Ampoule Examiner Job Description Sample
Lead Clinical Quality Examiner
MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus' network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Under the supervision of the Director of Accreditation, the Lead Clinical Quality Examiner will be directly responsible for evaluating regulatory and accreditation guidelines applicable to the medical management department, and monitoring to assure that the Medical Management Department for all lines of business (LOBs) is compliant with these requirements. The Lead Clinical Quality Examiner provides guidance, both verbally and in writing, to the Medical Management team concerning the implementation of departmental policies and processes necessary to ensure compliance. The Lead Clinical Quality Examiner is responsible for reviewing all existing applicable policies at least annually, or more often, if necessary. The Lead Clinical Quality Examiner assists the operational area representatives in updating/revising policies and processes to bring them into compliance with regulatory and accreditation requirements, as needed. The Lead Clinical Quality Examiner maintains a collaborative relationship with allied departments within the company, working closely with Regulatory and Compliance on regulatory changes impacting the Medical Management Department.
The Lead Clinical Quality Examiner is also responsible for supporting delegation oversight. They work closely with the MetroPlus departmental SMEs to ensure the delegates comply with regulatory, accreditation and contractual guidelines, acts as a resource to delegates regarding applicable contract and regulatory requirements, and works closely with Contracting, Regulatory and Compliance for dissemination of new or revised regulatory requirements applicable to the delegates. The Lead Clinical Quality Examiner recommends corrective actions plans to satisfy regulatory, accreditation and plan requirements, and assist the departmental SMEs to ensure completion of corrective action plans by the delegate.
- Reviews various Medical Management area Program Descriptions, Program Evaluations and Work Plans for compliance with Accreditation and Regulatory requirements. Proposes revisions to bring into compliance with requirements, if necessary.
- Establishes a regular schedule to monitor the Medical Management Department's compliance with Accreditation and Regulatory requirements and conducts routine audits. Provides detailed report of findings to the Medical Management teams through informal meetings and presentations to the established committee(s).
- Evaluates existing audit tools and revises to incorporate both accreditation and regulatory requirements. Assists in the development of automated reports to monitor compliance with these requirements.
- Evaluates existing Quality Management Committees/Subcommittees to ensure compliance with each committee/subcommittee's respective charter, as well as, regulatory and accreditation requirements.
- Review all Medical Management policies and processes for compliance with accreditation and regulatory requirements at least annually or more frequently, if necessary. Propose revisions to bring into compliance with these regulations.
- Reviews and assesses regulatory changes impacting Medical Management. Assists Operational Area Representatives to revise policies or develop new policies to demonstrate compliance with these regulatory changes.
- Evaluates pre-delegation medical management audit tools to assess a delegate's ability to comply with State and accreditation and regulatory requirements. Participates in pre-delegation assessments, as needed.
- Coordinates, conducts, and documents medical management delegation assessments as necessary to comply with accreditation, regulatory and any other applicable requirements.
- Attends on-site audits and/or schedules ad hoc on-site meetings and reviews, as needed, to address specific compliance issues or support implementation of new policies and regulations.
- Develops corrective action plans when deficiencies are identified in medical management processes, and documents follow-up to resolution. Monitors vendor medical management corrective action plans, and provides updates to the Delegation Oversight Committee, as required.
- Participates in joint operating committee meetings with other MetroPlus business owners and delegated vendors. Participates in meetings with delegates to provide medical management performance metrics feedback.
- Member of the Delegation Oversight Committee, and provides oversight audit and corrective action updates, as needed.
- Collaborates with the accreditation team to assure that all Medical Management documents are in compliance with regulatory and accreditation standards. Identifies deficiencies and recommends revisions to bring documents into compliance.
- Collaborates with the accreditation team to assure delegates documentation is in compliance with accreditation standards. Identifies deficiencies and monitor corrective action plans.
- Bachelor's Degree required, Master's Degree in Health Care, Business or related field preferred.
- A minimum of 3-5 years' experience in a Managed Care setting.
- Experience with auditing, delegation oversight regulatory requirements specifically CMS and NYS DOH.
- Experience with accreditation requirements for NCQA and URAC preferred.
- Project management skills with ability to handle multiple projects with various priorities and deadlines
- Ability to work independently in a fast paced environment with changing priorities.
- Strong interpersonal and human relations skills and ability to establish and maintain strong positive working relationships.
- Proficient in understanding and speaking the English language, with strong written communication, verbal in person and telephonically and presentation skills.
- Ability to use software to review documents and files and to produce required documentation and reports
- Current licensed LPN, RN or LSW with 3-5 years of clinical experience in provider setting, preferred.
- Integrity and Trust
- Customer Focus
- Functional/Technical skills
- Written/Oral Communication
If you wish to apply for this position, please apply online by clicking the "Apply Now" button or forward your resume, noting the above Job ID #, to:
MetroPlus Health Plan
Human Resources Department
160 Water Street 8th Floor
New York, NY 10038
Attn: Recruitment Unit
This is position is classified as a managerial title, in addition to a variety options for Health Benefits through MetroPlus, managerial employees receive vision, dental, gym reimbursement and life insurance benefits through the Management Benefits fund of the City of New York. Please view the benefits page for more detailed information.
Digital Forensic Examiner
Capitol Digital & Califorensics is seeking a highly-motivated digital forensics professional to support the growth of our Digital Forensics Division. This individual will perform forensic examinations of computers, mobile devices, and other digital media in support of our clients’ civil, criminal, or internal investigations. General duties include the forensically-sound duplication of computer hard drives, examination of hard drives for files and data fragments of interest, examination of other types of digital evidence, and reporting of findings in writing.
The ideal candidate is mature, professional, and thrives in a collegial team environment. Our Digital Forensics Division places a strong emphasis on both internal and external training and professional development, so curiosity and a desire for self-improvement are a plus. Compensation is very competitive and commensurate with experience.
- Inventory digital evidence for identifiable information and duplicate/image for preservation purposes.
- Delete or neutralize computer viruses, when appropriate.
- Recover active, system, and hidden filenames with date/time stamp information. Detect and recover erased files.
- Detect and recover file slack.
- Detect and recover file fragments (unallocated clusters).
- View various file formats using browser technology and identify files of interest.
- Crack (or attempt to crack) password protected files.
- Execute a file and view the data contents.
- Perform keyword or string searches.
- Report the findings in writing.
- Provide testimony on evidence examination or evidence handling as a fact witness or expert witness.
- Bachelor’s degree in Computer/Digital Forensics OR bachelor’s degree in a related field and at least one year of forensics work experience.
- Demonstrated experience using one or more industry-standard forensic software tools such as Nuix, Forensic Toolkit, or EnCase.
- Excellent communication and writing skills.
Under Supervision, you will be responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims. Review and compare information in computer systems and applying proper codes and documentation. Heavy outbound calls required.
Title Examiner needed for busy title attorney firm. Must have experience and be able to work well under pressure. The ideal candidate will be able to work independently while still being promptly responsive to office team.
Please send resume and salary requirements
Humera has positions available for Claims Examiners with our client in NE Minneapolis, a company providing health coverage and services to members in Minnesota and western Wisconsin.
This position will research, resolve, examine and process paper and/or electronic claims submitted for payment. Interact with internal customers to obtain needed information for claim processing. Process claims reviewing Policies and Procedures, Coordination of Benefits, and applying appropriate plan provisions, CMS Regulations and DHS guidelines for payment determination.
- Ensure accurate and timely processing of claims in accordance with DHS and CMS Regulations and Claims Department Work Instructions
- Maintain department production and quality standards
- Work pending file as directed by Claims Leadership. Follow up on pending claims according to Department Service Level Agreements
- Interaction with internal customers to obtain needed information to process claims and to provide detailed claim information
- Other duties as assigned
- High School diploma or relevant experience
- Required Experience:
- Six months experience with medical claims knowledge. Knowledge of ICD10 and CPT coding and medical terminology experience
- Previous insurance claims processing
- Preferred Experience:
- Experience in a healthcare organization, working knowledge of Medicaid, Medical Assistance, Minnesota Care, Medicare and Commercial insurance is helpful
- Amisys Claims System and MACESS EXP experience a plus
For more than 40 years, you may have known us as Dolphin Staffing is a name synonymous with quality temporary and direct hire employment in the Twin Cities.
Today, we are Humera Administrative Staffing. And although we have changed our name, we continue to provide outstanding temporary employment opportunities for thousands of men and women across the Minneapolis and St. Paul metro-area.
As one of the leading staffing agencies in Minnesota, the list of companies we serve is both extensive and diverse, representing a broad range of industries. Even in these difficult economic times, our customers are routinely looking for hardworking and dedicated employees.
So, if you are considering a career as a temporary employee or are simply seeking to use temporary work as a means to a permanent position, Humera Administrative Staffing has a wide variety of job opportunities and vocational training programs available to you. We offer very competitive wages as well as flexible work scheduling and a unique employee benefits plan.
Humera is recognized with the Women's Business Enterprise National Council as a certified woman owned business. Click here to find out more about the certification.
Remote Title Examiner
Job Responsibilities and
· Michigan title examination experience required.
· Review typed title commitments for accuracy.
· Review abstract received for any possible issues.
· Commitment to customer satisfaction.
· Excellent communication skills.
· Excellent interpersonal and organizational skills.
· Ability to handle multiple tasks within critical time frames.
· Extended hours and overtime when needed.
Associate Examiner / Examiner / Senior Examiner
Position Summary: Assists with the supervision of financial institutions (state member banks, financial holding companies, domestic and foreign-owned bank holding companies, foreign banking organizations, and nonbank subsidiaries) by proactively identifying risks through on and off-site examination and monitoring activities to ensure that the institutions are operating in a safe and sound manner and in compliance with applicable laws and regulations. Has knowledge of commonly used concepts, practices and procedures, but typically work under immediate supervision.
* Assists in pre-examination/inspection preparation, completes less complex assignments during examinations and inspections, and documents findings in adequate workpapers. Analyzes financial and consumer information for consistency with appropriate policies and procedures. Reviews emerging technologies, management information systems, transaction processing systems, and the adequacy of audit and internal controls.
Assists other experienced personnel in obtaining and analyzing data/information and conducting meetings/interviews with financial institution management/personnel to assess performance in a specific function or line of business.
Prepares and communicates summary of findings and significant issues to immediate manager, financial institution management, and/or Reserve Bank management. Collaborates and communicates effectively with staff across the Division, Federal Reserve System, other principal regulatory agencies.
Conducts surveillance of selected institutions, compiling documentation and reports and advising others of issues identified during the review.
Develops and maintains knowledge of current regulations, laws, trends, and developments. Attends formal training classes, participates in on-the-job training, and completes a prescribed program of self-study. Develops strong writing skills.
Education: * Bachelor's Degree or 4 years equivalent experience; Bachelor's Degree preferred Experience: * Less than two years Knowledge Area/Technical Skills/Certifications and Licenses: * Accounting and Finance
Bank Examination preferred
Foreign language for International Examiners
Individual Competencies:* * Demonstrates Self-Awareness
Communicates Effectively /T//h//is is not necessarily an exhaustive list of all responsibilities, duties, performance standards or requirements, efforts, skills or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g. emergencies, rush jobs, change in workload or technological developments)./ /The Federal Reserve Bank of Atlanta is an equal opportunity employer. / Individual Competencies * Demonstrates Self-Awareness
Organization:Federal Reserve Bank of Atlanta
Title:Associate Examiner / Examiner / Senior Examiner
Plans Examiner - Plumbing
SALARY: $24.99 - $39.88 Hourly
OPENING DATE: 04/13/17
CLOSING DATE: Continuous
REQUIREMENTS AND PREFERENCES:
The Broward County Board of County Commissioners is seeking qualified candidates for the position of Plans Examiner with the Building Code Services Division.
Enforce regulations relating to buildings, structures and their appurtenances.
Works under general supervision, independently developing work methods and sequences.
Minimum Education and Experience
Requires two (2) years experience as a Certified Building Code Inspector under the jurisdiction of the Florida Building Code including four (4) years responsible zoning experience, which includes preparation for review of building blueprints, plot plans, sketches and/or surveys.
Special Certifications and
Certified as a Building Code Inspector and Plans Examiner by the State of Florida, or eligible for certification by the Broward County Board of Rules and Appeals and the Florida Department of Business and Professional Regulation as a Plans Examiner, pursuant to the requirements of the Florida Building Code for the plumbing discipline.
Certificate of Competency as General Contractor, Master Contractor, or Contractor in the plumbing discipline.
Possess and maintain a valid Florida Class E Driver's License for duration of appointment.
Building Official/Building Code Administrator license from the Florida Department of Business and Professional Regulation (DBPR) Building Code Administrators and Inspectors Board (BCAIB).
DUTIES AND RESPONSIBILITIES:
The functions listed below are those that represent the majority of the time spent working in this class. Management may assign additional functions related to the type of work of the job as necessary.
Serves in a lead supervisor or advisory capacity in the work of a technical staff engaged in reviewing and processing plans and permits.
Reviews building plans under the current code for residential, commercial, fire sprinkler, irrigation, site drainage, and inspects same; interacts with customers at building department and job sites; meets with contractors, building officials, engineers, and architects; meets with fire inspectors on job sites for inspections; provides structural plans examination.
Performs front desk duties such as taking in permit applications, entering data, and filing in the plan room for examination by other disciplines; answers phone calls and questions for all of Broward County; tracks in all permits through the plan review process.
Reviews plans and specifications for all building and related structural construction and alteration for compliance with building codes, zoning ordinances and other related codes; recommends changes to meet code standards.
Confers and corresponds with architects, builders and the general public with respect to regulatory standards governing the construction, alteration, maintenance and repair of commercial structures.
Liaises with officials from other departments and State and Federal agencies in connection with their responsibilities involving building construction and alteration.
Performs related work as assigned.
Physical demands refer to the requirements for physical exertion and coordination of limb and body movement.
Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.
Unavoidable Hazards (Work Environment)
Unavoidable hazards refer to the job conditions that may lead to injury or health hazards even though precautions have been taken.
Involves routine and frequent exposure to traffic; moving machinery.
Americans with Disabilities Act (ADA) Compliance:
Broward County is an Equal Opportunity Employer. The ADA requires Broward County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.
Note: During emergency conditions, all County employees are automatically considered emergency service workers. County employees are subject to being called to work in the event of a disaster, such as a hurricane, or other emergency situation and are expected to perform emergency service duties, as assigned.
All Broward County employees must serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of Broward County's Employee Code of Ethics, gift, and conflict of interest policies.
All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.
BROWARD COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER AND PROVIDER OF SERVICES
APPLICATIONS MAY BE FILED ONLINE AT http://www.broward.org/careers
The business of Broward County Government is to deliver cost-effective and collaborative services to enhance and promote the quality of life for our residents, businesses and visitors.
Broward County offers an exciting, stable career with incredible employee benefits such as 11 annual holidays, accrued annual/vacation and sick leave, FRS retirement, $25,000 of free life insurance, training and development, and participation eligibility in a deferred compensation (457) plan. In addition, Broward County offers a Consumer Driven Health plan (CDH), Pharmacy coverage, Dental insurance, Vision insurance and Section 125 Flexible spending accounts for Medical Expenses and Dependent Care. Part-time 20+ benefit eligible employees receive the benefits described above at a reduced amount.
BROWARD COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER AND PROVIDER OF SERVICES.
Be advised that during emergency conditions, all County employees are automatically considered emergency service workers. County employees are subject to being called to work in the event of a disaster, such as a hurricane, or other emergency situation and are expected to perform emergency service duties, as assigned.
Deputy Building Official / Plans Examiner
Deputy Building Official & Plans Examiner - Tyrone, GA
SAFEbuilt is currently seeking a Deputy Building Official & Plans Examiner to support their Tyrone, GA Operations. The ideal candidate will be able to apply their knowledge of building codes, policies, and procedures to the day-to-day functions of the building department. The Deputy Building Official is the primary liaison with some of our clients in this area and is responsible for ensuring that we deliver the highest level of customer service. This position will also be responsible for plan review and team management.
- Be able to demonstrate extensive knowledge of local building code regulations, policies and procedures
- Client and team management experience in a building department setting
- Provide Commercial Plan Review as needed
- Have solid computer skills and experience using MS Office programs
- Excellent verbal and written communication skills
- Exercise initiative and display independent judgment
- Be self-directed and self-motivated
- ICC Building Plans Examiner certification required
- ICC Plans examiner certifications in multiple disciplines preferred
- ICC Inspector certifications in multiple trades preferred
- 3-5 years client and team management experience
- 5+ years Inspection and Plan review experience for commercial and residential structures in multiple trades.
- Good Driving record
With Growth Comes Opportunity! Our culture is positive and energetic as we empower people to do what they do best. SAFEbuilt employs over 600 highly qualified and motivated individuals who share the common Core Values of Integrity, Respect, Service, Teamwork and Improvement. We offer a strong salary and benefits package to reward ability, certification levels, and work experience. Benefits include health, dental, vision, life, and disability insurances, paid holidays, paid time off, paid training, new certification bonuses, a matching 401K Plan, and more.
Certified DOT Medical Examiner
CleanFleet is a full service Drug and Alcohol Testing Program Management company with a heavy focus on Department of Transportation (DOT) regulatory compliance. We are a growing, family owned and operated company serving well over 2500 Motor Carriers who employ over 10,000 drivers.
Our two locations, 10350 N. Vancouver Way, Portland (Jubitz Travel Center) and at 9111 SE St Helens St, Clackamas, each operate as a testing clinic as well as provide exam facilities for the physical examinations required by the DOT for a driver to maintain a Commercial Driver’s License. We contract with local Doctors and Nurse Practitioners certified by the DOT to perform these exams as well as any physical agility testing that may be required by clients.
We are seeking an additional partner or partners to perform these examinations at our Clackamas facility.
· Exam room and table with connected bathroom
· Exam supplies
· Doctors Private Office
· Marketing to our extensive client base
· Administrative support for paperwork, specimen collections, appointments and check-in
· A generous revenue share
We can be flexible in scheduling where we can discuss with potential partners both full time or part time scheduled hours. Our hours of operation are Monday through Friday, 8am to 5pm.
At CleanFleet, a family own and run organization, we strive to provide our customers nationwide with much more than just a test. Our programs seamlessly integrate every element of our clients’ testing needs including collections, laboratory services, results reporting, and every step in between. As a Best-in-Class TPA and collection site, we are proud to be entrusted to manage our client's drug and alcohol testing programs.
CleanFleet has a direct impact on making communities and industries stronger and safer. We are proud of what we do and of all our employees who make this happen. Joining the CleanFleet family means you too can help save lives and protect assets.
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