Claims Quality Auditor jobs in Saint Petersburg, FL

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 Assurance Auditor
  • Cliantha Research
  • Saint Petersburg, FL FULL_TIME
  • Quality Assurance Auditor

    Department Quality Assurance

    Designation Quality Assurance Auditor

    Basic Minimum of Bachelor of Arts or Science Degree in a related
    qualification field or sufficient equivalent relevant training and experience
    required as judged by the site QA management.


    Experience 2 - 6 Years

    Location U.S.-Saint Petersburg, FL

    Brief JD • Conduct routine internal audits of projects conducted at the site as
    scheduled. These audits are intended to assess Cliantha Research site’s
    compliance with Good Regulated Practices (GxP), Quality System
    Documents (such as SOPs), study protocols, pertinent industry regulations
    and guidelines; they include, but are not limited to, the following:

    1. Pre-study (documentation) audits
    2. In-process (procedures and documentation) audits
    3. Post-study (documentation) audits
    4. Statistics and/or pharmacokinetics
    5. Clinical study reports
    6. Data management audits
    7. CDISC audits
    8. Trial Master File audits
    9. Validation reports
    • Review protocols, informed consent forms, source document

    templates/logs and other project-specific documentation not otherwise
    reviewed formally in an audit.

    • Conduct external audits for clinical trial projects to ensure compliance with
    SOP, Protocol, ICH GCP, quality system and applicable regulatory
    requirements
    • Conduct routine process/system audits, as well as audits of validation
    and/or qualification of computerized systems and facilities.
    • Conduct qualification audits of 3rd party vendors that provide goods and/or
    services that support GxP activities at Cliantha Research.
    • Keep QA Management up to date with findings and
    follow up on corrective actions.
    • Perform adequate and timely follow-up of audits, and
    issue Quality Assurance statements/certificates for


    audits conducted.
    • Create Quality Plans, Audit Plans or Audit Checklists for assigned projects.
    • Coordinate with site QA management in the submission and effective

    maintenance of quality-related data for the development and tracking of
    quality metrics.

    • Assist in the hosting of sponsor representatives (monitors, auditors, etc.),
    IRB personnel and regulatory (e.g. FDA, EMA, HC) inspectors.
    • Assist the site and QA management in the identification of quality process
    improvement opportunities and in the development of new processes,
    documentation and other tools.
    • Work with the Quality Assurance group in the development/revision and
    implementation of Standard Operating Procedures as required.
    • Assist with the archiving of study documents, as needed
    • Ensure compliance with appropriate Cliantha Research SOP’s, GCP (&/or
    GLP if applicable) and ICH guidelines.
    • Keep personal training file updated on a regular basis.
    • Work in a safe manner that does not endanger yourself or co-workers.
    • Uphold the company mission statement and conduct yourself at all times

    in a respectful and business-like manner. Be a positive role model for all
    staff and interact with colleagues in a collaborative way.

    • Review of SOPS to update the systems in compliance with regulatory
    requirements

    • Execute other duties as may be required.



    Interested candidates can send their resume at kstowe@cliantha.com

  • 7 Days Ago

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Night Auditor
  • Beachcomber Beach Resort
  • Beach, FL FULL_TIME
  • About Us: At Pyramid Global Hospitality, people come first. As a company that values its employees, Pyramid Global Hospitality is dedicated to creating a supportive and inclusive work environment that...
  • 18 Days Ago

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Night Auditor
  • OTO Development
  • Saint Petersburg, FL FULL_TIME
  • Nationally: $13.20 - $15.10*Rate depends upon state/market and experience*OTO Development is pleased to announce a wonderful opportunity for a Night Auditor. What will you be doing most days?Execute g...
  • 22 Days Ago

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Night Auditor
  • Hilton St. Petersburg Carillon Park
  • Petersburg, FL FULL_TIME
  • Overview Opportunity: Night Auditor Balance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duti...
  • 28 Days Ago

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Junior Auditor
  • Bedrock
  • Saint Petersburg, FL CONTRACTOR,FULL_TIME
  • Job title: Junior Accounts Payable Recovery Auditor Department: Client Service Delivery Reports to: Client Services Delivery Manager FLSA: Non-Exempt Position Summary: The Junior AP Recovery Auditor i...
  • 29 Days Ago

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Night Auditor
  • TradeWinds Island Resort
  • Beach, FL FULL_TIME
  • Compensation TypeHourly Highgate Hotels Highgate is a leading real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant play...
  • 1 Month Ago

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0 Claims Quality Auditor jobs found in Saint Petersburg, FL area

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HR Controls – Business/Function Quality Control Lead (SVP) (Hybrid)
  • Citigroup
  • Tampa, FL
  • The Business/Function Quality Control Lead position is part of the HR Controls team that is being formed to respond to t...
  • 4/26/2024 12:00:00 AM

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Quality Inspection Lead
  • CIRCOR International, Inc
  • Tampa, FL
  • Quality Inspection Lead & Level I Admin ORGANIZATIONAL STRUCTURE BUSINESS: Leslie Controls, Inc LOCATION: Tampa, FL DIRE...
  • 4/25/2024 12:00:00 AM

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HR Controls Business/Function Quality Control Lead (SVP) (Hybrid)
  • Citigroup Inc.
  • Tampa, FL
  • The Business/Function Quality Control Lead position is part of the HR Controls team that is being formed to respond to t...
  • 4/24/2024 12:00:00 AM

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Sr. Project Manager
  • Kobie
  • Saint Petersburg, FL
  • Why you will love working for a National Top Workplace We are a global leader in loyalty marketing. We work with some of...
  • 4/23/2024 12:00:00 AM

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HR Controls - Business/Function Quality Control Lead (SVP) (Hybrid)
  • Citigroup, Inc.
  • Tampa, FL
  • The Business/Function Quality Control Lead position is part of the HR Controls team that is being formed to respond to t...
  • 4/22/2024 12:00:00 AM

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Customer Service Quality Assurance Auditor
  • Safepoint MGA, LLC
  • Tampa, FL
  • Job Summary As a Customer Service Quality Assurance Auditor, you will ensure that our customer service meets and exceeds...
  • 4/22/2024 12:00:00 AM

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Senior Supply Quality Engineer
  • CIRCOR International, Inc
  • Tampa, FL
  • Senior Supply Quality Engineer ORGANIZATIONAL STRUCTURE BUSINESS: Leslie Controls, Inc LOCATION: Tampa, FL DIRECT REPORT...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Saint Petersburg, FL
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,588 to $53,425
Saint Petersburg, Florida area prices
were up 1.1% from a year ago

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