Claims Quality Auditor jobs in Alaska

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Quality Auditor - Project Internal
  • The Hawk Group
  • Anchorage, AK INTERN
  • Job Summary

    The Quality Auditor is responsible for management of the project Quality audit schedule and performing Quality audits per the approved schedule. They are also responsible for management of project Quality systems and reporting of project Quality metrics.


    Responsibilities

    • Understanding and implementation of quality assurance and quality control processes and procedures during the FEL and Execute phases of a project.
    • Proficiency in Quality audit processes, including nonconformance and corrective action.
    • Must be able to build and maintain a good working relationship internal and external project stakeholder.
    • Responsible for the administration of the project quality audit schedule
    • Perform quality audits.
    • Management of the project quality management system, e.g., plans, procedures, guidelines, forms, templates, etc.
    • Manages and monitors the development, review, and approval process of Quality Assurance procedures & processes.
    • Administration of project Quality systems (Deficiency Tracker, Nonconformance, and Corrective Action).
    • Follow-up on corrective actions and NCRs to assure timely closeout.
    • Compiles Quality Metrics for inclusion in monthly project reports.
    • Administers lessons learned and continuous improvement processes.
    • Participates in and provides oversight of EP Contractor(s) project Quality audits.
    • Monitor EP Contractor’s Quality performance versus approved Key Performance Indicators.
    • Tracks nonconformance reports and corrective actions issued by Company and/or EP Contractor(s).
    • Takes ownership of actions and follows through on commitments by courageously dealing with important problems, holding others accountable and standing up for what is right.
    • Generates effective solutions based on available information and makes timely decisions that are safe and ethical.
    • Invites dialogue to gain a shared understanding and influences with confidence to drive performance and achieve business results.
    • Builds strong relationships based on trust and seeks opportunities to collaborate across the matrix/organizational boundaries to achieve business goals.
    • Other duties as requested by Quality Director


    Required Qualifications

    • 3 years Quality Assurance experience


    Preferred Qualifications

    • Bachelor’s degree or higher in relevant field
    • Internal Auditor Certification

  • 1 Day Ago

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Project Internal Quality Auditor - Contract
  • ConocoPhillips
  • Anchorage, AK CONTRACTOR
  • ConocoPhillips is a leading oil and gas company that is hiring Project Internal Quality Auditors for contract positions. The Project Internal Quality Auditor is responsible for management of the proje...
  • Just Posted

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Lead Coding Quality Auditor *Remote
  • Providence
  • , AK OTHER
  • DescriptionProvidence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutua...
  • 1 Month Ago

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Patient Registration Quality Assurance Auditor/Trainer - Patient Access
  • Alaska Native Tribal Health Consortium
  • Anchorage, AK FULL_TIME
  • The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partners...
  • Just Posted

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Property adjuster
  • Sedgwick Claims Management Services
  • Anchorage, AK FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 10 Days Ago

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Regional General Adjuster - Casualty and Property Experience Needed! (Field)
  • Sedgwick Claims Management Services Inc.
  • Anchorage, AK FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 9 Days Ago

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Quality Auditor
  • ResourceMFG
  • Jacksonville, FL
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 2nd Shift: 2:30pm-11pm-$20/hr Job Descri...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Texas Children's Hospital
  • Bellaire, TX
  • Job Summary We are searching for a Quality Auditor - Benefits, Contracts, Fee Schedules Configuration/Testing - someone ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Loma Linda University Health
  • Loma Linda, CA
  • Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Catalent Pharma Solutions
  • Madison, WI
  • **Quality Auditor** **Position Summary:** Catalent is a global, high-growth, public company, and a leading partner for t...
  • 6/9/2024 12:00:00 AM

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Quality Auditor
  • Flextronics
  • Salt Lake City, UT
  • Job Posting Start Date 04-26-2024 Job Posting End Date 06-26-2024Flex is the diversified manufacturing partner of choice...
  • 6/8/2024 12:00:00 AM

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 6/7/2024 12:00:00 AM

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Quality Auditor
  • Amsted Automotive Group
  • Sterling Heights, MI
  • ABOUT THE ROLE Means TransForm Products is now the newest business unit of the Amsted Automotive Group, a premier techno...
  • 6/7/2024 12:00:00 AM

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Quality Auditor
  • Mauser Packaging Solutions
  • York, PA
  • JOB DESCRIPTION Responsibilities Performs quality assurance testing as required. Reviews production orders or schedules ...
  • 5/23/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$50,333 to $61,695

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019