Claims Quality Auditor jobs in Brockton, MA

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 Compliance Specialist (Auditor)
  • DPS Group TSO
  • Norwood, MA FULL_TIME
  • Summary
    ADPS is looking for a Quality Compliance Specialist to support a client in Norwood, MA. The candidate will participate in preparation activities for clinical partner audits and site readiness for inspections.
    Key Responsibilities

    • Participate in Risk Assessment activities, applying Phase appropriate guidance for engineering deliverables for clinical production
    • Provide oversight and guidance for development of proactive approaches for the Continuous Improvement Plan (CIP) items
    • Partner with functional areas for progress of the Clinical Deviation Tracker,
      Provide expertise for CAPA and Quality Event oversight of investigation to progress through the systems
    • Participate in preparation activities for clinical partner audits and site readiness for inspections
    • Provide guidance and input for Clinical Quality Projects
    • Perform Phase appropriate assessments
    • Participate in critical investigations
    • Offer expertise and guidance to support growth of a mature clinical program
    • Quality on the floor support offering mentorship to staff
    Skills & Qualification
    • The successful candidate must have experience in a biotech or pharmaceutical development environment and knowledge of cGMP quality systems
    • 5- 10 years of experience in the pharmaceutical/biotech industry within Quality Assurance or Quality (Assurance) exposure
    • Working knowledge of relevant FDA, EU, ICH guidelines and regulations
    • Excellent judgment and ability to communicate complex issues in an understandable way
    • Outstanding communication skills (verbal and written)
    • Ability to provide legal US work authorization documents required. Will consider US domestic travelers and relocation.



    Additional
    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.
    • Continuous Learning –Assesses own strengths and weaknesses. Pursues training and development opportunities. Seeks feedback to improve performance. Shares expertise with others. Strives to continuously build knowledge and skills.
    • Culture - Supports a culture of excellence. Contributes to a collaborative environment that rewards teamwork, mentorship, best-in-practice development, and pride in workmanship.
    • Customer Services – Displays courtesy and sensitivity. Manages difficult or emotional customer situations. Meets commitments. Responds promptly to customer needs. Solicits customer feedback to improve service.
    • Planning and Organizing – Prioritizes and Plans work activities. Uses time efficiently. Plans for additional resources. Integrates changes smoothly, Sets goals and objectives. Works in an organized manner.
    • Teamwork – Balances team and individual responsibilities. Contributes to building a positive team spirit. Exhibits objectivity and openness to others’ views. Gives and welcomes feedback. Puts success of team above own interests.
    • Use of Technology – Demonstrates required skills. Adapts to new technologies. Keeps technical skills up to date. Troubleshoots technological problems. Uses technology to increase productivity.
    • Language Ability - Read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Write routine reports and correspondence. Speak effectively before groups of customers or employees.
    • Mathematical Ability - Work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Apply concepts such as fractions, percentages, ratios and proportions to practical situations.
    • Reasoning Ability - Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Deal with problems involving several concrete variables in standardized situations.


    The Company
    DPS Group is a global EPCMV firm offering full-service solutions within the Life Sciences (pharmaceutical, biotechnology, and medical technology) and Advanced Technology (semiconductor, data center, and solar) industries. DPS is dedicated to delivering successful projects with a ‘client-first’ mentality and personal touch across a range of market sectors: Project and Program Management, Procurement, Design, Construction Management, Health and Safety Management, Commissioning, Qualification, and Start-up.



    DPS Engineering Inc. is an Equal Opportunity Employer and employment selection decisions are based on merit, qualifications, and abilities. DPS does not discriminate in employment opportunities or practices on the basis of: race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other characteristic protected by country, regional or local law.

    #LI-NH1

  • 15 Days Ago

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RN Med Surg Stoughton, MA
  • Quality Clinicians
  • Stoughton, MA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1154-$2154/week Multiple shift openings Job Description/Responsibilities...
  • 5 Days Ago

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Claims Specialist
  • Clean Harbors
  • Humarock, MA FULL_TIME
  • Clean Harbors is looking to hire a self-motivated Risk Management Specialist. The Risk Management Specialist position is responsible for processing and managing Commercial Automotive and Workers Compe...
  • 3 Days Ago

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Claims Specialist
  • Clean Harbors
  • Marshfield, MA FULL_TIME
  • Clean Harbors is looking to hire a self-motivated Risk Management Specialist. The Risk Management Specialist position is responsible for processing and managing Commercial Automotive and Workers Compe...
  • 4 Days Ago

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Claims Specialist
  • Clean Harbors
  • Accord, MA FULL_TIME
  • Clean Harbors is looking to hire a self-motivated Risk Management Specialist. The Risk Management Specialist position is responsible for processing and managing Commercial Automotive and Workers Compe...
  • 4 Days Ago

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Claims Specialist
  • Clean Harbors
  • Abington, MA FULL_TIME
  • Clean Harbors is looking to hire a self-motivated Risk Management Specialist. The Risk Management Specialist position is responsible for processing and managing Commercial Automotive and Workers Compe...
  • 4 Days Ago

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0 Claims Quality Auditor jobs found in Brockton, MA area

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Sr. Product Quality Engineer
  • Careerbuilder-US
  • Beverly, MA
  • Pay range $100K- 110K Essential Functions Lead investigations of manufacturing nonconformities and assist manufacturing ...
  • 4/18/2024 12:00:00 AM

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Quality System Supervisor
  • Bostongene
  • Waltham, MA
  • Position Summary BostonGene is seeking a Quality Systems Supervisor to join our QA team. This role will integrate and ma...
  • 4/18/2024 12:00:00 AM

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Quality Engineer
  • Blacktree Technical Group Inc.
  • Dover, MA
  • Quality Engineer Core Responsibilities Working under the guidance/direction of the Director of QA/RA, the Quality Engine...
  • 4/18/2024 12:00:00 AM

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Quality Engineer
  • BlackTree Technical Group, Inc.
  • Dover, MA
  • Quality Engineer Core Responsibilities Working under the guidance/direction of the Director of QA/RA, the Quality Engine...
  • 4/17/2024 12:00:00 AM

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R&D Engineer
  • Metalor Technologies Sa
  • Attleboro, MA
  • JOB SUMMARY: The R&D Engineer will integrate into and become a contributing member of the R&D team, responsible for the ...
  • 4/16/2024 12:00:00 AM

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Sr Product Quality Engineer
  • LARC Staffing, LLC
  • Beverly, MA
  • Company Description LARC Staffing, LLC, with more than 25 years experience recruiting in High-Tech, IT and Manufacturing...
  • 4/16/2024 12:00:00 AM

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R&D Engineer
  • Metalor Technologies SA
  • Attleboro, MA
  • JOB SUMMARY: The R&D Engineer will integrate into and become a contributing member of the R&D team, responsible for the ...
  • 4/15/2024 12:00:00 AM

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Quality Auditor - Pharmaceutical - Senior
  • SQA Services
  • Boston, MA
  • Are you passionate about quality in the life sciences area? Do you want to work with the most prestigious names in pharm...
  • 4/15/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 21.6 square miles (56 km2), of which 21.5 square miles (56 km2) is land and 0.1 square miles (0.26 km2) (0.56%) is water. Brockton is the 162nd largest city by land area in the Commonwealth, and the twelfth largest of the twenty-seven towns in Plymouth County. Brockton is bordered by Stoughton to the northwest, Avon to the north, Holbrook to the northeast, Abington to the northeast, Whitman and East Bridgewater to the southeast, West Bridgewater to the south, and Easton to the west. Brockton is approximately 25 miles s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$50,209 to $61,540
Brockton, Massachusetts area prices
were up 1.6% from a year ago

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