Sr. Associate - Health Claims Quality Auditor
Audits healthcare claims and service quality, focusing on high-dollar claims, billing accuracy, payer requirements, and clear reporting to identify issues and support process improvements.
About Qualifyze:
Founded in 2019, Qualifyze is a leading company in supply chain compliance management in the Life Sciences industry, trusted by over 1,500 pharmaceutical and healthcare companies globally. Our digital suite of solutions connects manufacturers, suppliers, and a global network of more than 250 auditors and quality experts.
With a track record of over 4,500 audits across 85+ countries and the largest and most accurate supplier network and data analytics tools, Qualifyze stands as the all-in-one partner for quality compliance and supply chain risk mitigation in the Life Sciences sector.
Audits healthcare claims and service quality, focusing on high-dollar claims, billing accuracy, payer requirements, and clear reporting to identify issues and support process improvements.
Hybrid working - our approach is to be in the office or on client site a minimum of 2 days per week. However, the actual time you spend and where you spend it will vary by role or assignment, including up to 5 days per week on a client.
Gerencia e executa validações de processos assépticos, incluindo filtração esterilizante e esterilização por radiação, conduz investigações e auditorias e apoia a qualidade e conformidade dos processos.
Leads transit safety and security project tasks for U.S. clients, applying FTA processes and APTA standards to develop safety plans, assess hazards, guide teams, and deliver reviews and training.
Execute and operate compliance programs across SOC 2, ISO certifications, and FedRAMP, owning audit delivery, control monitoring, vendor risk, customer security assurance, and compliance automation.