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Quality Control Auditor

Job not on LinkedIn

🔥 7 minutes ago

🇺🇸 United States – Remote

đź’µ $45k - $50k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

đź‘» Ghost score 0%

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Logo of RAM Technologies

RAM Technologies

1 - 10 employees

Founded 1996

🏥 Healthcare

đź’Ľ Consulting

📦 Logistics

Healthcare • Consulting • Logistics

RAM Technologies is a U. S. -based manufacturer of high-reliability medical and industrial power supplies and related accessories. Since 1996 the company has designed and produced certified PC power supplies for medical devices and other industrial applications, emphasizing quick turnaround for prototypes, customizable output cables, and compliance with standards such as EN 60601-1. RAM Technologies offers long-life, warranty-backed products made in the USA, targeting OEMs and designers of medical and industrial electronics.

đź“‹ Description

• Complete standard functional pre- and post-transaction outcome reviews to determine transaction accuracy and compliance • Stay current on expected operational outcomes • Align quality reviews with applicable processes, contractual service-level agreements, and compliance guidelines • Select audits through random processes and/or other criteria • Perform random and/or targeted periodic quality audits • Clearly document the outcomes of each quality audit • Aid in identifying compliance risks, conducting root cause analysis, and defining corrective action steps • Provide operational delivery teams with feedback to address findings • Collaborate with operations on continuous quality improvement initiatives • Recommend improvements to quality, workflow processes, policies, and procedures • Contribute independently and collaboratively to moderately complex project work

🎯 Requirements

• Typically requires an associate degree • 2+ years' healthcare industry experience working in the payer segment in Medicare Advantage, Managed Medicaid, or with an industry competitor • Experience performing and documenting quality reviews of healthcare transactions • Experience with coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures • Experience with MS PowerPoint, MS Word, MS Excel, and MS Access • Attention to detail and ability to work under time constraints • Exceptional interpersonal, listening, written, and oral communication abilities • Ability to comply with company security and privacy policies and applicable laws and regulations, including HIPAA and HITECH • Ability to safeguard PHI and PII securely • Experience in a BPaas environment is a plus • Experience reviewing system configuration is a plus

🏖️ Benefits

• 100% remote work culture • Health, dental & vision insurance • 5 weeks' vacation and holiday pay • Traditional and ROTH 401k with company match • Company paid life insurance, AD&D, and long-term disability coverage • HSA and FSA accounts • Tuition Reimbursement • Parental Leave

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