Quality Assurance Specialist
6 months ago
Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments, proactive medical and disability management.Reviews to focus on completion of activities and case management goals in timely manner, have appropriate follow up, appointments are made within recommended frequency, and ensure there are no gaps in service and medical care coordination.Analysis of Quality Assurance reporting metrics to identify strengths, trending, and provide recommendations which can support and tie into education training development needs for the overall programs.Measure and identify staffing competency levels from quality assurance reviews.Work with leadership and staff to calibrate quality standards across all offices.Qualifications:Unrestricted active RN licenseBachelor’s degree in nursing (BSN)Certification in case management, rehabilitation nursing or related specialty preferred. Quality Assurance program designations such as Health Care Quality and Management certification (HCQM) highly preferred.Minimum two (2) years direct clinical care required but not limited to trauma, emergency, intensive care, orthopedic, neurology.Written and verbal fluency in English is requiredCombination of two (2) years in either utilization review programs for Group Health or Worker’s Compensation or experience in a quality assurance role requiredUnderstanding and prior experience with URAC accreditation for utilization review is preferred.
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Quality Assurance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeAbout the Role:Tasq Staffing Solutions is seeking a Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring high-quality service delivery in line with our service quality plan. This includes executing transaction monitoring, providing coaching and feedback to agents, and performing root cause...
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Quality Assurance Specialist
4 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Quality Assurance SpecialistGratitude Philippines is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our healthcare services.Responsibilities:Conduct regular and systematic reviews of managed care internal and external claim files to...
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Quality Assurance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines Hunter's Hub Inc. Full timeJob Title: Quality Assurance SpecialistJob Description:We are seeking a Quality Assurance Specialist to join our team at Hunter's Hub Inc. The ideal candidate will have a Bachelor's degree in Computer Science or Information Technology and experience in software testing.Key Responsibilities:Requirements:Experience in software testing and quality...
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Quality Assurance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines DDT Konstract Inc. Full timeQuality Assurance and Control SpecialistWe are seeking a highly skilled Quality Assurance and Control Specialist to join our team at DDT Konstract Inc. The ideal candidate will have a strong background in quality assurance and control, with experience in reviewing technical requirements and documents.Key Responsibilities:Review and evaluate technical...
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Quality Assurance Specialist
4 weeks ago
Taguig, National Capital Region, Philippines Wills International Sales Corporation Full timeQuality Assurance SpecialistAt Wills International Sales Corporation, we are seeking a highly skilled Quality Assurance Specialist to join our team. The successful candidate will be responsible for inspecting incoming raw material shipments and monitoring products handling during unloading and storage. Additionally, they will inspect conformance of products...
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Quality Assurance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines Vertere Global Solutions, Inc Full timeQuality Assurance Role OverviewWe are seeking a skilled Quality Assurance Specialist to assist our team at Vertere Global Solutions, Inc. in ensuring the quality of our software products. As a Quality Assurance Specialist, you will be responsible for developing and implementing test strategies, collaborating with cross-functional teams, and executing test...
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Quality Assurance Specialist
4 weeks ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeJob Title: Quality Assurance SpecialistAt TASQ Staffing Solutions, we are seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the highest levels of customer experience and employee engagement.Key Responsibilities:Define and manage performance and service quality...
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Quality Assurance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines ADDFORCE Human Resources Solutions Full timeQuality Assurance SpecialistAt ADDFORCE Human Resources Solutions, we are seeking a Quality Assurance Specialist to join our team. The ideal candidate will have at least one year of QA experience in handling any account of a BPO company, as well as proficiency in English. Additionally, the candidate should be amenable to work on-site in a shifting schedule...
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Quality Assurance Specialist
4 weeks ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeJob Title: Quality Assurance SpecialistTASQ Staffing Solutions is seeking a Quality Assurance Specialist to work in a dynamic environment. The ideal candidate will have a strong background in quality assurance and be able to analyze data to identify areas for improvement.Key Responsibilities: Conduct transaction and call monitoring to ensure quality...
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Quality Assurance Specialist
3 weeks ago
Taguig, National Capital Region, Philippines Eteam Workforce Private Corp. Full timeJob Title: Quality Assurance SpecialistJob Summary:We are seeking a Quality Assurance Specialist to join our team at Eteam Workforce Private Corp. The successful candidate will be responsible for supporting and delivering on multiple audits, including Payroll Audits, New hire audits, OTP, and other pay-impacting audits.Key Responsibilities:Support and...
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Software Quality Assurance Specialist
3 weeks ago
Taguig, National Capital Region, Philippines Risewave Consulting Inc. Full timeKey Responsibilities:We are seeking a highly skilled Software Quality Assurance Specialist to join our team at Risewave Consulting Inc. As a Software Quality Assurance Specialist, you will be responsible for ensuring the quality of our software products by identifying and reporting defects, and collaborating with cross-functional teams to develop and...
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Senior Quality Assurance Specialist
1 day ago
Taguig, National Capital Region, Philippines Nityo Infotech Full timeNityo Infotech is seeking a highly skilled Senior Quality Assurance Specialist to join our team. In this role, you will play a crucial part in ensuring the quality of our software products.About the RoleWe are looking for an experienced Test Analyst with a strong background in requirements planning, test planning, and test case design. As a Senior Quality...
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Senior Quality Assurance Specialist
1 day ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Summary:We are seeking an experienced Senior Quality Assurance Specialist to join our team at Gratitude Philippines. In this role, you will be responsible for implementing and delivering exceptional quality frameworks that support consistent delivery of client metrics.About the Role:As a Senior Quality Assurance Specialist, you will work closely with...
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Executive Quality Assurance Specialist
4 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Executive Quality Assurance SpecialistGratitude Philippines is seeking a highly skilled Executive Quality Assurance Specialist to join our team. As a key member of our organization, you will be responsible for implementing and delivering an exceptional quality framework that supports consistent delivery of client metrics.Key Responsibilities:Work...
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Quality Assurance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Gratitude Philippines. As a key member of our Quality Assurance team, you will play a vital role in ensuring the delivery of exceptional quality services to our clients.Key ResponsibilitiesDevelop and implement a robust quality framework to support consistent delivery...
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Senior Quality Assurance Specialist
4 weeks ago
Taguig, National Capital Region, Philippines ADDFORCE Human Resource Solutions INC Full timeJob DescriptionWe are seeking a highly skilled Quality Assurance Specialist to join our team at ADDFORCE Human Resource Solutions INC.Key Responsibilities:Provide high-quality assurance services to our clientsConduct thorough testing and quality control processesIdentify and report defects and areas for improvementCollaborate with cross-functional teams to...
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Taguig, National Capital Region, Philippines Ayuda Business Management solution Inc Full timeWe are seeking a skilled Bilingual Polish Speaker to join our team at Ayuda Business Management Solution Inc. as a Senior Translator and Quality Assurance Specialist. In this role, you will be responsible for translating various documents from English to Polish and vice versa, as well as providing interpretation services during conferences and meetings.You...
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Senior Quality Assurance Specialist
1 day ago
Taguig, National Capital Region, Philippines Nityo Infotech Full timeAt Nityo Infotech, we are seeking a skilled Senior Quality Assurance Specialist to join our team.About the RoleThis is a challenging opportunity for a dedicated professional with excellent analytical and problem-solving skills. As a Senior Quality Assurance Specialist, you will be responsible for ensuring the quality of application interfaces in Core...
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Senior Quality Assurance Specialist
1 day ago
Taguig, National Capital Region, Philippines DDT Konstract Inc. Full timeWe are seeking a highly skilled Senior Quality Assurance Specialist to join our team at DDT Konstract, Inc.The ideal candidate will have a strong background in quality assurance and control, with a focus on ensuring the highest standards of quality in all aspects of our projects.Key Responsibilities:Quality Management: Develop and implement quality...
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Software Quality Assurance Specialist
1 day ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeJob Title: Software Quality Assurance SpecialistAt RecruiterPH, we are seeking an experienced Software Quality Assurance Specialist to join our team.About the Role:We are looking for a highly skilled and motivated individual who will be responsible for ensuring the highest quality of software products. The successful candidate will collaborate with...