Claims Quality Auditor jobs in Nevada

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Quality Auditor
  • DESIGNS FOR HEALTH INC
  • Henderson, NV FULL_TIME
  •  
     
     

    Designs for Health, Inc.

    Designs for Health is an industry-leading and rapidly growing manufacturer and distributor of nutritional supplements offered primarily through health care practitioners. By providing comprehensive support through our extensive product line, ongoing clinical education, and practice development programs, Designs for Health helps practitioners realize successful health outcomes for their patients. The company has two manufacturing plants and four distribution centers in the United States, and its products are distributed in five continents.  


    Position Overview  

    Quality Auditors inspect processing equipment and ensure that employees are performing their jobs correctly and following company procedures and safety rules. The Auditor reviews and analyzes quality inspection data to find specific types of quality problems the department or company is experiencing. The Auditor provides information on the particular defects that can be addressed. An Auditor writes and implements test and inspection procedures to obtain the defect information needed for analysis, and report findings from test and inspection data to management. They participate in employee quality improvement teams to reduce defects and quality issues, and make recommendations to improve the production process based on findings from auditing analysis. The Auditor monitors the procedure to determine if changes significantly improve the process and defect quantities. Quality Auditors document results of new procedures after implementation to show quality improvements. Auditors must be familiar with quality assurance principles, inspection techniques and testing procedures. Quality Auditors must have good verbal and written communication skills to present findings from data analysis. Auditors must have computer skills and familiarity with issue tracking software programs.  

    3rd shift

    Essential Job Functions 

    • Work with quality management to develop, document and implement quality plans, procedures, instructions and test equipment. 
    • Identify and assure conformance to governmental requirements. 
    • Conduct in-process and post manufacturing audits of intermediate and finished products 
    • Ensure manufacturing practices, batch records and other supporting documentation are in accordance with current Good Manufacturing Practices, SOPs and other applicable company policies 
    • Follows GMP standards, SOP’s, Food Safety Standards as well as workplace safety standards.
    • Ensure the traceability of components and products are maintained at every inspection point 
    • Responsible for pulling and prepping raw material samples
    • Utilize all documents contained in the Quality System, such as manufacturing procedures, forms, standard operating procedures, and initiate the submission of inspection reports, as appropriate
    • Perform additional routine/non-routine audits of manufacturing processes and facilities; and other tasks as assigned 
    • Partner with Manufacturing and other support groups to provide issue guidance and resolution in alignment with applicable procedures 
    • The Quality Auditor individual will act as Quality/Operations subject matter expert by providing technical and quality guidance to peers and may facilitate training for incoming staff as well as GMP training for other departments 
    • This position is expected to identify systemic issues and to collaborate and participate with the process centered organization to implement solutions  
    • This position will provide real-time issue guidance and resolution, including management of events, will have involvement in continuous improvement activities or other projects to support site goals, execute training and support of internal, partner and agency audits 
    • Perform detailed root cause investigation and implement corrective actions 

      

    Requirements 

    • High School Diploma or equivalent 
    • Prior manufacturing experience preferred 
    • Previous experience in training and/or teaching of others preferred 

     

    Benefits

    Designs for Health offers a competitive compensation and benefits package:

    • 100% company-paid medical insurance premiums for employee children.
    • 100% company-paid life insurance benefits.
    • Group dental, vision, and other ancillary benefits. 
    • Health and dependent care spending accounts.  
    • 401K plan with company-match up to 4% after the first year of employment.
    • Allowance for company products for personal use.


     

    Privacy

    Your application for this position is subject to Designs for Health's Privacy Notice for Job Applicants and Workforce Members. Designs for Health does not sell your personal information, nor does Designs for Health share it for purposes of cross-context behavioral advertising.


    Our Commitment to Diversity, Inclusion & Belonging
    Designs for Health is an equal opportunity employer. We welcome diversity and are committed to creating an inclusive environment where all employees can grow and thrive. Our employees form meaningful and often life-long connections while working at Designs for Health. We are all passionate about our mission of designing a well world, together.

     

     

  • 21 Days Ago

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Commercial General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Las Vegas, NV OTHER
  • Our client, an A rated insurance carrier, is looking to add a Commercial General Liability Claims Adjuster to their staff. This is a desk position involving litigated and non-litigated general liabili...
  • 24 Days Ago

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NV - Las Vegas - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Las Vegas, NV FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA with offices in California, Arizona, Oregon, Nevada, Washington, Utah,...
  • 2 Months Ago

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Senior Claims Quality Audit Representative - Remote in Pacific Time Zone
  • UnitedHealth Group
  • Las Vegas, NV FULL_TIME
  • If you are located within Pacific Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Optum is a global organization that delivers care, aid...
  • 15 Days Ago

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Auditor
  • CGS Federal (Contact Government Services)
  • Las Vegas, NV FULL_TIME
  • Employment Type: Full-Time, Mid-LevelDepartment: FinancialCGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving poten...
  • Just Posted

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Class-A CDL Local Company Driver
  • Quality Carriers
  • Shanty Town, NV OTHER
  • Requirements Must have CDL-A with 1 year Tractor Trailer experience in the last 3 years or 1 year of Tanker Experience in the last 10 years. Must have 5 years of safe driving and no incidents Must hav...
  • 2 Days Ago

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Quality Auditor
  • ResourceMFG
  • Jacksonville, FL
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 2nd Shift: 2:30pm-11pm-$20/hr Job Descri...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Texas Children's Hospital
  • Bellaire, TX
  • Job Summary We are searching for a Quality Auditor - Benefits, Contracts, Fee Schedules Configuration/Testing - someone ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Loma Linda University Health
  • Loma Linda, CA
  • Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • H&H
  • Fort Lauderdale, FL
  • We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our Fort Lauderdale,...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Catalent Pharma Solutions
  • Madison, WI
  • **Quality Auditor** **Position Summary:** Catalent is a global, high-growth, public company, and a leading partner for t...
  • 6/9/2024 12:00:00 AM

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 6/8/2024 12:00:00 AM

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Quality Auditor
  • Flextronics
  • Salt Lake City, UT
  • Job Posting Start Date 04-26-2024 Job Posting End Date 06-26-2024Flex is the diversified manufacturing partner of choice...
  • 6/8/2024 12:00:00 AM

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Quality Auditor
  • Mauser Packaging Solutions
  • York, PA
  • JOB DESCRIPTION Responsibilities Performs quality assurance testing as required. Reviews production orders or schedules ...
  • 5/23/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$46,405 to $56,880

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019