qa lead/ usrn

We are seeking a USRN Operations Manager with deep expertise in UMR and InterQual to lead a clinical UM program. This role is focused on operational excellence, team leadership, and quality-driven outcomes.Key ResponsibilitiesOversee utilization management operations and ensure SLA/KPI achievementLead and develop clinical reviewers and team leadsEnsure...

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...

USRN Quality Assurance SpecialistOn-site | Bridgetowne, Quezon CityNight ShiftStart Date: December 31, 2025 / ASAPSalary Range: ₱60,000 – ₱90,000About the RoleWe are seeking a highly skilled USRN Quality Assurance Specialist to support the accuracy, compliance, and performance standards of our Medicare Part C Appeals operations. This role ensures...

We are seeking a highly organized and analytical QA Lead to oversee quality assurance activities across multiple BPO accounts. The QA Lead will ensure that customer interactions meet client expectations and internal standards, drive continuous improvement, and lead a team of QA analysts to deliver consistent and actionable...

At Probe Group, we're powered by passion, driven by curiosity, enriched by a purpose to do it better. We work hard and love a good challenge (or multiple). With clients spanning across the Pacific, Asia and North America, we're no stranger to thinking big and working with innovative minds to achieve great success. We are dedicated to doing things better than...

Job Title: QA Lead (AI Agents)Level: LeadLocation: Remote (Philippines)Work Hours: Full-time, US EST (Night Shift)Company Overview:Playbook is the best all-in-one software platform for sports, youth, and community businesses. We are at the forefront of integrating AI to build smarter, more efficient tools for our customers.The Opportunity:We are seeking a...

Pointwest is looking for a Manual QA Tester to join our Insurance Business Unit. This role is key to delivering high-quality software through detailed testing, clear defect reporting, and active collaboration with cross-functional teams. You will contribute to project success by ensuring product reliability while aligning with Pointwest's core values...

Job DescriptionDevelops improvement plans based on RCA findings, leads QA operations to ensure delivery of business operations according to client standards, recommends frameworks and strategies for the QA departmentEstablishes organizational goals according to client standardsIdentifies critical success or detrimental factorsImplements continuous...

Job DescriptionDevelops improvement plans based on RCA findings, leads QA operations to ensure delivery of business operations according to client standards, recommends frameworks and strategies for the QA departmentEstablishes organizational goals according to client standardsIdentifies critical success or detrimental factorsImplements continuous...

Role Title: USRN/PHRN Operations ManagerECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges through...