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Auditor/Investigator II at Qlarant
Us, West Papua, Indonesia - Full Time
Skills Needed
Healthcare Investigation, Quality Assurance, Data Analysis, Problem Solving, Communication, Meeting Facilitation, Research, Presentation Skills
Specialization
A minimum of a Bachelor's Degree is required, along with 2 to 4 years of experience in healthcare investigation, with Medicare experience preferred. Certification as a Certified Fraud Examiner is also preferred.
Experience Required
Minimum 2 year(s)
RN/ EMT's - IV Infusion Clinic at IV Nutrition
Effingham, Illinois, United States - Full Time
Skills Needed
Iv Administration, Client Monitoring, Documentation, Staff Training, Performance Management, Conflict Resolution, Nutritional Infusion, Team Leadership, Motivation, Compliance, Client Education, Hiring Functions, Coaching, Career Development, Ethical Standards, Trust Building
Specialization
Candidates must have an Associate’s Degree in Nursing or be a graduate of an accredited Paramedic program, with a current and up-to-date license. The role requires strong leadership skills and the ability to motivate and manage staff effectively.
Experience Required
Minimum 2 year(s)
I/DD Support Staff – Paid Training at BAYADA Home Health Care
, , - Full Time
Skills Needed
Companionship, Mentoring, Community Integration, Meal Preparation, Errands, Activities, Support, Communication
Specialization
A high school diploma or equivalent is required, along with one year of experience working with individuals with intellectual or developmental disabilities. Paid training is available for those without prior experience.
STAGE Chargé(e) de clientèle 6 mois at Accor
Annecy, Auvergne-Rhône-Alpes, France - Full Time
Skills Needed
Customer Service, Sales, Event Coordination, Teamwork, Communication, Organization, Proactivity, Bilingual
Specialization
Candidates should have a Bac +4/5 in hospitality or commerce and possess excellent interpersonal skills. They should be proactive, organized, and able to work well in a team, with proficiency in French and English.
Pharmaceutical Senior Power BI Dashboard Specialist - GMP Investigations at Eurofins
Rensselaer, New York, United States - Full Time
Skills Needed
Power Bi, Microsoft Tools, Power Query, Excel Macros, Sql, Python, Ruby, Javascript, Spotfire, Tableau, Gmp, Power Automate, Communication Skills, Attention To Detail, Data Visualization, Quality Assurance
Specialization
Candidates should have a bachelor's degree in a relevant field and at least 4 years of experience in the pharmaceutical or biotech industry. Strong expertise in Power BI and familiarity with SQL and programming languages are essential.
Experience Required
Minimum 5 year(s)
Leasing Specialist at Gillespie Property Management
Lansing, Michigan, United States - Full Time
Skills Needed
Sales, Organization, Customer Service, Communication, Leasing, Microsoft Office, Problem Solving, Teamwork, Attention To Detail, Time Management, Market Research, Follow Up, Adaptability, Fair Housing Knowledge, Property Management Software, Curb Appeal
Specialization
Candidates must have a high school diploma or equivalent and prior customer service experience. Excellent communication skills and a professional appearance are required, with prior leasing experience preferred but not mandatory.
Local Delivery Driver at Sysco
, , United States - Full Time
Skills Needed
Cdl A License, Delivery Experience, Customer Service, Positive Attitude, Flexibility, Touch Freight Handling, English Proficiency
Specialization
Candidates must be at least 21 years old and possess a valid Class A Commercial Driver License with a clean driving record. A pre-employment background check and drug screen are required, along with the ability to lift and move products weighing up to 100 pounds.
Dual Medical Assistant & Surgical Scheduler at Precision Healthcare Specialists
Naples, Florida, United States - Full Time
Skills Needed
Medical Assisting, Surgical Scheduling, Patient Care, Emr Systems, Communication, Organization, Multitasking, Infection Control, Hipaa Compliance, Insurance Verification, Surgical Coordination, Patient Education, Compassionate Care, Detail Oriented, Bilingual
Specialization
Candidates should be certified or registered medical assistants with at least two years of experience in medical assisting and/or surgical scheduling. A strong understanding of EMR systems and excellent communication skills are also required.
Experience Required
Minimum 2 year(s)
Utility Maintenance Worker I at City Of Henderson
Henderson, North Carolina, United States - Full Time
Skills Needed
Equipment Operation, Water Maintenance, Sewer Maintenance, Pipe Installation, Repair Work, Hazard Awareness, Safety Precautions, Physical Labor, Teamwork, Customer Service, Preventive Maintenance, Hand Tools, Power Tools, Utility Line Maps, Vegetation Management, Heavy Equipment Operation
Specialization
Candidates should have some knowledge of utility maintenance work and the tools used in this field. A high school diploma or GED is required, along with a valid North Carolina driver's license.
Calendar Clerk at Chartwell Law
Red Bank, New Jersey, United States - Full Time
Skills Needed
Calendar Management, Docketing, Legal Terminology, Conflict Management, Communication, Professionalism, Planning, Priority Setting, E Filing, Court Rules, Deposition Coordination, Database Management, Inquiry Response, Time Management, Attention To Detail, Organization
Specialization
Candidates should have knowledge of state court rules and experience with calendar management and docketing. Familiarity with e-filing systems and legal terminology is also required.
Experience Required
Minimum 2 year(s)
Associate Attorney - General Liability - Insurance Defense at Chartwell Law
New York, New York, United States - Full Time
Skills Needed
Legal Research, Drafting, Litigation, Communication, Conflict Management, Professionalism, Planning, Client Relations, Oral Advocacy, Independence, Collaboration, Trial Preparation, Discovery Requests, Expert Witness Retention, Deadline Management, Strategic Legal Counsel
Specialization
Candidates must have a J.D. from an ABA-accredited law school and an active license to practice law in the state posted. A minimum of 2 years of experience in the practice group is required, along with strong legal research and communication skills.
Experience Required
Minimum 2 year(s)
Line & Prep Cooks at Muchacho Reynoldstown
Atlanta, Georgia, United States - Full Time
Skills Needed
Line Cooking, Prep Cooking, Food Preparation, Attention To Detail, Team Collaboration, Customer Service, Positive Attitude, Passion For Food, Efficiency, Organization, Fresh Ingredients, Fast Paced Environment
Specialization
Candidates should have a passion for food and an eagerness to learn, along with the ability to work quickly and efficiently. A positive attitude and being a team player are essential.
Vantage Mainframe at NTT DATA
Bengaluru, karnataka, India - Full Time
Skills Needed
Cobol, Cics, Vsam, Db2, Easytrieve, Communication Skills, Life Insurance Domain Knowledge
Specialization
Candidates should have expertise in mainframe technologies such as Cobol, CICS, VSAM, DB2, and Easytrieve. Additionally, knowledge of the life insurance domain is essential.
Experience Required
Minimum 5 year(s)
Business Operations Senior Analyst at NTT DATA
Gurugram, haryana, India - Full Time
Skills Needed
Business Operations, Process Compliance, Account Operations, Root Cause Analysis, Project Management, Time Management, Resource Management, Sap, Salesforce, Communication Skills, Analytical Skills, Order To Cash Process, Uat, Performance Management, Change Management, Stakeholder Management
Specialization
Candidates should have 3 to 4 years of experience in relevant process areas, with strong communication and analytical skills. Proficiency in MS Office and familiarity with SAP and Salesforce are preferred.
Experience Required
Minimum 2 year(s)
SF Dev - AWS at NTT DATA
Lonavala, maharashtra, India - Full Time
Skills Needed
Salesforce.Com, Apis, Apex, Lightning, Visualforce, Visual Workflow, Sql, Javascript, Rest, Soap, Html, Xml, Project Management, Collaboration, Solution Consulting, Pre Sales
Specialization
Candidates should have experience in developing solutions using Salesforce and related technologies, as well as strong communication and project management skills. Familiarity with Salesforce certifications and tools like JIRA is preferred.
Experience Required
Minimum 5 year(s)
Advanced Provider - Emergency Medicine - Nocturnist at MedAmerica
Santa Maria, California, United States - Full Time
Skills Needed
Emergency Medicine, Patient Care, Team Collaboration, Spanish Language Skills, Acls Certification, Bls Certification, Pals Certification, Dea Certification, Clinical Skills, Trauma Care, Patient Assessment, Communication Skills, Time Management, Problem Solving, Adaptability, Cultural Competence
Specialization
Candidates must have 1-2 years of previous Emergency Department experience and current national certifications including DEA, ACLS, BLS, and PALS. A current CA state license is a plus, and new graduates are welcome to apply.
Nurse Practitioner/Physician Assistant - Emergency Medicine - Full-Time at MedAmerica
Longview, Washington, United States - Full Time
Skills Needed
Emergency Medicine, Advanced Provider, Patient Care, Team Collaboration, Acls, Bls, Pals, Dea Certification, Epic Emr, Trauma Care, Community Engagement, Consultant Relationships, Medical Education, Healthcare Improvement, Clinical Skills, Patient Assessment
Specialization
Candidates must have current national certification, DEA, ACLS, BLS, and PALS. Experience in Emergency Department or Urgent Care is preferred, and a current WA state license is a plus.
Senior Coding Specialist - Multi-Specialty at MedAmerica
, , - Full Time
Skills Needed
Cpt Coding, Icd 10 Coding, Medical Terminology, Critical Thinking, Analytical Skills, Attention To Detail, Data Entry, Judgment, Reasoning, Patient Care, Pathology Knowledge, Organ Systems Knowledge, Microsoft Office, Timekeeping, Documentation Review, Communication
Specialization
Candidates must have a high school diploma or GED and a certificate of completion of a medical coding course. Additionally, 1-2 years of coding experience and knowledge of medical terminology are required.
Scribe - Emergency Medicine at MedAmerica
, , - Full Time
Skills Needed
Medical Terminology, Human Anatomy, Human Physiology, Writing Skills, Typing Speed, Follow Through, Self Motivated
Specialization
Candidates should have a responsible demeanor and a passion for medicine, along with strong writing skills and a quick typing speed. Experience with medical terminology, human anatomy, and physiology is preferred.
Physician Assistant or Nurse Practitioner - Emergency Medicine at MedAmerica
Plymouth, Indiana, United States - Full Time
Skills Needed
Emergency Medicine, Patient Care, Clinical Leadership, Team Collaboration, Professional Development, Acls Certification, Pals Certification, Bls Certification, Dea Certification, State License, Communication Skills, Problem Solving, Time Management, Adaptability, Community Engagement, Healthcare Improvement
Specialization
Candidates must have current national certification, DEA, and BLS. ACLS and PALS certifications are preferred, and a current Indiana state license is a plus.
Auditor/Investigator II at Qlarant
Us, West Papua, Indonesia -
Full Time

Start Date

Immediate

Expiry Date

08 Apr, 26

Salary

0.0

Posted On

08 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Healthcare Investigation, Quality Assurance, Data Analysis, Problem Solving, Communication, Meeting Facilitation, Research, Presentation Skills

Industry

Information Services

Description
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities. Best People, Best Solutions, Best Results Job Summary: Monitors the processing and reconciliation of incoming electronic medical records, importing of prepay claims and records, and generating other operation reports related to process of prepay claims. Supports research of prepay and post-pay record questions as well as research and return of misdirected documents. Essential Functions: * Monitors QMS procedures, work instructions, and job aids. Provides first level review for changes. * Supports problem-solving solutions for system issues. * Provides expertise for implementing, deactivation, monitoring, quality assurance, and reporting of prepay edits. * Facilitates meetings and coordinates presentations. * Tracks and analyzes data and reports for prepay committee edit effectiveness; creates presentations. * Assigns incoming and outgoing external contractor communications; monitors completion of requests. * Researches prepay and post-pay record questions. Reports quality assurance for appeal requests, recalculations, and redeterminations. * Schedules coordination of ad hoc calls with external contractors or law enforcement; takes minutes. * Reviews and comments on Medicare JOAs. * Creates templates and content for the external contractor annual fraud and abuse training. Level of Supervision Received: Plans and arranges own work; works with manager to prioritize projects. Education (can be substituted for experience): Minimum Bachelor's Degree required Work Experience (can be substituted for education): 2 - 4 years of experience required; 5 - 7 years preferred Healthcare Investigation experience required; Medicare experience preferred. Certification(s): Certified Fraud Examiner preferred Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.
Responsibilities
The Auditor/Investigator II monitors the processing of electronic medical records and supports research related to prepay and post-pay claims. They also track data for prepay committee effectiveness and facilitate communication with external contractors.
Auditor/Investigator II at Qlarant
Us, West Papua, Indonesia - Full Time
Skills Needed
Healthcare Investigation, Quality Assurance, Data Analysis, Problem Solving, Communication, Meeting Facilitation, Research, Presentation Skills
Specialization
A minimum of a Bachelor's Degree is required, along with 2 to 4 years of experience in healthcare investigation, with Medicare experience preferred. Certification as a Certified Fraud Examiner is also preferred.
Experience Required
Minimum 2 year(s)
RN/ EMT's - IV Infusion Clinic at IV Nutrition
Effingham, Illinois, United States - Full Time
Skills Needed
Iv Administration, Client Monitoring, Documentation, Staff Training, Performance Management, Conflict Resolution, Nutritional Infusion, Team Leadership, Motivation, Compliance, Client Education, Hiring Functions, Coaching, Career Development, Ethical Standards, Trust Building
Specialization
Candidates must have an Associate’s Degree in Nursing or be a graduate of an accredited Paramedic program, with a current and up-to-date license. The role requires strong leadership skills and the ability to motivate and manage staff effectively.
Experience Required
Minimum 2 year(s)
I/DD Support Staff – Paid Training at BAYADA Home Health Care
, , - Full Time
Skills Needed
Companionship, Mentoring, Community Integration, Meal Preparation, Errands, Activities, Support, Communication
Specialization
A high school diploma or equivalent is required, along with one year of experience working with individuals with intellectual or developmental disabilities. Paid training is available for those without prior experience.
STAGE Chargé(e) de clientèle 6 mois at Accor
Annecy, Auvergne-Rhône-Alpes, France - Full Time
Skills Needed
Customer Service, Sales, Event Coordination, Teamwork, Communication, Organization, Proactivity, Bilingual
Specialization
Candidates should have a Bac +4/5 in hospitality or commerce and possess excellent interpersonal skills. They should be proactive, organized, and able to work well in a team, with proficiency in French and English.
Pharmaceutical Senior Power BI Dashboard Specialist - GMP Investigations at Eurofins
Rensselaer, New York, United States - Full Time
Skills Needed
Power Bi, Microsoft Tools, Power Query, Excel Macros, Sql, Python, Ruby, Javascript, Spotfire, Tableau, Gmp, Power Automate, Communication Skills, Attention To Detail, Data Visualization, Quality Assurance
Specialization
Candidates should have a bachelor's degree in a relevant field and at least 4 years of experience in the pharmaceutical or biotech industry. Strong expertise in Power BI and familiarity with SQL and programming languages are essential.
Experience Required
Minimum 5 year(s)
Leasing Specialist at Gillespie Property Management
Lansing, Michigan, United States - Full Time
Skills Needed
Sales, Organization, Customer Service, Communication, Leasing, Microsoft Office, Problem Solving, Teamwork, Attention To Detail, Time Management, Market Research, Follow Up, Adaptability, Fair Housing Knowledge, Property Management Software, Curb Appeal
Specialization
Candidates must have a high school diploma or equivalent and prior customer service experience. Excellent communication skills and a professional appearance are required, with prior leasing experience preferred but not mandatory.
Local Delivery Driver at Sysco
, , United States - Full Time
Skills Needed
Cdl A License, Delivery Experience, Customer Service, Positive Attitude, Flexibility, Touch Freight Handling, English Proficiency
Specialization
Candidates must be at least 21 years old and possess a valid Class A Commercial Driver License with a clean driving record. A pre-employment background check and drug screen are required, along with the ability to lift and move products weighing up to 100 pounds.
Dual Medical Assistant & Surgical Scheduler at Precision Healthcare Specialists
Naples, Florida, United States - Full Time
Skills Needed
Medical Assisting, Surgical Scheduling, Patient Care, Emr Systems, Communication, Organization, Multitasking, Infection Control, Hipaa Compliance, Insurance Verification, Surgical Coordination, Patient Education, Compassionate Care, Detail Oriented, Bilingual
Specialization
Candidates should be certified or registered medical assistants with at least two years of experience in medical assisting and/or surgical scheduling. A strong understanding of EMR systems and excellent communication skills are also required.
Experience Required
Minimum 2 year(s)
Utility Maintenance Worker I at City Of Henderson
Henderson, North Carolina, United States - Full Time
Skills Needed
Equipment Operation, Water Maintenance, Sewer Maintenance, Pipe Installation, Repair Work, Hazard Awareness, Safety Precautions, Physical Labor, Teamwork, Customer Service, Preventive Maintenance, Hand Tools, Power Tools, Utility Line Maps, Vegetation Management, Heavy Equipment Operation
Specialization
Candidates should have some knowledge of utility maintenance work and the tools used in this field. A high school diploma or GED is required, along with a valid North Carolina driver's license.
Calendar Clerk at Chartwell Law
Red Bank, New Jersey, United States - Full Time
Skills Needed
Calendar Management, Docketing, Legal Terminology, Conflict Management, Communication, Professionalism, Planning, Priority Setting, E Filing, Court Rules, Deposition Coordination, Database Management, Inquiry Response, Time Management, Attention To Detail, Organization
Specialization
Candidates should have knowledge of state court rules and experience with calendar management and docketing. Familiarity with e-filing systems and legal terminology is also required.
Experience Required
Minimum 2 year(s)
Associate Attorney - General Liability - Insurance Defense at Chartwell Law
New York, New York, United States - Full Time
Skills Needed
Legal Research, Drafting, Litigation, Communication, Conflict Management, Professionalism, Planning, Client Relations, Oral Advocacy, Independence, Collaboration, Trial Preparation, Discovery Requests, Expert Witness Retention, Deadline Management, Strategic Legal Counsel
Specialization
Candidates must have a J.D. from an ABA-accredited law school and an active license to practice law in the state posted. A minimum of 2 years of experience in the practice group is required, along with strong legal research and communication skills.
Experience Required
Minimum 2 year(s)
Line & Prep Cooks at Muchacho Reynoldstown
Atlanta, Georgia, United States - Full Time
Skills Needed
Line Cooking, Prep Cooking, Food Preparation, Attention To Detail, Team Collaboration, Customer Service, Positive Attitude, Passion For Food, Efficiency, Organization, Fresh Ingredients, Fast Paced Environment
Specialization
Candidates should have a passion for food and an eagerness to learn, along with the ability to work quickly and efficiently. A positive attitude and being a team player are essential.
Vantage Mainframe at NTT DATA
Bengaluru, karnataka, India - Full Time
Skills Needed
Cobol, Cics, Vsam, Db2, Easytrieve, Communication Skills, Life Insurance Domain Knowledge
Specialization
Candidates should have expertise in mainframe technologies such as Cobol, CICS, VSAM, DB2, and Easytrieve. Additionally, knowledge of the life insurance domain is essential.
Experience Required
Minimum 5 year(s)
Business Operations Senior Analyst at NTT DATA
Gurugram, haryana, India - Full Time
Skills Needed
Business Operations, Process Compliance, Account Operations, Root Cause Analysis, Project Management, Time Management, Resource Management, Sap, Salesforce, Communication Skills, Analytical Skills, Order To Cash Process, Uat, Performance Management, Change Management, Stakeholder Management
Specialization
Candidates should have 3 to 4 years of experience in relevant process areas, with strong communication and analytical skills. Proficiency in MS Office and familiarity with SAP and Salesforce are preferred.
Experience Required
Minimum 2 year(s)
SF Dev - AWS at NTT DATA
Lonavala, maharashtra, India - Full Time
Skills Needed
Salesforce.Com, Apis, Apex, Lightning, Visualforce, Visual Workflow, Sql, Javascript, Rest, Soap, Html, Xml, Project Management, Collaboration, Solution Consulting, Pre Sales
Specialization
Candidates should have experience in developing solutions using Salesforce and related technologies, as well as strong communication and project management skills. Familiarity with Salesforce certifications and tools like JIRA is preferred.
Experience Required
Minimum 5 year(s)
Advanced Provider - Emergency Medicine - Nocturnist at MedAmerica
Santa Maria, California, United States - Full Time
Skills Needed
Emergency Medicine, Patient Care, Team Collaboration, Spanish Language Skills, Acls Certification, Bls Certification, Pals Certification, Dea Certification, Clinical Skills, Trauma Care, Patient Assessment, Communication Skills, Time Management, Problem Solving, Adaptability, Cultural Competence
Specialization
Candidates must have 1-2 years of previous Emergency Department experience and current national certifications including DEA, ACLS, BLS, and PALS. A current CA state license is a plus, and new graduates are welcome to apply.
Nurse Practitioner/Physician Assistant - Emergency Medicine - Full-Time at MedAmerica
Longview, Washington, United States - Full Time
Skills Needed
Emergency Medicine, Advanced Provider, Patient Care, Team Collaboration, Acls, Bls, Pals, Dea Certification, Epic Emr, Trauma Care, Community Engagement, Consultant Relationships, Medical Education, Healthcare Improvement, Clinical Skills, Patient Assessment
Specialization
Candidates must have current national certification, DEA, ACLS, BLS, and PALS. Experience in Emergency Department or Urgent Care is preferred, and a current WA state license is a plus.
Senior Coding Specialist - Multi-Specialty at MedAmerica
, , - Full Time
Skills Needed
Cpt Coding, Icd 10 Coding, Medical Terminology, Critical Thinking, Analytical Skills, Attention To Detail, Data Entry, Judgment, Reasoning, Patient Care, Pathology Knowledge, Organ Systems Knowledge, Microsoft Office, Timekeeping, Documentation Review, Communication
Specialization
Candidates must have a high school diploma or GED and a certificate of completion of a medical coding course. Additionally, 1-2 years of coding experience and knowledge of medical terminology are required.
Scribe - Emergency Medicine at MedAmerica
, , - Full Time
Skills Needed
Medical Terminology, Human Anatomy, Human Physiology, Writing Skills, Typing Speed, Follow Through, Self Motivated
Specialization
Candidates should have a responsible demeanor and a passion for medicine, along with strong writing skills and a quick typing speed. Experience with medical terminology, human anatomy, and physiology is preferred.
Physician Assistant or Nurse Practitioner - Emergency Medicine at MedAmerica
Plymouth, Indiana, United States - Full Time
Skills Needed
Emergency Medicine, Patient Care, Clinical Leadership, Team Collaboration, Professional Development, Acls Certification, Pals Certification, Bls Certification, Dea Certification, State License, Communication Skills, Problem Solving, Time Management, Adaptability, Community Engagement, Healthcare Improvement
Specialization
Candidates must have current national certification, DEA, and BLS. ACLS and PALS certifications are preferred, and a current Indiana state license is a plus.