Claims Quality Auditor jobs in Lowell, 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 Assurance Auditor II
  • Parexel International Corporation
  • Billerica, MA FULL_TIME
  • Home Based, US

    The Quality Assurance (QA) Auditor II will have experience and knowledge of appropriate GxP compliance and other applicable regulations and laws, Parexel procedures and appropriate Parexel processes, which allows the individual to plan and conduct internal and external audits independently, or with minimal supervision. Provide advice on regulatory compliance, with appropriate supervision. Stong background in GCP auditing strongly preferred.

    Accountabilities:

    Perform and Report audits

    • Plan, schedule, perform and report a range of GxP audits across all phases of Clinical Research including, but not limited to project related audits, system audits, supplier audits, safety/pharmacovigilance (PV) audits
    • Conduct the audits in accordance with client requirements and Parexel/client procedures, independently or with minimal supervision. Perform and deliver high quality audits /audit reports within specified timelines / budgets, with oversight.
    • Lead or participate in co-audits / observed audits with client representatives or other QA auditors.
    • Travel internationally for audits as required. Travel time could be up to approx. 50 - 60%.

    Follow-up audits

    • Collect and review responses to audit observations and follow-up / escalate inadequate or delayed responses as necessary to ensure timelines are met and responses of satisfactory quality are obtained.

    Support auditor training

    • Assist with the training of new / less experienced auditors by performing co-audits, delivering training, and sharing knowledge and experience.

    Billable Audits & Client Relationships (where applicable)

    • Ensure audits are performed to a high degree of client satisfaction and within the budgeted time.
    • Ensure required audits are delivered in accordance with client requirements and Parexel/client procedures as applicable.
    • Ensure that systematic issues raised during billable audits are escalated to the assigned QA Lead for the program
    • Develop and optimize new and existing processes to maintain and improve quality within the billable group.

    Support Client Audits and Regulatory Inspections

    • Facilitate client audits / regulatory inspections, as assigned.
    • Foster a good working relationship with internal and external clients.

    Maintain sound knowledge of Parexel policies, procedures, and guidelines

    • Working knowledge and expertise of Parexel policies, procedures, and guidelines, as well as applicable national and international regulations and requirements; able to apply them as needed.
    • Proactively recognize areas for process / procedural improvements, providing input to management and taking the initiative, as appropriate.
    • Review Parexel SOPs as assigned to ensure GxP compliance

    Build and maintain relationships

    • Build, develop, and maintain good working relationships with internal and external customer groups.
    • Work well in team environment.

    Education

    • Educated to the degree level (biological science, pharma, quality assurance or other related discipline preferred) or relevant clinical or business equivalent


    #LI-REMOTE

     

  • 18 Days Ago

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Senior Quality Assurance Auditor
  • Parexel International Corporation
  • Billerica, MA FULL_TIME
  • Join Parexel's team of changemakers as we help advance healthcare throughout the globe, all while keeping the patient at the heart of everything we do.At Parexel, we are a leading Clinical Research Or...
  • Just Posted

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RN CCU - Coronary Care Concord, MA
  • Quality Clinicians
  • Concord, MA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1298-$2298/week Multiple shift openings Job Description/Responsibilities...
  • 7 Days Ago

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RN Med Surg Concord, MA
  • Quality Clinicians
  • Concord, MA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $2294.43-$2298/week Multiple shift openings Job Description/Responsibilit...
  • 8 Days Ago

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Claims Specialist
  • CorVel Brand
  • Acton, MA FULL_TIME
  • The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under...
  • 1 Month Ago

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Night Auditor
  • Lodgeworks
  • Burlington, MA FULL_TIME
  • ARCHER HOTEL BURLINGTON Archer Hotel Burlington, an industrial-chic boutique hotel in the booming Boston suburb of Burlington at the 3rd Ave town center, welcomes with 147 luxe guest rooms and suites,...
  • 6 Days Ago

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0 Claims Quality Auditor jobs found in Lowell, 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 ...
  • 4/23/2024 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...
  • 4/23/2024 12:00:00 AM

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Quality Manager - QMS and Auditing
  • Analog Devices
  • Wilmington, MA
  • Analog Devices, Inc. (NASDAQ: ADI) is a global semiconductor leader that bridges the physical and digital worlds to enab...
  • 4/21/2024 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...
  • 4/21/2024 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...
  • 4/20/2024 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...
  • 4/20/2024 12:00:00 AM

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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 ...
  • 4/20/2024 12:00:00 AM

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Senior Quality Systems Engineer
  • Paragonix Technologies, Inc.
  • Waltham, MA
  • Paragonix Technologies markets organ transportation devices that safeguard organs during the journey between donor and r...
  • 4/19/2024 12:00:00 AM

Lowell is a city in the U.S. Commonwealth of Massachusetts. Located in Middlesex County, Lowell (along with Cambridge) was a county seat until Massachusetts disbanded county government in 1999. With an estimated population of 109,945 in 2014, it is the fourth-largest city in Massachusetts, and the second-largest in the Boston metropolitan statistical area. The city is also part of a smaller Massachusetts statistical area called Greater Lowell, as well as New England's Merrimack Valley region. Incorporated in 1826 to serve as a mill town, Lowell was named after Francis Cabot Lowell, a local fi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$50,163 to $61,484
Lowell, 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