Coding certification (CPC or COC, CPMA et.), Claims and insurance experience. Medical records auditing. Education Level : * High School Diploma or GED Experience : * 5 years Auditing, Quality ...

35 Bravens Insurance Jobs Hiring Near You
Coding certification (CPC or COC, CPMA et.), Claims and insurance experience. Medical records auditing. Education Level : * High School Diploma or GED Experience : * 5 years Auditing, Quality ...
Educates individuals, brokers, and FMOs regarding insurance options in the Medicare marketplace and effectively explains processes/guidelines. * 20% Develops and maintains a strong relationship with ...
Educates individuals, brokers, and FMOs regarding insurance options in the Medicare marketplace and effectively explains processes/guidelines. * 20% Develops and maintains a strong relationship with ...
Reliable personal vehicle and valid auto insurance are required. * Must be willing to travel throughout the service area. * Ability to work overtime and standby schedules when required. * Ability to ...
Reliable personal vehicle and valid auto insurance are required. * Must be willing to travel throughout the service area. * Ability to work overtime and standby schedules when required. * Ability to ...
Review and confirm compliance on project documentation from general contractors and service providers, such as certified payroll, insurance certifications, permits, and other project-related ...
Review and confirm compliance on project documentation from general contractors and service providers, such as certified payroll, insurance certifications, permits, and other project-related ...
Credit Card, Smart Family, Mobile & Home Insurance, etc.), and accessories * Leverage sales performance data, customer insights, and regional analytics to inform merchandising decisions. * Act as a ...
Credit Card, Smart Family, Mobile & Home Insurance, etc.), and accessories * Leverage sales performance data, customer insights, and regional analytics to inform merchandising decisions. * Act as a ...
Compliance Risk Consultants
New York, NY · Hybrid
Knowledge of supervisory expectations expressed in the FFIEC IT Handbook, Client Supervisory Letters, Office of the Comptroller of the Currency Bulletins, or Federal Deposit Insurance Corporation ...
Compliance Risk Consultants
New York, NY · Hybrid
Knowledge of supervisory expectations expressed in the FFIEC IT Handbook, Client Supervisory Letters, Office of the Comptroller of the Currency Bulletins, or Federal Deposit Insurance Corporation ...
Must have a reliable personal vehicle and valid car insurance. * Minimum 1 year of hands-on laptop and desktop break-fix experience. * Computer-building or PC assembly experience preferred. * General ...
Must have a reliable personal vehicle and valid car insurance. * Minimum 1 year of hands-on laptop and desktop break-fix experience. * Computer-building or PC assembly experience preferred. * General ...
Experience in the Health Insurance industry. * Knowledge of the Federal Acquisition Regulation (FAR). * Knowledge of Ariba or similar procurement automation tools. Ampcus is an Equal Opportunity ...
Experience in the Health Insurance industry. * Knowledge of the Federal Acquisition Regulation (FAR). * Knowledge of Ariba or similar procurement automation tools. Ampcus is an Equal Opportunity ...
Field Engineer 4
Fort Collins, CO · On-site
Reliable personal vehicle and valid car insurance * Ability to travel extensively within the assigned metro area * Ability to complete required product training * Ability to pass drug and background ...
Field Engineer 4
Fort Collins, CO · On-site
Reliable personal vehicle and valid car insurance * Ability to travel extensively within the assigned metro area * Ability to complete required product training * Ability to pass drug and background ...
Patient Navigator/Administrative Assistant
San Francisco, CA · Hybrid
$23.25 - $31.75/hr
Serve as a resource, advocate, and coach for patients throughout their care journey. * Assist patients with accessing health insurance, primary care, mental health services, social services, and ...
Patient Navigator/Administrative Assistant
San Francisco, CA · Hybrid
$23.25 - $31.75/hr
Serve as a resource, advocate, and coach for patients throughout their care journey. * Assist patients with accessing health insurance, primary care, mental health services, social services, and ...
Machine Operator
$16.75 - $20/hr
Perform quality work checks to insure the product meets quality standards * Identify product defects and report it * Operate functional area equipment in a safe and efficient manner * Maintain safety ...
Machine Operator
$16.75 - $20/hr
Perform quality work checks to insure the product meets quality standards * Identify product defects and report it * Operate functional area equipment in a safe and efficient manner * Maintain safety ...
AI Project Manager
New York, NY · Hybrid
Experience within Financial Services, Insurance, Banking, Risk Management, or highly regulated industries. Familiarity with AI governance, model risk management, data governance, and responsible AI ...
AI Project Manager
New York, NY · Hybrid
Experience within Financial Services, Insurance, Banking, Risk Management, or highly regulated industries. Familiarity with AI governance, model risk management, data governance, and responsible AI ...
Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software, Proficient. * Must be able to work effectively with large amounts of ...
Must be able to learn and comprehend details of client accounts, process flow diagrams, and health insurance enrollment software, Proficient. * Must be able to work effectively with large amounts of ...
... insurance investment portfolios Exposure to enterprise platforms Key Skills Strong analytical and data problem-solving skills Deep understanding of data flows, transformations, and integrations ...
... insurance investment portfolios Exposure to enterprise platforms Key Skills Strong analytical and data problem-solving skills Deep understanding of data flows, transformations, and integrations ...
A minimum of two years' experience in applying Data Science/ Analytics to Health Insurance/Health Care related problems/use cases. * At least 1 years focused on applications of Generative AI solution.
A minimum of two years' experience in applying Data Science/ Analytics to Health Insurance/Health Care related problems/use cases. * At least 1 years focused on applications of Generative AI solution.
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Job description
Job Title: Operations – Quality Assurance Specialist III.
Location: Owings Mills, MD.
Job description:
Purpose:
- The Quality Assurance Specialist III is an advanced-level auditor position performing in-depth system and procedural audits.
- This role conducts regular reviews and audits of internal controls within each functional area for strengths and weaknesses ensuring special focus to the specific risk areas.
- The incumbent is considered a Subject Matter Expert (SME) in their audit field and provides a comprehensive analysis of transaction, systems and procedures.
- 50% Audits assigned function (service, claims, enrollment) for accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Identifies, documents and reports transaction errors utilizing departmental quality monitoring templates in a timely manner to ensure prompt resolution
- 20% Assists in development of special department projects and participates in department and divisional projects
- 20% Conducts structured coaching and feedback sessions. Provides suggestions and creates improvement plans for areas of deficiency within the group or for an individual
- 10% Participates in the creation and implementation of new methods, processes and/or products
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
- The requirements listed below are representative of the knowledge, skill, and/or ability required.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Knowledge of quality assurance and production technologies., Expert.
- Proficient in Microsoft Office programs., Proficient.
- Extensive knowledge of industry standards, quality control techniques and procedures., Advanced.
- Excellent communication skills both written and verbal., Advanced.
- Extensive analytical and problem-solving skills, Advanced.
- Strong interpersonal skills, Advanced.
- Excellent research and organizational skills, Advanced.
- ECA Certified Quality Assurance Manager. Coding certification (CPC or COC, CPMA et.), Claims and insurance experience. Medical records auditing.
- High School Diploma or GED
- 5 years Auditing, Quality Assurance, Operations, Training, Project Management or comparable work experience. 2 years’ experience as Quality Assurance Specialist II.
Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
About Bravens
Sourced by ZipRecruiter
Bravens is an Information Technology Consulting and Services company with the vast experience, full of success stories in the service of many companies and organizations in general. The experience in consulting, our work philosophy and high qualification of our professionals consolidate us in an outstanding position in our sector. We specialize in Web Technologies and offer a comprehensive range of proprietary solutions and advanced services that add value to the innovation. We are the partner that companies seek to be supported in their business strategies through technology.
Industry
It services
Company size
11 - 50 Employees
Headquarters location
Chantilly, VA, US
Year founded
2010