Director of Claims Quality & Performance Excellence
6AM City
6AM City, LLC is looking for a Director of Claims Quality to lead a data-driven quality assurance program in New York City. This permanent role requires working onsite 2 days a week. The ideal candidate will manage provider reimbursement teams, conduct audits, and oversee operations to ensure compliance with health plan regulations. A minimum of 7-10 years in claims operations and a Bachelor’s Degree are required. Master’s Degree preferred. #J-18808-Ljbffr
- ...insurance provider, is searching for a Director of Claims Quality. This is a permanent role where... ...driven Claims Quality Assurance and Performance oversight program to ensure payment... ...using current and new technology, achieving service excellence. #J-18808-Ljbffr...PerformanceClaimsPermanent employment2 days per week
- ...Overview Job title: Director of Claims Quality Company: MetroPlusHealth Job Details Location: New York City, NY Job date: Sun, 03 Dec 2023 0... ...facilitate a data- and metrics-driven quality assurance and performance oversight for claims. Responsibilities Create, deliver,...PerformanceClaims
$91k - $210k
...motivated Revenue Integrity Operations Excellence Epic Consultant to join our team. In this... ...the healthcare industry. Responsibilities Perform audits, consolidations, and... ...cycle Epic application to increase clean claim rate, reduce denial rates and increase cash...PerformanceClaims$150k - $165k
...The Crew We are hiring a Director of Quality Assurance to lead our Quality... ...visibility into factory performance, ensuring data drives our manufacturing... ...and govern technical excellence standards for our global... ...product-related warranty claims, improving repairability of...PerformanceClaimsSummer workWork at office- ...Assistant Manager, Quality Control & Compliance Town & Country... ...brings unmatched expertise and excellence in sales, design, development... ...meet applicable color, performance and workmanship standards, as... ...alignment with product standards and claims. Upload and maintain...PerformanceClaims
$100k - $120k
...emphasis on comfort, aesthetics and quality. Delta Galil develops... ...collaboratively to maintain quality performance and support continuous... ...results for performance and claims testing. Monitor supplier quality... ...in Microsoft Office (Word, Excel, PowerPoint, Teams) and...PerformanceClaimsWork at office- ...US, to provide a Co-Head of Quality Assurance.Reporting into the... ...rules, and reviewing amended claims package submissions.OverviewQuality... ...mentorship, guidance, and performance feedback.Foster a... ...skills with attention to detail.Excellent written and verbal communication...PerformanceClaimsRemote work
- ...GC Services Limited Partnership d/b/a InteLogix is seeking a Director of Training and Quality to improve training, quality assurance, and performance programs across customer service operations within a BPO environment. The role involves partnering with various departments...Performance
$200k - $250k
...Insurance Learning-Underwriting & Technical Excellence The Global Head Insurance Learning-... ...education of underwriters and claims adjusters. This role spans across Chubb'... ...ability to attract, develop and retain high-performing team Experience managing a geographically...PerformanceClaimsApprenticeshipWork at officeLocal area- ...The Director, Sales Operations & Field Excellence is responsible for leading the design, execution... ..., and drive measurable performance improvements in close... ...high standards of data quality and operational integrity... ...IQVIA, DDD, Exponent, LAAD, claims, and Specialty Pharmacy...PerformanceClaimsFull timeTemporary workWork at officeRemote workFlexible hours1 day per week
$26 - $31.5 per hour
.... With 160 years of clinical excellence and innovation, Hanger\'s vision... ...seeking a Supervisor, RCM Quality Audit - Remote Reporting to the... ...as part of the Revenue Cycle Performance Group, the Revenue Cycle... ...processes, coding and billing, claim submission, payment posting,...PerformanceClaimsHourly payFull timePart timeWork experience placementWork at officeLocal areaRemote workRelocation packageFlexible hours$70 per hour
...processes The Lead ensures delivery excellence by implementing scalable automation solutions improving quality outcomes and accelerating... ...processes including policy claims billing and underwriting... ...architecture Understanding of performance engineering concepts and collaboration...PerformanceClaimsWork experience placement- ...subrogation, loss transfer, and construction claims. With offices in New York and New Jersey... ..., Innovation, Efficiency, and Excellence . We pride ourselves on delivering strategic... ...collaboration, mentorship, and high performance. Position Overview We are seeking...PerformanceClaims
$91k - $106.5k
...and test cases for healthcare claims finance systems, ensuring... ...ensuring timely resolution. Performance Testing: • Conduct... ...changes to enhance efficiency and quality. Root Cause Analysis:... ...processes and finance concepts. Excellent problem-solving and...PerformanceClaimsPermanent employmentFull timeTemporary workWork experience placementImmediate startWorldwideFlexible hours- ...Provide scientific input to claims development, substantiation,... ...Develop and maintain sensory, performance, and experience evaluation... ...consistency and operational excellence through SOPs, tools, and training... ...on-site) Role Summary The Director, Consumer Science & Claims...PerformanceClaimsFlexible hoursAfternoon shift
$325k - $400k
...of U.S. Commercial Operations Excellence will play a pivotal and... ...inform decisions that will drive performance across our U.S. innovative medicines... ...to ensure timely, high quality support to North America commercial... ...and tactics. Utilize various claim data sources to identify...PerformanceClaimsFlexible hours$225k - $300k
...appearances. Develop case strategy, evaluate claims, and provide clients with exceptional... ...ability to independently run files. Excellent communication, negotiation, and... ...on settlements and verdicts. Annual performance-based bonuses. Supportive, growth-oriented...PerformanceClaimsFull time- ...TopDog Law LLC is seeking a Claims Verification Supervisor to oversee the claims verification team. This... .... Responsibilities include managing team performance, ensuring documentation accuracy, and supporting quality control measures. Join us and help shape the future...PerformanceClaims
- ...specialized Manager of Regulatory Affairs & Quality Assurance to lead our compliance efforts... ...International standards for barrier performance, including fluid resistance (ASTM F903)... ...packaging to ensure accurate regulatory claims and prevent the marketing of unverified...PerformanceClaims
- ...Job Title: Insurance Claims Specialist Job Type: Full-Time, Remote Working Hours: US Hours... ...reporting on claims status, trends, and performance metrics Qualifications 2+ years... ...Familiarity with agency management systems Excellent written and verbal communication skills...PerformanceClaimsFull timeRemote workWork from home
$100k - $143k
...experienced QA Test Engineering Lead to lead quality assurance for the Claims & Money Movement train within the... ..., regression, system integration, performance, and release testing. Review and... ...to drive systemic improvement. Excellent communication skills with the...PerformanceClaimsLocal area3 days per week- ...Pet Insurance Claims Examiner/Adjuster – Administrative Strategies (AdStrat) Work... ...processing experience with a track record of quality performance. Veterinary Technician experience is... ...least one 24‑inch or larger monitor. Excellent oral and written communication skills....PerformanceClaimsFull timeTemporary workRemote workWork from homeWeekend work
$36k
...Services LLC Join a team that delivers excellence across the nation. Accelerated Services... ...is ideal for safety-focused, high-performing drivers who take pride in delivering vehicles... ...to minimize individual driver damage claims Meet a minimum of 10,000 miles per...PerformanceClaimsContract workFor contractorsRelocation package$150k - $210k
...patients everywhere can receive the same high-quality care. Our software focuses on three key... ...save more of the 10 million lives it claims each year. Every line of code, every... ...testing to ensure product integrity and performance Investigate and troubleshoot issues identified...PerformanceClaimsTemporary workLocal areaImmediate startRemote workWorldwideHome office- ...processing medical insurance claim overpayments that were identified... ...JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES Perform a variety of... ...with focus on accuracy and quality. Complete special projects as... ...degree in role related field. Excellent communication skills; verbal...PerformanceClaims
$118.1k - $155k
...hear from you. The Business Excellence, Asset Management Lead & Content... ...adherence, and execution quality. Key Responsibilities Business... ...business objectives Monitor vendor performance against KPIs/SLAs and manage... ...for DAM, content libraries, claims automation, and modular...PerformanceClaimsContract workLocal area$95k - $115k
...the largest in the city.RoleThe Director of Learning & Development (L&D) and Quality is responsible for fostering a culture... ...learning and operational excellence across all departments within Aman... ...quality management systems and performance evaluation tools.Familiarity with...Performance$140k
...carefully curated spaces paired with excellence in service to delight the most sophisticated... ...to New York. Job Description The Director of Quality and Training oversees and administers... ...creating plans to enhance employee performance and guest satisfaction. The manager...PerformanceFull timeShift work$65k - $90k
...your expertise in long‑term disability claims to review and ensure the accuracy and... ...deadlines. Key Responsibilities Assess the quality of physician reports, ensuring they... ...‑motivated, with a strong drive for performance excellence. Excellent written and verbal communication...PerformanceClaimsTemporary workWork from home$85k - $95k
...to pinpoint trends, evaluate performance, and mitigate risk. You will... ...large datasets using rigorous quality control to ensure accuracy. Generate... ..., cyber, etc. Report claims under insurance policies, update... ...of work experience Advanced Excel skills (vlookups, pivot...PerformanceClaimsWork experience placement
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