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IE
Quality Inspector for Mid/ Night Shift
INTERMOUNTAIN ELECTRONICS INC
Commerce City, CO
- $25 to $32 USD / hour
Communicate any changes to quality process/procedures with Manufacturing Manager and team leads. Assist in the collection of process turn backs, analysis of root causes, and implementation…
Added just now
AE
Electrical Service Manager
Absolute Electrical, Plumbing, Heating & Air
Denver, CO
- $100,000 USD / year
…operations, we're seeking a talented and ambitious Electrical Service Manager to play a key role in building and leading our dynamic service…
Added just now
PI
Project Manager
Potelco, Inc.
Sumner, WA
- $38 to $46 USD / hour
The Project Manager manages high voltage transmission, distribution, and substation construction/maintenance projects. Project Managers are also in charge of planning, directing, or…
Added 1 min ago
Quality & Safety Improvement Consultant IV, Clinical Quality Consulting (PMG)
Kaiser Permanente
Anaheim, CA
…and/or programs related to area of work as well as facilitating implementation efforts to reduce variation in clinical practice and optimize patient outcomes; assisting with the collection,…
Added 1 min ago
L
Senior Technical Program Manager - Public Cloud
Lambda
San Jose, CA · San Francisco, CA · Bellevue, WA
- $278,000 to $370,000 USD / year
- Partner with engineers on architecture, implementation estimates, and sequencing; make dependencies, risks, and delivery tradeoffs visible early.
Added 1 min ago
FOREST RANGER I
State of Arkansas
Eureka Springs, AR
As the largest industry in Arkansas, the Arkansas Department of Agriculture is dedicated to the development and implementation of policies and programs for Arkansas agriculture and forestry…
Added 2 mins ago
Patient Care Specialist II
Millennium Physician Group, LLC
Plant City, FL
Supports the Practice Manager and care team with assigned administrative tasks.
Added 2 mins ago
Central Kitchen Food Service Production Supervisor
Outpost Natural Foods
Milwaukee, WI
STATUS: FT, Assistant, Union, Hourly REPORTS TO: Production Manager
Added 2 mins ago
Project Management Specialist
The Boeing Company
El Segundo, CA
…Satellite Platform Integrated Product Team (IPT) Lead, Cost Account Manager (CAM) (Level 3) to join the Boeing Common Products Group in El Segundo, CA, in direct support of Government and…
Added 2 mins ago
Key Account Manager (Southwest Territory)
Biocodex, Inc.
Augusta, NJ
The Key Account Manager (KAM), as a member of the Dravet 8 Team, will act as the primary customer interface, providing customers comprehensive disease & product knowledge, executing Sales &…
Added 2 mins ago
Supervisor Work Management - Work Management - North NJ Region
Jersey Central Power & Light Company
Boonton, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 2 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
Wrightstown, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 2 mins ago
Practice Transformation Spec
Quality Insights,Inc
United States
…providers, practices and health systems to improve workflow and implementation for quality improvement. PTS acts as a consultant to healthcare providers, practices and health systems…
Added 2 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
Union Beach, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 2 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
Point Pleasant Beach, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 2 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
West Long Branch, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 3 mins ago
Senior Capital Improvements Project Manager
MacKay
Atlanta, GA
We are seeking a full-time a Senior Capital Improvements Project Manager to join our dynamic team. This role is open to candidates based out of Atlanta, GA.
Added 3 mins ago
Capital Improvements Project Engineer
MacKay
Atlanta, GA
…will report directly with the Capital Improvements Project Manager and the Public Works Director/Deputy…
Added 3 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
Lakewood, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 3 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
Old Bridge, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 3 mins ago
Supervisor Work Management - Work Management - North NJ Region
Jersey Central Power & Light Company
Dover, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 3 mins ago
Supervisor Work Management - Work Management - North NJ Region
Jersey Central Power & Light Company
Newton, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 3 mins ago
Supervisor Work Management - NJ Work Management - Central NJ Region
Jersey Central Power & Light Company
Freehold, NJ
…Excellence organization. The individual collaborates with the Manager, Work Management Operations to establish and monitor organizational goals, policies, plans, forecasts, and standards;…
Added 3 mins ago
Project Manager
U.S. Bank National Association
Minneapolis, MN
The Project Manager participates in the identification, design, development and implementation of projects core to revenue growth and efficiency. They interface with internal and external…
Added 3 mins ago
Sourcing Manager Corporate Services
J&J Family of Companies
New Brunswick, NJ
Johnson and Johnson is recruiting a Sourcing Manager Corporate Services located in New Brunswick, NJ.

Amerihealth Caritas

Claims, Operations Quality Auditor

Philadelphia, PA, United States

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Job details

Posting language: English
Posted: Nov 4, 2026

Original job description

Role Overview:

Under the direct supervision of the Supervisor, Manager, and/or Director of Operations Quality Auditing, the Operations Quality Auditor is responsible for the timely and accurate review of various tasks performed by Operations (including, but not limited to, Claims).

Work Arrangement:

Hybrid- Associate must be in the office at least three (3) days per week, including core days of Tuesdays and Wednesdays.

Responsibilities:

Identifies system and/or operational issues hindering the attainment of quality performance standards as defined by AMFC policy and associated business rules.
Provides issue identification, problem analysis, and strategies for resolution and/or implementation to Management.
Accurately documents audit findings in the appropriate quality tool.

Education and Experience:

High School/GED required.
Minimum 3 years’ claims experience in a Medicaid environment.
Claims processing knowledge required, preferably with the Facets system.
Working knowledge of Microsoft Office applications.

Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

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