Claims Quality Auditor jobs in Middlesex, NJ
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)
Recently Added Claims Quality Auditor jobs
Quality Auditor - Scientific - II
- Talent Software Services, Inc.
-
Rahway, NJ
CONTRACTOR,FULL_TIME
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Quality Auditor - Scientific - II
Job Summary: Talent Software Services is in search of a Quality Auditor - Scientific - II for a contract position in Rahway, NJ. Opportunity will be one year with a strong chance for a longterm extension.
Primary Responsibilities/Accountabilities:
The GDQ Ops – API organization provides Quality oversight for manufacturing, testing, and release activities associated with clinical-stage API.
We provide Quality oversight of product development activities integrated with operations and functional partners, while ensuring continuous GMP-compliant clinical supply for internally and externally manufactured API.
Under the direction of GDQ-Ops Supervision, the Contractor will be responsible for providing quality assurance oversight, performing diverse tasks, and participating in quality related projects.
Product release, quality system, compliance, document management, and any related activities needed under current Good Manufacturing Practice (cGMP).
Ensure compliance with applicable GMP regulations, ICH guidelines, Client policies, and procedures.
The Contractor will support tasks that may include but are not limited to:
Perform independent quality review and approval of batch records, testing data, and related documents required to release or reject product. Make independent batch release or reject decisions.
Conduct independent auditing, review, and approval of diverse and complex document types, as required, including deviations, investigations, analytical method validations, method transfers, analytical methods, specifications, certificates of analysis, etc.
Collect, prepare and analyze data to support quality system metrics and planning.
Perform document management activities such as cataloging records for long term document storage according to retention policies.
Support compliance activities such as site readiness, audits, and CAPAs.
Support quality risk management activities.
Support projects for continuous quality improvement. Utilize project management skills as needed.
Provide meeting coordination, facilitation, scribing, and communication.
Develop, write, technical edit, or review procedures or other standards documents under GMP.
Other duties as assigned by manager for the flexible functioning of the work group.
Qualifications:
Bachelor degree (B.S.) in an appropriate Science or Engineering discipline (engineering, chemistry, biology, biochemistry, microbiology). Minimum of 1 year experience preferred. Recent graduate can be considered.
Experience should be in the pharmaceutical, biotechnology, chemical, medical device, or closely related industry.
Knowledge of R&D or clinical supply areas and processes.
Preferred API knowledge and experience.
Experience in one or more functional areas such as quality control, quality assurance, laboratory, manufacturing, production, equipment/facilities management, regulatory.
Good Manufacturing Practice (GMP) or related drug regulation knowledge and expertise.
Strong leadership, collaboration, teamwork, negotiation, communication, and workload management skills.
Ability to work in a dynamic R&D environment with rapidly changing needs.
Demonstrated ability to manage projects, priorities, to meet deliverables and timelines.
Ability to work across functional and sites, with all levels of staff and management.
Qualified candidates should have proficiency with Microsoft Suite (Word, Excel, PowerPoint, Teams, etc.) and ability to adapt to learning other electronic systems to support day-to-day work.
Fully onsite during training period, transitioning to Hybrid role requiring 3 days onsite a week.
Local candidates preferred
If this job is a match for your background, we would be honored to receive your application!
Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities including contract, contract to hire and permanent placement. Let's talk! - 22 Days Ago
Quality Auditor - Scientific - II (Associate) Quality Auditor - Scientific - II (Associate)
- LanceSoft Inc
-
Rahway, NJ
FULL_TIME
- The GDQ Ops API organization provides Quality oversight for manufacturing, testing, and release activities associated with clinical-stage API. We provide Quality oversight of product development activ...
- 9 Days Ago
Quality Auditor - Scientific - II (Associate)
- Intelliswift Software, Inc.
-
Rahway, NJ
FULL_TIME
- Qualifications: Skills:Bachelor degree (B.S.) in an appropriate Science or Engineering discipline (engineering, chemistry, biology, biochemistry, microbiology). Minimum of 1 year experience preferred....
- 4 Days Ago
Head of Quality Control and Compliance, Claims Shared Services
- Axis Capital
-
Red Bank, NJ
FULL_TIME
- This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and s...
- 1 Month Ago
BPS Needs Assessment
- Quality Families
-
Middlesex, NJ
PART_TIME,CONTRACTOR
- Having a BPS Needs Assessment performed at a youth's home or community setting is essential to initiating services within the NJ Children's System of Care (CSOC). The assessment is conducted in a home...
- 6 Days Ago
Full Time Toxicology Lab Supervisor
- Quality Labs
-
Scotch Plains, NJ
FULL_TIME
- The ideal candidate will be responsible for reviewing and releasing Toxicology results using the Sciex 4500 and Advia 1800 as well as overseeing and running the operation. This includes but is not lim...
- 7 Days Ago
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0 Claims Quality Auditor jobs found in Middlesex, NJ area
Quality Auditor
- H&H
-
New York, NY
- We are offering an exciting opportunity for a Quality Auditor in our New York City office. The Quality Auditor will carr...
- 4/25/2024 12:00:00 AM
Quality Auditor - Life Sciences
- SQA Services
-
New York, NY
- SQA Services is a leading Quality Assurance and Supply Chain consultancy firm. SQA manages Supplier Audit and Supplier D...
- 4/25/2024 12:00:00 AM
Site Quality Manager
- Humanscale
-
Piscataway, NJ
- Overview The Site Quality Leader is responsible to lead the quality function at their site and to develop, implement and...
- 4/25/2024 12:00:00 AM
Quality Auditor - Pharmaceutical - Senior
- SQA Services
-
Newark, NJ
- SQA is a leading Quality Assurance and Supply Chain solutions firm. SQA manages Supplier Audit and Supplier Development ...
- 4/23/2024 12:00:00 AM
Quality Assurance Auditor
- BAP Pharma
-
Somerset, NJ
- Position: QA Auditor (6 MONTH CONTRACT) This is a remote role, onsite 1-2 times per month(costs will be covered) The rol...
- 4/22/2024 12:00:00 AM
FDA Pharmacovigilance Auditor
- SQA Services
-
New York, NY
- Job Description Job Description Job Description Are you passionate about quality in the life sciences area? Do you want ...
- 4/22/2024 12:00:00 AM
Supplier Quality Engineer 3
- Katalyst HealthCares and Life Sciences
-
Flanders, NJ
- Responsibilities: Lead initiatives to improve quality received from assigned suppliers. Support the qualification of par...
- 4/21/2024 12:00:00 AM
Assistant Director Compliance - Maintenance of Way
- Metropolitan Transportation Authority
-
New York, NY
- Description Position at Metro-North Railroad POSTING NO: 6598 JOB TITLE: Assistant Director Compliance - Maintenance of ...
- 4/21/2024 12:00:00 AM
About Middlesex, New Jersey
Middlesex is a borough in Middlesex County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 13,635 reflecting a decline of 82 (-0.6%) from the 13,717 counted in the 2000 Census, which had in turn increased by 662 (+5.1%) from the 13,055 counted in the 1990 Census.
Middlesex was incorporated as a borough by an act of the New Jersey Legislature on April 9, 1913, from portions of Piscataway Township, based on the results of a referendum held on May 6, 1913.[21] The borough's name derives from Middlesex, England.[22][23]
According to the United States C...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$51,588 to $63,231
Middlesex, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019