Claims Quality Auditor jobs in Newark, 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)

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Quality Auditor - Pharmaceutical - Senior
  • SQA Services
  • Newark, NJ FULL_TIME
  • SQA is a leading Quality Assurance and Supply Chain solutions firm. SQA manages Supplier Audit and Supplier Development programs for clients in quality-critical industries, including Pharmaceutical, Medical Device, Automotive, Aerospace, and Electronics manufacturing. Clients leverage SQA’s network of Quality Professionals in more than 90 countries as an extension of their own Supplier Quality teams.  

     

    Description and Requirements:  

     

    Auditor will be responsible for performing Quality System and GMP compliance Audits of Suppliers to the healthcare / life science manufacturing industries. The overall goal of SQA’s Supplier Audit programs is to mitigate risk across our client supply chains. Supplier Audits typically last one, two, or three days on-site, not including audit report generation. 

     

    The right candidate must be familiar with pharmaceutical, medical device or related manufacturing processes and be thoroughly familiar with GMP regulations. The auditor must have strong QMS/GMP Auditing experience having conducted many Supplier or External audits throughout his or her career.  

     

    Relevant quality standards and audit types include, but are not limited to: 


     Audit Standards:

    21 CFR 210/211

    21 CFR 203 Prescription Drug Marketing: Drug Sample Storage and Handling Requirements


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    $1,200 - $1,300 one-time
    Compensation is for 1 day audit, 2 day audit is available as well.
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  • 14 Days Ago

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Quality Auditor (LPN / RN)
  • The Tandym Group
  • Newark, NJ CONTRACTOR
  • A New Jersey-based healthcare services network is currently seeking a new Licensed Practical Nurse (LPN) and/or licensed Registered Nurse (RN) to join their staff as their new Quality Auditor. In this...
  • 1 Month Ago

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Quality Auditor II RN/SW
  • 100 Horizon Healthcare Services, Inc
  • Newark, NJ FULL_TIME
  • Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: Responsible for conducting file audits for all areas of clinical operations. These audits...
  • 1 Month Ago

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Full Stack Developer .Net AWS
  • Claims Solutions
  • Jersey, NJ FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 5 Days Ago

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Product Analyst- Atmospheric Science
  • Claims Solutions
  • Jersey, NJ FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 8 Days Ago

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Inpatient Coding Data Quality Auditor/Educator
  • University Hospital, Newark NJ
  • Newark, NJ FULL_TIME
  • Responsibilities The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and pro...
  • 21 Days Ago

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0 Claims Quality Auditor jobs found in Newark, NJ area

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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 ...
  • 4/18/2024 12:00:00 AM

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Assistant Production Manager, Cell Therapy External Manufacturing
  • Bristol-Myers Squibb Company
  • Summit, NJ
  • Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But w...
  • 4/18/2024 12:00:00 AM

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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...
  • 4/17/2024 12:00:00 AM

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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 ...
  • 4/17/2024 12:00:00 AM

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Quality Assurance Manager
  • Hiring Now!
  • Newark, NJ
  • We are working with a USDA regulated food manufacturer in the Newark, NJ area seeking a Quality Assurance Manager with S...
  • 4/17/2024 12:00:00 AM

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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...
  • 4/16/2024 12:00:00 AM

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Quality Assurance, Associate Director or Senior Manager
  • Anavex
  • New York, NY
  • The Associate Director (AD) or Senior Manager (SM), Quality Assurance (QA) is responsible for ensuring compliance with a...
  • 4/16/2024 12:00:00 AM

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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...
  • 4/15/2024 12:00:00 AM

Newark (/ˈnjuːərk/,[24] locally /njʊərk/)[25] is the most populous city in the U.S. state of New Jersey and the seat of Essex County.[26] As one of the nation's major air, shipping, and rail hubs, the city had a population of 285,154 in 2017, making it the nation's 70th-most populous municipality, after being ranked 63rd in the nation in 2000. Settled in 1666 by Puritans from New Haven Colony, Newark is one of the oldest cities in the United States. Its location at the mouth of the Passaic River (where it flows into Newark Bay) has made the city's waterfront an integral part of the Port of New...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$51,956 to $63,682
Newark, New Jersey 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