Claims Quality Auditor jobs in Utah

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 - Supplier Auditor
  • bioMérieux
  • Salt Lake, UT FULL_TIME
  • Quality Auditor - Supplier Auditor

    Location: Salt Lake City, UT, United States
    Position Type: Unfixed Term
    Job Function: Quality


    A family-owned company, bioMérieux has grown to become a world leader in the field of in vitro diagnostics. For almost 60 years and across the world, we have imagined and developed innovative diagnostics solutions to improve public health. Today, our teams are spread across 44 countries and serve 160 countries with the support of a large distribution network. This includes our SLC site, formerly known as BioFire Diagnostics.

    Description

    Perform all work in compliance with company policy and within the guidelines of BioMerieux's
    Quality System.
    2. Establish supplier audit schedules and activities.
    3. Perform gap analysis of supplier QMS to new and existing regulations and standards.
    4. Present supplier audit findings at annual Management Review meeting.
    5. Present supplier audit findings and OFI’s to Supplier Program Manager, and members of Supplier Review
    Board/Material Review Board.
    6. Understand company organization, operations, product development cycle and management processes.
    7. Understand QMS organization and QA functions.
    8. Maintain supplier audit finding database (SCARs).
    9. Evaluate supplier audit findings and opportunities for improvement.
    10. Review supplier audit findings and opportunities for improvement for trends over time.
    Supplemental Data
    1. 5-10% Domestic and/or international travel may be required for training purposes.
    2. 10-20% domestic and/or international travel may be required for performing supplier audits
    Note: Travel may be restricted during times of high risk to travelers. Supplier audits may be performed remotely
    as deemed necessary by management
    • Bachelor of Science or Master’s Degree (science, engineering or life sciences).
      2. Knowledge of good manufacturing practices, ISO 9001, ISO 13485, and 21 CFR 820 required.
      3. Knowledge of quality principles and regulations applicable to in vitro diagnostic products, including FDA
      QSR, ISO 13485, CMDR, CE Marking, ISO 9001, ISO 14971, In Vitro Diagnostic Directive/In Vitro Diagnostic
      Regulation.
      4. Knowledge of MDSAP audit program a plus.

    Experience
    1. Minimum 5 years work experience in Medical Device, Pharmaceutical or Biotechnology manufacturing
    setting that has a formal quality system is required.
    2. Auditing experience in Medical Device, Pharma, or Biotechnology industry.


    Knowledge, Skills, and Abilities
    1. Effective written and verbal communication skills
    2. Proficiency in MS Office tools, including Outlook, Word, and Excel
    3. General computer operation
    4. Proficiency in internet navigation
    5. Attention to detail is fundamental to this position
    6. Strong organization is required
    7. Auditing principles and best practices
    8. Ability to accurately follow and interpret written procedures
    9. Ability to accurately comprehend and interpret federal and international regulations and standards.
    10. Excellent communication skills, both oral and written
    11. Excellent collaboration with cross-departmental leaders within the organization.
    12. Professional communication and peer-to-peer interactions is a must.
    13. Critical listening skills
    14. Experience with MS Visio a plus
    15. Ability to prepare clear and concise summaries for executives and stakeholders.
    16. Strong presentation skills.

    Please be aware that recruitment related scams are on the rise. Fraudulent job postings are being placed on other websites, and individuals posing as bioMérieux Talent Acquisition team members are reaching out via email or text message in an attempt to collect your personal and confidential information. In some cases, these scammers are also conducting bogus interviews prior to extending fraudulent offers of employment. Beware of individuals reaching out using general phone numbers and non-bioMerieux email domains (i.e. Hotmail.com, Gmail.com, Yahoo.com, etc.). If you are concerned that an interview experience or offer of employment might be a scam, please make sure you are searching for the posting on our careers site https://careers.biomerieux.com/ or contact us at [email protected].

    BioMérieux Inc. and its affiliates are Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Please be advised that the receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant’s identity and legal authorization to work in the United States are required of all new hires. Any misrepresentation, falsification, or material omission may result in the failure to receive an offer, the retraction of an offer, or if already hired, dismissal. If you are a qualified individual with a disability, you may request a reasonable accommodation in BioMérieux’s or its affiliates’ application process by contacting us via telephone at (385) 770-1132, by email at [email protected], or by dialing 711 for access to Telecommunications Relay Services (TRS).

  • 1 Month Ago

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Safety & Quality Auditor
  • Canyon Pipeline Construction, Inc.
  • Centerville, UT FULL_TIME
  • Who We AreCenturi Group is comprised of a family of companies that make up a utility infrastructure enterprise, operating throughout the US and Canada, committed to safely delivering gas, electric and...
  • 11 Days Ago

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Senior Clinical Quality Auditor - Remote
  • UnitedHealth Group
  • Draper, UT FULL_TIME
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin...
  • 27 Days Ago

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Senior Workers Compensation Claims Adjuster
  • TheBest Claims Solutions
  • Salt Lake, UT OTHER
  • Our client, a National Insurance Company, is looking for a Utah Workers Compensation Adjuster with 3 to 5 years of experience for their remote Direct Hire Opening. Our client offers excellent health b...
  • 19 Days Ago

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Senior Clinical Quality Auditor - Remote | WFH
  • Get It Recruit - Healthcare
  • Draper, UT FULL_TIME
  • We're looking for a dedicated individual who thrives on challenges and enjoys the flexibility of remote work. As a Remote Behavioral Health Auditor, you'll play a crucial role in ensuring the quality ...
  • 10 Days Ago

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Account Specialist Level 1
  • Claims Solutions
  • Lehi, UT 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...
  • 3 Days Ago

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 6/12/2024 12:00:00 AM

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Quality Auditor
  • ResourceMFG
  • Jacksonville, FL
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 2nd Shift: 2:30pm-11pm-$20/hr Job Descri...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Texas Children's Hospital
  • Bellaire, TX
  • Job Summary We are searching for a Quality Auditor - Benefits, Contracts, Fee Schedules Configuration/Testing - someone ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Loma Linda University Health
  • Loma Linda, CA
  • Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Abb Holdings Inc
  • Byhalia, MS
  • Quality Auditor Take your next career step at ABB with a global team that is energizing the transformation of society an...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Catalent Pharma Solutions
  • Madison, WI
  • **Quality Auditor** **Position Summary:** Catalent is a global, high-growth, public company, and a leading partner for t...
  • 6/9/2024 12:00:00 AM

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Quality Auditor
  • Flextronics
  • Salt Lake City, UT
  • Job Posting Start Date 04-26-2024 Job Posting End Date 06-26-2024Flex is the diversified manufacturing partner of choice...
  • 6/8/2024 12:00:00 AM

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Quality Auditor
  • Mauser Packaging Solutions
  • York, PA
  • JOB DESCRIPTION Responsibilities Performs quality assurance testing as required. Reviews production orders or schedules ...
  • 5/23/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,955 to $53,877

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019