Claims Quality Auditor jobs in Wisconsin

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
  • Sterling Pharma Solutions
  • Germantown, WI FULL_TIME
  • As the Quality Auditor at Sterling, you will perform audit/inspection activities as directed to ensure quality and compliance with applicable regulatory requirements. These activities include, conducting audits and inspections, hosting, and supporting client audits and regulatory inspections, reviewing documents and data, improving programs and process, reporting and improving site KPIs, and maintaining quality databases. The position assists with the development of SOPs or other quality documents as needed, leads and participates in cross function teams and acts as a change champion. At this level an employee will serve as a Lead Auditor for external (supplier) audits.

    Essential Functions

    • Performs internal and external (supplier) quality audits against applicable standards and Sterling requirements.
    • Perform scoping, risk assessment, planning, execution, reporting of audits and CAPA follow up, where necessary
    • Take ownership of individual assignments, delivering high quality and timely audit assessments and reports
    • Performs quality review and approval of documents, data, protocols, and/or reports.
    • Serves as a Lead Auditor for risk based internal and external (supplier) audits, assuring site compliance to regulations and procedures.
    • Hosts and/or support client audits and regulatory inspections.
    • Maintains quality databases, aligning with site needs for metrics and data reporting.
    • Assists with the implementation and supports quality systems, including but not limited to:
      • supplier management,
      • training,
      • internal audit program, and
      • overall regulatory inspectional readiness initiatives.
    • Facilitates and is accountable for ongoing improvements of the internal audit process
    • Leads and assists with quality improvement initiatives, SOP development and continuous improvement.
    • Embody our company values, which are: be reliable, be caring, be transparent and be willing.

    Key Competencies

    • Good knowledge of regulations and SOPs applicable to area of responsibility and keeps abreast of new regulations and regulatory guidance in areas of expertise.
    • Good written and oral communication skills as well as presentation skills.
    • Familiar with basic statistics.
    • Ability to interact well with vendors, clients, regulatory inspectors, and employees at all levels.
    • Demonstrated ability as a lead auditor.

    Education and Experience

    • Bachelor's degree in chemistry, Biology, or related field with 8 years GMP experience or
    • Master's degree in related field with 5 years related experience, or equivalent educational and work experience.
    • ASQ Auditor certification or other cGMP audit certification preferred

    What we offer
    We offer a competitive compensation and benefits package including medical/dental/vision/life insurance, paid time off, bonus program, 401k match, tuition reimbursement, 24/7 employee assistance program, flexible work hours, and the opportunity for career training and development.

    Diversity and Inclusion
    Sterling values diversity and we are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, sex, pregnancy, age, national origin, physical or mental disability, past or present military service, marital status, gender identification or expression, medical condition (including genetic characteristics) or any other protected characteristic as established by law.

    Location
    This position is located in Germantown, WI, a vibrant city northwest of Milwaukee in Southeast Wisconsin. A great place to live, work and raise a family, Southeast Wisconsin offers a variety of activities and diverse cultural scene.

    Why consider Sterling?
    Sterling Pharma Solutions is a global contract development and manufacturing organization (CDMO) with more than 50 years' experience in developing and manufacturing Active Pharmaceutical Ingredients (APIs). This is complimented by Antibody Drug Conjugate (ADC) research and development bioconjugation services.

    We are a fast growing, dynamic business with facilities in the UK, Europe and the US, where we employ more than 1300 talented and passionate people who support our customers in bringing new medicines to market, improving and saving the lives of patients.

    Our culture and our way of working is what really sets us apart as a business; we aim to deliver an exceptional experience to our customers and our employees. You can expect to be part of a supportive team, all working towards a shared goal: to deliver first-class science and service to our customers every day.

    Sterling Pharma Solutions is an equal opportunity employer.

    Be caring. Be transparent. Be willing. Be reliable.


  • 5 Days Ago

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Quality Auditor
  • Waupaca Foundry, Inc.
  • Waupaca, WI FULL_TIME
  • Why Waupaca Foundry? Waupaca Foundry, Inc. is North America’s leading supplier of iron castings and has a history of innovation with a legacy of product quality. Waupaca Foundry employs approximately ...
  • 7 Days Ago

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Quality Auditor
  • THE CARLSTAR GROUP LLC
  • Slinger, WI OTHER
  • Job Details Job Location: Slinger WI - Slinger, WI Position Type: Full Time Education Level: High School Diploma or Equivalent Salary Range: $18.00 - $20.00 Hourly Travel Percentage: None Job Shift: D...
  • 14 Days Ago

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Quality Auditor
  • Systems, LLC - Poweramp | DLM
  • Germantown, WI FULL_TIME
  • We are Systems, LLC a leading manufacturer and designer of loading dock equipment. We continue to GROW and are seeking a motivated team player to join our organization.Job SummaryAs a Quality Auditor,...
  • 14 Days Ago

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Quality Auditor
  • Sterling
  • GERMANTOWN, WI FULL_TIME
  • This is a generic vacancy template.
  • 26 Days Ago

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Night Auditor
  • Quality Inn and Suites sturgeon bay wi
  • Sturgeon, WI PART_TIME
  • We will Discuss in the job interview Work Remotely No Job Type: Part-time Pay: $10.00 - $16.00 per hour Expected hours: 15 per week Benefits: Employee discount Free parking Schedule: 10 hour shift 8 h...
  • 14 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
  • 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
  • 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
  • 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...
  • 6/7/2024 12:00:00 AM

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Quality Auditor
  • Amsted Automotive Group
  • Sterling Heights, MI
  • ABOUT THE ROLE Means TransForm Products is now the newest business unit of the Amsted Automotive Group, a premier techno...
  • 6/7/2024 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

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$45,665 to $55,973

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