finance and Accounting. + Prepare documentation & support internal and external audit requirements as needed + Adheres to the Company's quality and ... + Medical, Dental, Vision + Life Insurance + 401k + Paid Time Off *\#LI- Remote _In the event that COVID-19 vaccine mandates issued by the federal government, or… more
- Medtronic (Milwaukee, WI)
- …well as ensuring product safety with product test review, data trending, audit support, and performing non-conformance investigations. Join a team of passionate ... samples or stability samples in support of the company's quality program. + Develop, validate, and implement controlled environment...is required but willing to accommodate 1 day of remote work a week + Flexible and open minded… more