Director of Claims Quality & Performance Excellence
6AM City, LLC
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 6AM City, LLC
- ...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... ...current and new technology, achieving service excellence. #J-18808-Ljbffr 6AM City, LLCPerformanceClaimsPermanent employment2 days per week
$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- ...brings unmatched expertise and excellence in sales, design, development... ...-driven Assistant Manager, Quality Control & Compliance, to support... ...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$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$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- ...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
- ...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- ...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
$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- ...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
$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- ...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
$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$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$95k - $115k
...Director Of Learning & Development (L&D) And Quality Location Overview Join our team in Aman New York. East meets... ...continuous learning and operational excellence across all departments within... ...quality management systems and performance evaluation tools. Familiarity...Performance$118.1k - $155k
...want to hear from you. The Business Excellence, Asset Management Lead & Content Librarianis... ...objectives ~ Monitor vendor performance against KPIs/SLAs and manage issue escalation... ...strategy for DAM, content libraries, claims automation, and modular content reuse...PerformanceClaimsLocal area- ...correctional health care systems in quality of and innovations to care,... ...the Chief of Medicine, the Director of Quality Initiatives will... ...NYC H+H Quality Assurance Performance Improvement (QAPI)... ...correctional healthcare; Excellent interpersonal communication...PerformanceFull timeWork at officeShift work
- ...across complex Medicaid platforms, ensuring quality delivery, regulatory compliance, and... ...) End-to-end testing Regression testing Performance and operational readiness testing Manage... ...Medicaid system implementations involving:Claims processing Provider management...PerformanceClaimsHourly payTemporary workLocal areaRemote workFlexible hours
- ...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
$60k - $90k
...changes and inquiries. Process insurance claims and follow up with customers on claim... ...organizational skills and attention to detail. Excellent customer service and communication... ...Insurance Paternal/Maternal Leave Performance Based Pay (Base + Commission) Compensation...PerformanceClaimsFull time- ...is seeking a TEMP-Workers' Compensation Claims Adjuster for a temporary assignment based... ...compensation package, including performance-based incentives and a comprehensive benefits... ...available and additional requirements include excellent communication and negotiation skills. #J...PerformanceClaimsTemporary workRemote work
- ...a passion for creating high-quality, organic cold brew that delivers... ...Overview: As the Director of Quality, you will own the... ...reflects our commitment to excellence. Reporting to the Cofounder... ...leadership visibility into quality performance, trends, and risks....PerformanceFull time
- Job Description Quality Assurance Manager This position will be full time onsite in Grove... ...regulatory and Company requirements and to perform gap assessments to those requirements.... ...the weight of evidence associated with a claim/hypothesis/ assertion is preferred. Ensures...PerformanceClaimsFull timeWork experience placementWork at office
$70k - $125k
...customer service and operational excellence./ppLocation: This role is... ...Be Doing/h3ulliProvide high quality support that meets designated... ...inquiries are related to billing/claims processing, product... ...experience/qualifications, interview performance, market data, etc. Total...PerformanceClaimsWork at officeRemote work1 day per week$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
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