Total Quality Analyst jobs in Saco, ME

Total Quality Analyst assists with the administration of the organization's total quality programs and processes. Conducts reviews and inspections of internal and vendor processes and activities to monitor compliance. Being a Total Quality Analyst collects data and prepares documents and charts to report status of programs. May be certified in methodologies such as Six Sigma, Lean, or Kaizen. Additionally, Total Quality Analyst typically requires a bachelor's degree in area of specialty. Typically reports to a manager or head of a unit/department. The Total Quality Analyst occasionally directed in several aspects of the work. Gains exposure to some of the complex tasks within the job function. To be a Total Quality Analyst typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Quality Audit Analyst
  • Health Care Service Corporation
  • Portland, ME FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future!

    Job Summary

    This position is responsible for planning and conducting detailed audits, analyzing programs, conducting training, coaching and managing projects related to quality. Review new business, changes, terminations, claims, customer telephone calls, billing, premium application, and commission processes to assure that: a) Internal controls and Model Audit Rule requirements are adhered to b) Processing is performed timely, accurately, and completely in the appropriate systems, and c) Disability coding and liability decisions are accurate, utilizing all appropriate risk resources.

    JOB REQUIREMENTS:
    • Bachelor's degree or equivalent of 4 years of group disability insurance industry job experience.
    • Analytical and research skills.
    • Disability knowledge of NAIC, ERISA, and state regulations.
    • Technical claims expertise and accuracy in product knowledge of life, AD&D, STD, and LTD.
    • Technical claims expertise and accuracy in knowledge of group life and disability contracts.
    • Ability to work independently and within a team environment.
    • Applies best practices and knowledge of internal/external business challenges to improve products, processes, or services.
    • Solves complex problems; takes a new perspective on existing solutions to improve performance and efficiency.
    • Works to build consensus with internal/external peers in customer, and/or regulatory organizations.
    • Proven ability to work well in a high visibility environment.
    • Clear and concise written and verbal communication skills.
    • Experience in making complex decisions independently, with minimal supervision.
    • Organizational and multi-tasking skills to manage daily work load and meet aggressive deadlines and timetables.
    • Knowledge of state contract provisions.
    • Knowledge with sold case materials, departmental documents.
    • PC proficiency to include Word, Excel and lotus Notes.
    • Ability to demonstrate flexibility.
    • Ability to effectively manage conflict.
    • Ability to provide direct and candid feedback effectively while maintaining strong partnerships.

    PREFERRED JOB REQUIREMENTS:
    • 1 year of experience in the FDL environment.
    • Experience with the following systems: Genelco, Enterprise Content Management (ECM), EAS, DCS, STAR
    • Minimum of 2 years of Group Disability claims adjudication background.

    We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.

    **Please note that this role requires that you work in office at least 3 days a week

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    HCSC Employment Statement:

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

     

  • 8 Days Ago

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Quality Assurance
  • Maine Molecular Quality Controls, Inc
  • Saco, ME FULL_TIME
  • Quality Assurance/Regulatory Affairs Specialist I: Molecular Diagnostic Products Employer: Maine Molecular Quality Controls, Inc. (MMQCI) designs, develops, manufactures, and markets unique quality co...
  • 1 Month Ago

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Quality Assurance/Regulatory Affairs Associate
  • Maine Molecular Quality Controls, Inc
  • Saco, ME FULL_TIME
  • Quality Assurance/Regulatory Affairs Associate Employer: Maine Molecular Quality Controls, Inc. (MMQCI) designs, develops, manufactures, and markets unique quality control products used by hospital la...
  • 1 Month Ago

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Therapy - Clinic
  • Quality Clinicians
  • Berlin, NH FULL_TIME
  • Title: Physical Therapist Location: Berlin, New Hampshire Salary Range: $66,331.20 - $99,332.80 per year (Depending upon years of experience, to be negotiated at interview/offer) Work Schedule: Full-t...
  • 1 Day Ago

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RN Med Surg Ortho Lewiston, ME
  • Quality Clinicians
  • Lewiston, ME FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1314-$2314/week Multiple shift openings Job Description/Responsibilities...
  • 3 Days Ago

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RN Orthopedics Lewiston, ME
  • Quality Clinicians
  • Lewiston, ME FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1314-$2314/week Multiple shift openings Job Description/Responsibilities...
  • 10 Days Ago

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0 Total Quality Analyst jobs found in Saco, ME area

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Travel CT Technologist - $2,972 per week
  • TRS Healthcare
  • Biddeford, ME
  • Ardor Health Solutions is seeking a travel CT Technologist for a travel job in Biddeford, Maine. Job Description & Requi...
  • 3/28/2024 12:00:00 AM

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Travel CT Technologist - $2,972 per week
  • Ardor Health Solutions
  • Biddeford, ME
  • Ardor Health Solutions is seeking a travel CT Technologist for a travel job in Biddeford, Maine. Job Description & Requi...
  • 3/27/2024 12:00:00 AM

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Travel CT Technologist - $2,548 per week
  • TRS Healthcare
  • Biddeford, ME
  • Supplemental Health Care is seeking a travel CT Technologist for a travel job in Biddeford, Maine. Job Description & Req...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $3,002 per week
  • Ardor Health Solutions
  • Saco, ME
  • Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Saco, Maine. Job Description...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,726 per week
  • PRN Healthcare
  • Saco, ME
  • Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Saco, Maine. Job Description...
  • 3/27/2024 12:00:00 AM

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Travel Physical Therapist - $2,677 per week
  • TRS Healthcare
  • Saco, ME
  • Ardor Health Solutions is seeking a travel Physical Therapist for a travel job in Saco, Maine. Job Description & Require...
  • 3/27/2024 12:00:00 AM

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Travel Histology Technician - $2,250 per week
  • TRS Healthcare
  • Scarborough, ME
  • Ardor Health Solutions is seeking a travel Histology Technician for a travel job in Scarborough, Maine. Job Description ...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $3,002 per week
  • PRN Healthcare
  • Saco, ME
  • Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Saco, Maine. Job Description...
  • 3/26/2024 12:00:00 AM

Saco /ˈsɑːkoʊ/ is a city in York County, Maine, United States. The population was 18,482 at the 2010 census. It is home to Ferry Beach State Park, Funtown Splashtown USA, Thornton Academy, as well as General Dynamics Armament Systems (also known by its former name, Saco Defense), a subsidiary of the defense contractor General Dynamics. Saco sees much tourism during summer months due to its amusement parks, Ferry Beach State Park, and proximity to Old Orchard Beach. Saco is part of the Portland–South Portland–Biddeford, Maine metropolitan statistical area. Saco's twin-city is Biddeford. Saco is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Total Quality Analyst jobs
$67,849 to $87,719
Saco, Maine area prices
were up 1.6% from a year ago

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