Quality Claims Coordinator

Responsibilities:• Ensures that insurance claims information is entered into the system correctly, to ensure accurate processing and timely payment.• Ensures that provider’s fees and service items charges coincide with their existing contract price list with Nextcare.• Ensures the accuracy of the entered data as per the existing standard...

Job Description:Daily/Weekly/Monthly field quality analysis & monitoring &ReportingSVC Center Visiting (ASC&DSC)Field Claim / VOC ControlDaily Field Monitoring for New ModelSVC Cost MonitoringField worst defect follow upImprovement actions meeting coordination for field issuesField Cost Rate Analysis & ImprovementCustomer claim handling.SVC defective part...

Responsibilities:Monitoring all processes activities and procedures which includes daily cases debugging and quality issues recording.Applying internal auditing procedures like daily cases scoring, random field and inventory visits.Vendor audits on quarterly basis plus following up on vendor daily performance, recording non conformities and preparing...

Are you a data whiz with a keen eye for detail and a passion for protecting our brands? Do you thrive in a fast-paced environment where vigilance is key? If so, join us as an Anti-Counterfeit Coordinator and become the first line of defense against counterfeiting in the MENA region!In this crucial role, you'll: Become the data detective: Manage and...

Responsibilities:• Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans;• Audit, assess, and monitor providers and payers, to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral healthcare, laboratory, etc. medical records, and...

Responsibilities:• Coordinate and facilitate the new Comers Hotel Orientation program and supervise the on-boarding process.• Conduct new hires Review and completion of initial job training plans with new comers.• Assist in conducting the Training Needs Analysis• Develop, design, and facilitate learning materials for the frontline...

Responsibilities:• Coordinate and facilitate the new Comers Hotel Orientation program and supervise the on-boarding process.• Conduct new hires Review and completion of initial job training plans with new comers.• Assist in conducting the Training Needs Analysis• Develop, design, and facilitate learning materials for the frontline...

Manage the Quality and Microbiology laboratory in such a way that optimal service is delivered to internal customers in terms of Quality controls and that optimal quality is reached by enforcing internal specifications.Manage the implementation of ISO standards, quality systems and procedures throughout plant operations, documentation and timely calibration...

As a Project Coordinator, you'll play a crucial role in ensuring the smooth execution of projects from conception to completion. You will work closely with project managers, clients, and team members to coordinate tasks, manage timelines, and ensure that projects meet quality standards and deadlines.Key Responsibilities:Manages localization projects from...

SummaryMagnum Support Services is a fast growing provider of various support services for people funded under National Disability Insurance Scheme (NDIS) around Melbourne region. With the current and prospective growth of the company in the industry sector and wide range of services on offer, comes responsibility of effective management of financial aspects...

To define and implement the CLUSTER quality strategy together with regional Commercial Quality (CQ) and assures integration and alignment with CLUSTER business strategy including:Oversight, monitoring and improvement of the CLUSTER quality and compliance metricsProactively partner with other commercial departments to ensure quality aspects of new launches,...

Developing and implementing purchasing strategies.Managing daily purchasing activities, supervising staff, and allocating tasks.Managing supplier relations and negotiating contracts, prices, timelines, etc.Maintaining the supplier database, purchase records, and related documentation.Coordinating with inventory control to determine and manage inventory...

Lead and develop the Quality management priorities for 3 country sites in alignment with head officeTeam management - managing an international team of 10+ Quality Evaluators and Team Leaders for aligned processesAct as the regional leader in all matters related to Quality Management including client meetings and business reviewsSet the high bar standard in...

Monitors and improves data quality across the organizationResponsibilities:Defines standards for Data Quality (DQ), controls, metrics, etc.Monitors and reports on Data Quality across the organizationCreates and updates the enterprise DQ Dashboard to identify gaps/issues.Oversees DQ issues management process and participates in remediation effortsCoordinates...

Set the policies and procedures of the Quality Control department in coordination with the Quality Assurance.Consolidate all the monthly reports sent by the QC Managers C to ensure complying with quality standards and take any corrective actions needed.Attend periodical meetings with QC Managers C to discuss any issues that occur in projects as well as the...

Defines standards for Data Quality (DQ), controls, metrics, etc.▪ Monitors and reports on Data Quality across the organization▪ Creates and updates the enterprise DQ Dashboard to identify gaps/issues▪ Oversees DQ issues management process and participates in remediation efforts▪ Coordinates and manages all DQ-related projects across the...

Job DescriptionDigitization :Responsible for transforming the medical data (diagnosis,medications,etc) in medical claims into a digital form.Coding of the written diagnosis using ICD-10 & CPTCommunication with the FRs team inside hospitals and ensuring quality/quantity capturing of the claim forms .Job RequirementsPharmacistAt least one year experience in...

Responsibilities:• Representing the commissioning function at project meetings and commissioning review meetings. Contributing to creation of the project commissioning philosophy.• Managing implementation of commissioning changes and the production of as built project documentation. Supporting continuous improvement of project process and product...

**Position: Project Coordinator** **Location**:Saudi Arabia - Riyadh** **Experience : 2+ years** **JOB SUMMARY** We are seeking a dynamic and detail-oriented **Project Coordinator** to join our team. The Project Coordinator will be responsible for **assisting in the planning, coordination, and execution of various projects within our organization.** This...

A Training Coordinator is responsible for identifying and providing training to internal customers to deliver an excellent staff experience while working with and ensuring that all departments are achieving their training objectives.What will I be doing?As a Training Coordinator, you are responsible for identifying and providing training to internal...