Utilization Review Team Lead/QA

JOB SUMMARYWe are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management platform are clinical criteria guidelines, streamlining the review and documentation process....

ResponsibilitiesLead and mentor junior team members.Collaborate with product managers to define acceptance criteria and understand user scenarios.Review and improve existing test strategies and processes.Investigate and implement new testing tools and methodologies.Provide technical leadership in testing and contribute to improving product qualityFamiliarize...

Job Title:Lead QA/QC EngineerLocation:Malanday Valenzuela, PhilippinesJoin UsWe combine AtkinsRéalis project management expertise and Hitachi Energy's deep technological knowledge to create a company dedicated to substations – we are LinxonWhat will you do?Leads in developing and implementing robust Project Quality Plan in line with project contractual...

Key Responsibilities•Review and verify medical reports for accuracy•Maintain and update documentation systems•Handled communications with stakeholders•Monitor compliance with healthcare regulationsNon-Negotiable Requirements:•USRN Licensed (6 months validity)•1 year of experience in Medical Account for clerical or administrative...

Job overview and responsibilityA. Data Insights and ReportingLead the end-to-end analysis of Quality, CSAT/NPS, FCR and customer experience metrics across multiple programs.Produce daily, weekly and monthly insights highlighting performance drivers, trends and risk indicators.Build standardized reporting dashboards to support Operations...

As a Team Lead for a U.S.-based legal intake account, you will oversee a dedicated team handling client intake, case screening, and information management for law firms. You will manage on-site operations during the graveyard shift, ensuring that all processes run smoothly while maintaining accuracy, confidentiality, and high client satisfaction in a...

Job Description 40% 1. Oversee implementation of effective & consistent building/equipment preventive maintenance programs. To ensure reliable operations of building equipment system, physical appearance, safety & securityof all facilities by conducting regular inspection.Consistently implement preventive maintenance works & undertake corrective maintenance...

Job Description 40% 1. Oversee implementation of effective & consistent building/equipment preventive maintenance programs. To ensure reliable operations of building equipment system, physical appearance, safety & securityof all facilities by conducting regular inspection. Consistently implement preventive maintenance works & undertake corrective maintenance...

DescriptionHelp us build the future and we'll help you build a rewarding and purposeful career. Our global network is made up of architects, designers, planners, engineers, and environmental scientists all working towards the same goal. Join a team that brings inspirational architecture, landscapes, townscapes and places to our world, and we'll provide you...

Position Overview:The QA Coach ensures consistent, high-quality customer service by monitoring interactions, providing coaching, and maintaining resources that support both new and tenured Customer Service Representatives. This role balances quality assurance with team enablement, helping the team perform at their best aligned to company standards and...