Core responsibilities Review customer, provider, case, and payment records against QA criteria and control standards. Document defects, observations, trends, and required follow-up actions clearly. Support 100% or targeted pre-authorization reviews where required. Track repeat findings and assist with monthly reporting and evidence preparation. Escalate suspected integrity issues, policy deviations, or systemic problems. Assist operations leaders and trainers by identifying error patterns and training needs. Recommended minimum qualifications Associate degree or bachelor’s degree preferred. Three or more years of quality review, audit support, file review, claims review, eligibility review, compliance checking, or similar analytical operational experience. Minimum years of experience criteria 3+ years total relevant experience 1+ year in QA review, compliance checking, audit support, file review, or operational quality control. Direct public assistance, childcare subsidy, Maryland public program, or regulated operational review experience preferred. Preferred qualifications Experience reviewing public program cases or payments for timeliness, accuracy, and policy compliance. Experience using scorecards, review forms, or audit tools. Experience writing concise findings and communicating them to operations teams. Experience with Maryland systems or public program files is a plus. Benefits Fusion offers a competitive benefits package that includes medical, dental, and vision coverage. Join a team committed to operational excellence, and mission success. Equal Employment Opportunity In order to provide equal employment and advancement opportunities to all individuals, employment decisions will be based on merit, qualifications, and abilities. Fusion Advanced Technology does not discriminate against any person because of race, color, creed, religion, sex, national origin, disability, age, genetic information, or any other characteristic protected by law (referred to as “protected status”). This nondiscrimination policy extends to all terms, conditions, and privileges of employment as well as the use of all company facilities, participation in all company-sponsored activities, and all employment actions such as promotions, compensation, benefits, and termination of employment. This job description is intended to outline the general nature and level of work being performed. It is not intended to be a comprehensive list of all responsibilities, duties and skills required of the position. Additional tasks may be assigned as needed. #J-18808-Ljbffr
...explains procedures to assistant. \n \n\n \n Qualifications \n \n\n \n Ability to use frame machine. \n \n Certification in body repair preferred. \n \n Knowledge of vehicle repair process by manufacturer. \n \n I-CAR welding certified. \n \n Skill...
...Job Description Job Description Position Details Specialty: Physical Therapist Location: Nashua, New Hampshire Employment Type: Travel/Contract Pay: $2497 - $2629 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 14-week...
...recruiter to learn more.Base pay range $50.00/hr - $65.00/hrDirect message the job poster from Revel ITWe are seeking a Software COBOL Developer for a REMOTE contract-to-hire opportunity to work on project related activities to code, test and deploy solutions. Utilizes...
Powerbackrehabtoyou is looking for an Occupational Therapy Assistant in American Canyon, California. In this vital role, you'll implement therapy programs, deliver treatments, and ensure a compassionate atmosphere of care.With a salary range of $48.00 - $53.00 per hour...
...Fulfillment Manager KeyMe Locksmiths is an exciting company disrupting the $12B locksmith industry through its robotics technology, retail footprint and nationwide locksmith network. KeyMe Locksmiths leads the industry in both customer experience and technological innovation...