... Management Services (FMS) programs. This position supports the organization's commitment to ... Produces clear, accurate, and timely documentation in accordance with departmental standards and ...
... Management Services (FMS) programs. This position supports the organization's commitment to ... Produces clear, accurate, and timely documentation in accordance with departmental standards and ...
... Management Services (FMS) programs. This position supports the organization's commitment to ... Produces clear, accurate, and timely documentation in accordance with departmental standards and ...
... Management Services (FMS) programs. This position supports the organization's commitment to ... Produces clear, accurate, and timely documentation in accordance with departmental standards and ...
Quality Assurance Specialist
Wilmington, DE · Remote
$47K - $57K/yr
Produces clear, accurate, and timely documentation in accordance with departmental standards and ... management, program monitoring, or a related field. * Experience with HIPAA compliance, fraud ...
Quick apply
Quality Assurance Specialist
Wilmington, DE · Remote
$47K - $57K/yr
Produces clear, accurate, and timely documentation in accordance with departmental standards and ... management, program monitoring, or a related field. * Experience with HIPAA compliance, fraud ...
Senior Auditor (Hybrid)
Wilmington, DE · On-site
$78K - $96K/yr
... departments, or divisions throughout the organization. Key Responsibilities * Plans, leads, and ... risk and fraud. * Develops strong relationships with business unit management to ensure that ...
Senior Auditor (Hybrid)
Wilmington, DE · On-site
$78K - $96K/yr
... departments, or divisions throughout the organization. Key Responsibilities * Plans, leads, and ... risk and fraud. * Develops strong relationships with business unit management to ensure that ...
Senior Auditor (Hybrid)
Wilmington, DE · Hybrid
$78K - $96K/yr
... departments, or divisions throughout the organization. Key Responsibilities * Plans, leads, and ... risk and fraud. * Develops strong relationships with business unit management to ensure that ...
Senior Auditor (Hybrid)
Wilmington, DE · Hybrid
$78K - $96K/yr
... departments, or divisions throughout the organization. Key Responsibilities * Plans, leads, and ... risk and fraud. * Develops strong relationships with business unit management to ensure that ...
Card Dispute Specialist
Dover, DE · On-site
... during absences within the department * Submit Suspicious Activity referrals as applicable ... for Manager approval. * Refer instances of card fraud related trends for Fraud Analyst to ...
Card Dispute Specialist
Dover, DE · On-site
... during absences within the department * Submit Suspicious Activity referrals as applicable ... for Manager approval. * Refer instances of card fraud related trends for Fraud Analyst to ...
Deputy Attorney General I-V Criminal & Delinquency Unit
New Castle, DE · On-site
$137K - $147K/yr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice is seeking motivated and skilled attorneys to ...
Deputy Attorney General I-V Criminal & Delinquency Unit
New Castle, DE · On-site
$137K - $147K/yr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice is seeking motivated and skilled attorneys to ...
Deputy Attorney General I-V Criminal & Delinquency Unit
Dover, DE · On-site
$95K - $147K/yr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice is seeking motivated and skilled attorneys to ...
Deputy Attorney General I-V Criminal & Delinquency Unit
Dover, DE · On-site
$95K - $147K/yr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice is seeking motivated and skilled attorneys to ...
Assistant Unit Head Deputy Attorney General V - Felony Trial Unit
New Castle, DE · On-site
$125K - $135K/yr
... fraud, and protect consumers in the First State. Attorney General Kathy Jennings is supported by ... In addition to managerial responsibilities, the AUH will manage their own caseload and bring on ...
Assistant Unit Head Deputy Attorney General V - Felony Trial Unit
New Castle, DE · On-site
$125K - $135K/yr
... fraud, and protect consumers in the First State. Attorney General Kathy Jennings is supported by ... In addition to managerial responsibilities, the AUH will manage their own caseload and bring on ...
The Legal Assistant will help manage all phases of the high volume, professional licensee ... Benefits Department of Justice Benefits Include: • May be eligible Loan forgiveness (State and ...
The Legal Assistant will help manage all phases of the high volume, professional licensee ... Benefits Department of Justice Benefits Include: • May be eligible Loan forgiveness (State and ...
Receptionist/Senior Office Associate (Merit comparable)
Dover, DE · On-site
$12.50 - $16.50/hr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice (DOJ) is seeking a Receptionist/Senior Office ...
Receptionist/Senior Office Associate (Merit comparable)
Dover, DE · On-site
$12.50 - $16.50/hr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice (DOJ) is seeking a Receptionist/Senior Office ...
... families, fight fraud, and protect consumers in the First State.\r\nIn meeting this mission ... the Department of Justice. Victim Service Specialists assist Deputy Attorneys General and work ...
New
... families, fight fraud, and protect consumers in the First State.\r\nIn meeting this mission ... the Department of Justice. Victim Service Specialists assist Deputy Attorneys General and work ...
New
Receptionist/Senior Office Associate (Merit comparable)
Dover, DE · On-site
$33K - $41K/yr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice (DOJ) is seeking a Receptionist/Senior Office ...
Receptionist/Senior Office Associate (Merit comparable)
Dover, DE · On-site
$33K - $41K/yr
... fraud, and protect consumers in the First State. In meeting this mission, Attorney General Kathy ... Summary Statement The Delaware Department of Justice (DOJ) is seeking a Receptionist/Senior Office ...
... families, fight fraud, and protect consumers in the First State.\r\nIn meeting this mission ... the Department of Justice.This VSS will assist Deputy Attorneys General, working directly with ...
New
... families, fight fraud, and protect consumers in the First State.\r\nIn meeting this mission ... the Department of Justice.This VSS will assist Deputy Attorneys General, working directly with ...
New
Deputy Attorney General I-V Child Support, Family Division
Wilmington, DE · On-site
$86K - $147K/yr
Summary Statement The Delaware Department of Justice (DOJ) is seeking an exceptional and highly ... manage complex family law matters, and collaborate with agency staff to achieve the Division ...
Deputy Attorney General I-V Child Support, Family Division
Wilmington, DE · On-site
$86K - $147K/yr
Summary Statement The Delaware Department of Justice (DOJ) is seeking an exceptional and highly ... manage complex family law matters, and collaborate with agency staff to achieve the Division ...
Sales Associate (Part-Time) - Milford, DE ( Milford Commons )
Milford, DE · On-site
$16.50/hr
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES * There are no supervisory ...
Sales Associate (Part-Time) - Milford, DE ( Milford Commons )
Milford, DE · On-site
$16.50/hr
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES * There are no supervisory ...
Sales Associate (Part-Time) - Milford, DE ( Milford Commons )
Milford, DE · On-site
$16.50/hr
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES * There are no supervisory ...
Sales Associate (Part-Time) - Milford, DE ( Milford Commons )
Milford, DE · On-site
$16.50/hr
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES * There are no supervisory ...
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES * There are no supervisory ...
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES * There are no supervisory ...
Sales Associate
Milford, DE · On-site
$13.25 - $15.90/hr
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES There are no supervisory ...
Quick apply
Sales Associate
Milford, DE · On-site
$13.25 - $15.90/hr
Sales Associate Department: Operations FLSA Status: Non-Exempt Reports To: Store Manager SUMMARY ... officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES There are no supervisory ...
Deputy Attorney General I-V Child Support, Family Division
Dover, DE · On-site
$137K - $147K/yr
... fraud, and protect consumers in the\r\nFirst State.\r\n\r\nIn meeting this mission, Attorney ... The Delaware Department of Justice (DOJ) is\r\nseeking an exceptional and highly motivated ...
Deputy Attorney General I-V Child Support, Family Division
Dover, DE · On-site
$137K - $147K/yr
... fraud, and protect consumers in the\r\nFirst State.\r\n\r\nIn meeting this mission, Attorney ... The Delaware Department of Justice (DOJ) is\r\nseeking an exceptional and highly motivated ...
Fraud Department Manager information
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Quality Assurance Specialist
Wilmington, DE • On-site
Other
Posted 10 days ago
Job description
TheQuality Assurance Specialistis responsible for ensuring compliance, accuracy, quality improvement, and regulatory adherence across Financial Management Services (FMS) programs. This position supports the organization's commitment to delivering high-quality services by conducting audits, monitoring program operations, analyzing trends, investigating compliance concerns, and identifying opportunities for process improvement.
Key Responsibilities:
Quality Assurance Reviews and Audits
- Maintains current knowledge of federal, state, payer, and organizational requirements governing Financial Management Services programs.
- Conducts routine and targeted audits of participant, attendant, payroll, enrollment, compliance, and administrative records to ensure accuracy, completeness, timeliness, and regulatory compliance.
- Identifies deficiencies and works collaboratively with program staff to implement corrective actions.
Compliance Monitoring
- Monitors program activities to ensure adherence to agency policies, contractual obligations, program standards, HIPAA requirements, and regulatory guidelines.
- Conducts record reviews, interviews, and validation activities to verify that procedures are being followed consistently and effectively.
Quality Review of Reports and Correspondence
- Reviews outgoing reports, corrective action plans, grievance responses, critical incident reports, fraud investigations, and other communications before submission to external stakeholders.
- Ensures documentation is accurate, complete, professionally written, and compliant with program requirements.
Data Systems Auditing
- Performs audits of electronic systems and databases, including CellTrak, Netsmart, Sendata, payroll systems, document management systems, and other technology platforms.
- Reviews data accuracy, timeliness of documentation, and compliance with established procedures.
- Identifies system-related issues and collaborates with operational and information technology staff to resolve discrepancies.
Documentation and Reporting
- Maintains detailed records of audits, investigations, corrective actions, quality reviews, and compliance monitoring activities.
- Produces clear, accurate, and timely documentation in accordance with departmental standards and regulatory requirements.
Other Duties
Performs additional quality assurance, compliance, and operational support activities as assigned by the FMS Quality Assurance Manager.
About Hirebridge
Sourced by ZipRecruiter
Industry
Software development
Company size
11 - 50 Employees
Headquarters location
Coral Springs, FL, US
Year founded
2000