Claims Quality Auditor jobs in Las Vegas, NV

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.

     

     

  • 6 Days Ago

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Quality Auditor (1st Shift)
  • PLI Cards
  • Las Vegas, NV FULL_TIME
  • Job Summary: The Quality Auditor is responsible for complying with all referenced quality procedures and work instructions, performing the required inspections. Visual inspections of parts or material...
  • 9 Days Ago

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Quality Auditor (1st Shift)
  • Plasticard Locktech International
  • Las Vegas, NV FULL_TIME
  • Job Summary: The Quality Auditor is responsible for complying with all referenced quality procedures and work instructions, performing the required inspections. Visual inspections of parts or material...
  • 10 Days Ago

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Quality Auditor 2nd shift
  • Plasticard Locktech International
  • North Las Vegas, NV FULL_TIME
  • Job Summary: The Quality Auditor is responsible for complying with all referenced quality procedures and work instructions, performing the required inspections. Visual inspections of parts or material...
  • 1 Month Ago

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Quality Auditor 2nd shift
  • PLI Cards
  • North Las Vegas, NV FULL_TIME
  • Job Summary: The Quality Auditor is responsible for complying with all referenced quality procedures and work instructions, performing the required inspections. Visual inspections of parts or material...
  • 1 Month Ago

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Quality Assurance Auditor
  • ProCaps Laboratories
  • Henderson, NV FULL_TIME
  • Job Type: Full-time ONSITE Would you like to help people live their best life? If so, this might be the opportunity you are looking for! POSITION SUMMARY As a Quality Assurance Auditor, you’ll be resp...
  • 1 Month Ago

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0 Claims Quality Auditor jobs found in Las Vegas, NV area

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QA Inspector, CMM operator
  • Varex Imaging
  • Las Vegas, NV
  • To apply to a Varex Imaging position, please create an account and sign-in. CURRENT VAREX IMAGING EMPLOYEES: Please appl...
  • 4/18/2024 12:00:00 AM

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Customer Experience Office- Quality Specialist II
  • Credit One Bank
  • Las Vegas, NV
  • Description Position Summary Credit One Bank is looking for a Quality Representative to monitor customer interactions th...
  • 4/18/2024 12:00:00 AM

C
Senior Project Manager
  • Coalesce Management Consulting
  • Las Vegas, NV
  • Transmission and Distribution (T&D) Project Manager We are seeking an experienced and skilled Transmission and Distribut...
  • 4/18/2024 12:00:00 AM

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Executive Chef - LAVO Las Vegas
  • Tao Group Hospitality
  • Las Vegas, NV
  • Tao Group Hospitality offers competitive benefits for all full-time team members such as: Medical, Dental, and Vision Co...
  • 4/18/2024 12:00:00 AM

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Front Desk Manager- Renaissance Hotel
  • Renaissance Las Vegas Hotel
  • Las Vegas, NV
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/17/2024 12:00:00 AM

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Quality Assurance & Quality Control Manager
  • AVEM LABS, LLC
  • Las Vegas, NV
  • Summary: The Quality Assurance & Quality Control Manager is responsible for ensuring compliance with internal SOPs and a...
  • 4/16/2024 12:00:00 AM

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Housekeeping Manager- Westin Hotel & Spa
  • Westin Las Vegas
  • Las Vegas, NV
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/14/2024 12:00:00 AM

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Senior Kitchen Manager
  • BJ's Restaurants
  • Las Vegas, NV
  • Overview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ’s Restauran...
  • 1/3/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$46,439 to $56,919
Las Vegas, Nevada area prices
were up 2.5% from a year ago

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