Head of Quality Assurance for Healthcare Claims

Position Overview: The Director of Quality Assurance for Healthcare Claims is accountable for establishing, executing, and continuously improving a metrics-driven Claims Quality Assurance and Performance oversight initiative. This role involves defining benchmarks, calibrating processes, and generating reports to ensure adherence to established standards...

Position Overview: The Director of Claims Quality is tasked with establishing, executing, and continuously enhancing a metrics-driven Claims Quality Assurance and Performance oversight initiative. This role encompasses the development of frameworks and benchmarks, calibration, and reporting aligned with predetermined standards while fostering a culture of...

Position Overview:Innova Solutions is in search of a Director of Claims Quality to lead our client's initiatives in quality assurance within the claims sector.The Director of Claims Quality is tasked with establishing, executing, and perpetuating a comprehensive, data-driven Claims Quality Assurance and Performance Management program. This role encompasses...

Job SummarySovereign Claims, LLC is seeking a highly skilled Claims Handler to join our team. As a Claims Handler, you will be responsible for investigating and supervising outsourced investigations of CGL insurance claims and lawsuits related to construction projects.Key ResponsibilitiesInvestigation and Supervision: Conduct thorough investigations of CGL...

This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of...

Position: Software Quality Assurance SpecialistThe City of New York is looking for a proficient Computer Associate (Software) III to contribute to the Office of Revenue Management & Development (ORMD). This role involves the creation and execution of milestone-driven employment agreements within our Payment and Claiming System, aimed at streamlining payments...

Job Title: Software Quality Assurance SpecialistThe Office of Revenue Management & Development (ORMD) at City of New York is in search of a proficient Computer Associate (Software) III to enhance our team. This role involves the design and execution of milestone-driven employment agreements within our Payment and Claiming System, aimed at streamlining...

Job Title: Software Quality Assurance SpecialistThe Office of Revenue Management & Development (ORMD) at City of New York is looking for a proficient Computer Associate (Software) III to become a vital part of our organization. This role involves the design and execution of milestone-based employment agreements within our Payment and Claiming System, aimed...

Job DescriptionJob Title: Quality Resident Liaison/Automotive RepresentativeJob Summary:We are seeking a highly skilled Quality Resident Liaison/Automotive Representative to join our team at TRIGO Global Quality Solutions. As a Quality Resident Liaison/Automotive Representative, you will be responsible for ensuring customer satisfaction, building strong...

Position Overview:Software Guidance & Assistance, Inc. (SGA) is seeking a highly skilled Senior Quality Assurance Transformation Manager for a full-time role with a leading client in the insurance sector. Work Environment:This position requires in-office collaboration three days a week at designated locations. Role Responsibilities:As a pivotal member of the...

Position OverviewThis leadership role is pivotal in steering the design and assessment of Comprehensive Capital Analysis and Review (CCAR) processes for a forward-thinking global financial institution.Key Responsibilities:Supervise the strategic planning, execution, and independent validation to ensure the integrity of external reporting, particularly in...

Position OverviewThis leadership role is pivotal in supporting the design and evaluation of Comprehensive Capital Analysis and Review (CCAR) processes for a forward-thinking global financial institution.Key Responsibilities:Oversee the strategic planning, execution, and independent validation efforts to ensure the integrity of external reporting,...

Position OverviewThis leadership role is pivotal in supporting the design and testing of Comprehensive Capital Analysis and Review (CCAR) for a forward-thinking global financial institution.Key Responsibilities:Oversee the strategic planning, execution, and independent validation processes to ensure the integrity of external reporting, particularly in...

Position OverviewThis leadership role is pivotal in steering the design and evaluation processes for a forward-thinking global financial institution.Key Responsibilities:Supervising the strategic planning, execution, and independent validation to ensure the integrity of external reporting, encompassing CCAR and liquidity management.Overseeing a team...

Position OverviewThis leadership role is pivotal in overseeing the design and assessment of Comprehensive Capital Analysis and Review (CCAR) processes for a forward-thinking global financial institution.Key Responsibilities:Supervise the strategic planning, execution, and independent validation efforts to ensure the integrity of external reporting,...

A prominent healthcare organization is in search of a Senior Claims Analyst. This position entails managing intricate claims operations and ensuring the satisfaction of healthcare providers.Key Responsibilities:Oversee comprehensive claims processing workflowsEnsure quality assurance for external claims administratorsAddress and resolve concerns related to...

Diversant is seeking a qualified candidate for the position of Quality Assurance Analytics Lead. This role offers a hybrid work arrangement.Key Responsibilities:Act as a Subject Matter Expert (SME) in Quality Assurance initiatives.Possess a minimum of 3 years of experience with HEDIS.Demonstrate proficiency in SQL.Oversee a team of four analytics...

About the CompanyA dynamic and expanding global biotechnology firm specializing in Antibody-Drug Conjugate (ADC) therapies aimed at treating cancer patients. The organization boasts a strong pipeline with clinical indications in various phases, backed by solid financial support from a major pharmaceutical partner. Key ResponsibilitiesThis role will be...

Job SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at the City of New York. As a Quality Assurance Specialist, you will be responsible for ensuring the quality of building repairs and materials, inspecting materials for compliance with specifications, and preparing reports on field inspections.Key ResponsibilitiesInspect...

The Global Head of Compliance Assurance role will be a key part of the global compliance team with a focus on leading the Compliance Assurance Program globally. The individual will lead the identification, assessment and prioritization of key compliance risks, working closely with stakeholders and the regional and local compliance officers to develop risk...