Claims Quality Assurance Evaluator & Trainer Jobs | Glassdoor

Claims Quality Assurance Evaluator & Trainer Jobs

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  • 3.3
    Montana State Fund – Helena, MT
    Est. Salary $31k-$45k
    4 days ago 4d
    and analyzes policy related quality assurance trends in collaboration with Policy quality assurance staff, and prepares and delivers… revising outdated procedures. This position also provides quality assurance review on First Report of Injury (FROI) entries completed…
  • 2.9
    Fallon Community Health Plan – Worcester, MA
    Est. Salary $35k-$55k
    Today 4hr
    Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to develop individual skills… established guidelines. * Evaluation and resolution of Customer Service cases related to pended claims. * Demonstrate solid judgment…
  • 3.2
    New York City Health and Hospitals Corporation – New York, NY
    7 days ago 7d
    organizational methods. The UAT Coordinator/Trainer assists and supplements the Claims Trainer. Organizes and conducts orientation on-the-job… testing and evaluation procedures. * Other duties as assigned by the Director and/or Deputy Director of the Claims Department…
  • Erie County Sheriff-New York – Buffalo, NY
    Est. Salary $51k-$87k
    24 days ago 24d
    implementation of training courses; selecting, supervising, and evaluating trainers and/or vendors; assessing the outcomes of training courses… for the position of: Youth Services Staff Development Quality Assurance Manager #65-157 - Open Competitive (open to the public…
  • 2.3
    Metroplus Health Plan – New York, NY
    13 days ago 13d
    UAT Coordinator/Trainer Job Ref: 31625 Category: Claims Department: CLAIMS Location: New York, NY Job Type:… organizational methods. The UAT Coordinator/Trainer assists and supplements the Claims Trainer. Organizes and conducts orientation on-the-job…
  • 2.9
    Fallon Health – Worcester, MA
    Est. Salary $46k-$68k
    1 days ago 21hr
    Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to develop individual skills… process high complexity claims efficiently and in a quality manner. Advanced understanding of complex claim processing from all perspectives…
  • 2.7
    Georgia Center for Nonprofits – Atlanta, GA
    EASY APPLY
    Est. Salary $35k-$63k
    1 days ago 22hr
    Management and Program Evaluation Oversee local implementation of national quality assurance and evaluation activities Ensure… persevere through college and career transitions, willing to claim their value, and prepared to be agents in the creation of more…
  • 3.2
    Piedmont Healthcare – Atlanta, GA
    1 days ago 23hr
    RHIT, CCS, CPC-H, CCS-P, CIRCC, CPC, AHIMA approved ICD-10 trainer, or equivalent coding certification required. Multiple certifications… for coding. Leading research and analyses in charge review, claims edit, and coding work queues. Manages the work of staff who…
  • 3.3
    Carefirst Blue Cross Blue Shield – Owings Mills, MD
    Est. Salary $49k-$77k
    10 days ago 10d
    changes or conflicts. The Senior Trainer is often proficient in 2 or more skill-sets (claims, service, enrollment). Serves as… Preferred: BS degree. Trainer certification, knowledge of FACETS system operational experience in Service, Claims and/or EAB. Basic…
  • 2.6
    Direct General Insurance – Baton Rouge, LA
    Est. Salary $34k-$57k
    24 days ago 24d
    Job Title: Quality Assurance Specialist (Bilingual English/Spanish Required) Requisition Number: R95795 FT… monitoring and evaluating both Client Satisfaction (CSAT) and contact performance to ensure compliance with internal quality standards…
  • 2.9
    Fallon Community Health Plan – Worcester, MA
    Est. Salary $46k-$68k
    14 days ago 14d
    Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to develop individual skills… plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.…
  • 3.5
    Boston Medical Center HealthNet Plan – Charlestown, MA
    Est. Salary $50k-$77k
    17 days ago 17d
    completion. Collaborates with the Quality Specialist Senior and Customer Care Trainer in developing quality measurements and training… including basic understanding in Claims, Enrollment and Customer Service functions with application of Quality Improvement concepts, practices…
  • Von Mizener Consulting – Albany, GA
    EASY APPLY
    4 days ago 4d
    dismissal of QC Manager and/or other QC staff) to assure contractors quality control program is in accordance with the contract… personnel within NAVFAC and Supported Commands Serve as coach/trainer/mentor for members who have not attained the level of expertise…
  • 2.7
    Precon Marine, Inc – Chesapeake, VA
    3 days ago 3d
    Tool Box Talks conducted by subcontractors to assure documentation and quality. Perform root cause and accident investigation… Active coordination with Director of HR for identification of Claims trends and proactive risk management and training needs Enforce…
  • 2.9
    Fallon Community Health Plan – Worcester, MA
    Est. Salary $31k-$44k
    22 days ago 22d
    Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to develop individual skills… department standards: productivity; quality; and attendance. * Responsible for claims editing on claims due to data entry errors.…
  • Puget Sound Home Health – Tacoma, WA
    1 days ago 1d
    Positively interacts with any level employee Dynamic presenter and trainer Travel required as requested Physical Requirements… survey responses, exit interview information, unemployment claims data and turnover statistics. Develops and/or revises human…
  • 3.5
    Valley Regional Medical Center – United States
    Est. Salary $69k-$110k
    1 days ago 1d
    first year of hire. TeamSTEPPS Master Trainer required; If not already a Master Trainer, must obtain certification within 12 months… necessary manage facility claims while maintaining privilege of PSWP Notify HCI of all actual and potential claims Work with security…
  • Medical Center of Arlington- Arlington (Dallas/Ft – United States
    2 days ago 2d
    certifications required by State TeamSTEPPS Master Trainer If not already a Master Trainer, must obtain with 12 months of hire.… necessary manage facility claims while maintaining privilege of PSWP Notify HCI of all actual and potential claims Work with security…
  • Department Of Veterans Affairs – Canandaigua, NY
    Est. Salary $33k-$47k
    10 days ago 10d
    position conducts quality assurance in the form of silent monitoring of incoming and outgoing calls, and evaluation of Women Veteran… , New York, and is known organizationally as the QA Monitor/Trainer. The WVCC is a national program that is the collaborative effort…
  • 2.9
    The Woman's Hospital of Texas – United States
    Est. Salary $85k-$133k
    2 days ago 2d
    necessary manage facility claims while maintaining privilege of PSWP Notify HCI of all actual and potential claims Work with security… first year of hire. TeamSTEPPS Master Trainer required; if not already a Master Trainer, must obtain within 12 months of hire…
  • 2.8
    Dakota County – Apple Valley, MN
    Est. Salary $44k-$61k
    10 days ago 10d
    Researches, evaluates findings, and makes recommendations on procurement matters, for cost efficiency and quality/safety compliance… for various department functions. 6. Serve as a floater/trainer, covering support staff positions and training new staff in…
  • 2.9
    York Risk Services Group Inc. – Parsippany, NJ
    Est. Salary $103k-$184k
    11 days ago 11d
    multimedia) to execution (internal, external, train-the-trainer) to evaluation, ensuring learning and development is delivered with… embed L&D programs. Oversee curriculum development, quality assurance processes, training collateral, version releases and ensure…
  • York Claims Service – Parsippany, NJ
    Est. Salary $125k-$221k
    12 days ago 12d
    multimedia) to execution (internal, external, train-the-trainer) to evaluation, ensuring learning and development is delivered with… embed L&D programs. Oversee curriculum development, quality assurance processes, training collateral, version releases and ensure…
  • Mountain Home VAMC – Pineville, LA
    8 days ago 8d
    Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following… training and research. The VHA SimLearn focuses on train-the-trainer clinical simulation activities using full range of simulation…
  • Mainland Medical Center - Texas City – United States
    12 days ago 12d
    first year of hire. TeamSTEPPS Master Trainer required; If not already a Master Trainer, must obtain certification within first… necessary manage facility claims while maintaining privilege of PSWP Notify HCI of all actual and potential claims Work with security…
  • 2.5
    West Houston Medical Center - Houston – United States
    Est. Salary $79k-$124k
    10 days ago 10d
    first year of hire. TeamSTEPPS Master Trainer required; If not already a Master Trainer, must obtain certification within 12 months… necessary manage facility claims while maintaining privilege of PSWP Notify HCI of all actual and potential claims Work with security…
  • 4.1
    Delmarva Foundation – Cerritos, CA
    Est. Salary $95k-$124k
    24 days ago 24d
    lead or direct the work of others, providing training and quality assurance for their work. * Provides job specific orientation… scheduling, registration and attendance, quality control of training products and evaluation summaries. * Understands and complies…
  • 3.4
    Eastern Idaho Regional Medical Center – United States
    Est. Salary $89k-$139k
    11 days ago 11d
    manage facility claims while maintaining privilege of PSWP - Notify HCI of all actual and potential claims - Work with… required by State · TeamSTEPPS Master Trainer o If not already a Master Trainer, must obtain with 12 months of hire.…
  • 4.1
    VetSource – Portland, OR
    18 days ago 18d
    quarterly Team goals. · Development of and monitoring of quality assurance programs to achieve key Team metrics. · Other duties… companies, employers and/or their representatives from any and all claims that I may have, or which may arise, against any and/or all…
  • 3.3
    Anthem – Richmond, VA
    15 days ago 15d
    problem solving claims and contracting issues, as necessary. Hires, trains, coaches, counsels and evaluates performance of direct… . Supports quality initiatives and activities, including adherence to National Committee for Quality Assurance (NCQA) standards…
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