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WCF Insurance logo
WCF Insurance

WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive. WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.

Senior Premium Auditor

AuditorAuditorFull TimeRemoteSeniorTeam 501-1,000

Location

United States

Posted

83 days ago

Salary

0

Seniority

Senior

No structured requirement data.

Job Description

Senior Premium Auditor

WCF Insurance

Position WCF Insurance is growing, and the Premium Audit department has an immediate opening for someone who can demonstrate the WCF Insurance values to join our team as a Senior Premium Auditor. This position is open to both internal and external candidates. This is a full-time, primarily remote, and an exempt position open to qualified candidates residing in or willing to relocate to Central or Northern California, Eastern Idaho, or Northern Utah. Regular travel to policyholder locations within the assigned geographic area is required. The position level may vary depending on experience, qualifications and geographic location. Responsibilities The Senior Premium Auditor meets with policyholders to review payroll and accounting records to determine final premium. The Senior Premium Auditor prepares detailed reports and clearly communicates findings, including changes in payroll, premium, and classification codes. The person in this position performs audits on large and complex accounts and ensures compliance with NCCI and WCIRB rules, regulations, and test-audit programs. The Senior Premium Auditor conducts all work with a focus on WCF's values and provides exceptional customer service. The person in this position manages workload and priorities to ensure that production, quality, and timeliness standards are met. The Senior Premium Auditor works closely with cross‑functional partners at WCF, including Underwriting and Marketing, through all phases of the policy life cycle. Qualifications The ideal candidate for this position will have: - Bachelor's degree, preferably in Accounting, Finance, or Business Administration. Advanced degree preferred. - At least three years of workers' compensation and general liability premium audit experience preferred. - CPCU, CPA, or other relevant professional designations preferred. - Excellent oral and written communication skills. - Ability to work cross‑functionally to ensure that organization‑wide objectives are met. - Advanced knowledge of premium auditing principles and practices. - Proficiency in Microsoft Excel, Word, and PowerPoint. - Exceptional organizational and time‑management skills. - Advanced knowledge of WCIRB, NCCI, and ISO Commercial Lines Manuals preferred. WCF Insurance offers an extensive compensation package. Benefits include Medical, Dental, and Vision insurance, company paid life insurance, 401K with a generous 6% employer match and additional benefits such as an Employee Assistance Program (EAP) and time off to volunteer in the local community. All employees earn 4 weeks of vacation in their first year. Internal candidates should have 6 months in their current position, acceptable job performance, and must notify their current supervisor that they have applied for the position. OUR PEOPLE WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive. WCF INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.

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Medline Industries, LP logo

Sr Auditor QA

Medline Industries, LP

Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, disability/handicap status or any other legally protected characteristic.

Auditor83 days ago
Full TimeRemoteTeam 10,001

Job Summary Job Description JOB SUMMARY: Audit a broad, global supplier base against FDA regulations, ISO standards, and other applicable global regulatory requirements across the full spectrum of Medline products including sterile products, APIs, raw materials, medical devices, pharmaceuticals, biologics, cosmetics, medical foods, and dietary supplements, as well as contract sterilizers and laboratories. Perform internal audits of Medline divisions and manufacturing sites. Lead complex, critical, supplier regulatory projects involving cross-functional teams. MAJOR RESPONSIBILITIES: - Act as senior team leader to support Supplier QA Management and facilitate strategic achievement of Supplier Quality goals. - As a Subject Matter Expert, provide training and consulting services to internal departments to understand and comply with Quality Management System requirements. - Plan, schedule and execute complex and high-risk supplier audits to evaluate QMS and regulatory compliance in accordance with FDA regulations, ISO13485, MDSAP, MDD/MDR and other applicable global regulatory requirements for manufacturers of a diverse finished product portfolio (including APIs, sterile products, medical devices, cosmetics, pharmaceuticals, biologics, medical foods, and dietary supplements), as well as contract sterilizers, laboratories and raw material suppliers. - Evaluate Medline suppliers to determine approval status. Assist in development of Regulatory/Quality Management Systems for potential suppliers. - Plan, schedule and execute complex internal audits in accordance with applicable FDA regulations, ISO standards, and other global regulatory requirements. - Conduct adequate CAPA follow-up for supplier and internal audits. - Write audit reports and communicate results to upper management. - Plan and coordinate all travel for both supplier and internal audits, both domestically and internationally. - Assist in the review and writing of responses to observations issued by FDA or other regulatory agencies. - Aid in preparation for FDA inspections and/or audits by other regulatory agencies for both Medline facilities and suppliers. - Manage and participate in quality initiatives to maintain and improve compliance, such as evaluate internal processes, suggest and implement improvements, and create and revise applicable procedures and SOPs. - Assess compliance risk of systems, facilities, and procedures per applicable regulations through audits and assessments, assuring compliance to regulatory requirements and Medline specifications, including novel and high-risk products and services. - Assist in integration of new acquisitions into Medline’s quality system. Perform due diligence audits for potential acquisitions. - Provide mentoring, coaching, and training to junior auditors, divisional QA team members, and divisional QA Managers. Assist in managing the rotational QA program. Education - Bachelor’s degree in microbiology, chemistry, engineering or related field. Work Experience - At least 4 years of experience auditing FDA regulated medical Device or pharmaceuticals OR at least 5 years working in senior level quality role within medical device or pharmaceutical manufacturing. - Experience with FDA regulations (21 CFR 820, 21 CFR 210/211). - Experience with ISO 13485. - Experience applying knowledge of process validation, method validation and sterilization processes. Knowledge / Skills / Abilities - Detail-oriented, with excellent oral and written communication skills. - Ability to listen and process all relevant details, understanding and prioritizing their importance and drawing clear and concise conclusions. - Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. - Experience controlling and coordinating concurrent projects, competing priorities and critical deadlines. - Position requires travel up to 50% of the time for business purposes (within state, out of state and/or internationally). PREFERRED JOB REQUIREMENTS - Experience with USP 61/62 for Microbial Testing of Non-Steriles. - Experience applying knowledge of process validation, method validation and sterilization processes. - Experience in CAPA (Corrective and Preventive Actions) management. Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $92,000.00 - $138,000.00 Annual The actual salary will vary based on applicant’s location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We’re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here. Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

United States
$92K - $138K / year
Full TimeRemoteTeam 1,001-5,000

JOB TITLE: Home Loan Advisor - External DEPARTMENT: Home Loans Production STATUS: Non-Exempt JOB CODE: 3101 PAY SCALE: $16.90 - $16.90 Hourly GENERAL DESCRIPTION: The Home Loan Advisor - External will proactively solicit new residential mortgage loans to meet established loan quality and production goals. They will develop and maintain a strong network of business relationships to ensure a recurring source for mortgage loan referrals. This network includes mortgage professionals, builders, other professional and personal contacts, and any other referral source the Advisor develops. The external Advisor will enhance this network by regularly participating in business related development opportunities, community events and professional organizations. They will also be expected to handle branch or call center generated referrals only when the member requests an in person meeting. They will provide our members with the same exceptional service they give to their self-generated referrals and always conduct themselves in a professional and ethical manner. The Advisor shall maintain a thorough understanding of the lending programs, policies, procedures and regulatory requirements. TASKS, DUTIES, FUNCTIONS: - Originate mortgage loans from self-sourced business and personal relationships by maintaining exceptional service levels and administering a lead management system. Discuss mortgage product options via phone, email or in person with prospective and current borrowers. - Assist the member with an appropriate product selection, lock request and provide applicable disclosures as required by law, and dictated by credit union processes. - Obtain and analyze pertinent financial and credit data. Complete an initial assessment of the mortgage application including a review of credit, financial data and collateral information to identify underwriting concerns upfront. - Maintain a thorough understanding of state and federal laws and regulations related to credit union compliance including RESPA, HPML, HOEPA, HCML, ATR/QM, bank secrecy and anti-money laundering laws appropriate to the position. - Manage mortgage loan pipeline closely to ensure loans are attended to promptly, efficiently and accurately to ensure exceptional service by providing a market leading turn time on applications. - Oversee the loan process from origination to close and provide on-going communication to applicants. This includes renegotiating the interest rate and loan terms due to a change in the initial qualification caused by collateral, income or financial data verification. Demonstrate the ability to delicately handle difficult situations while maintaining complete professionalism. - Work closely with the mortgage resource center and operations staff to ensure the mortgage loan is being moved along in accordance with the credit union standards. - Consistently notate conversations with member in the LOS to ensure proper communication. PHYSICAL SKILLS, ABILITIES, AND EXERTION UTILIZED IN THE PERFORMANCE OF THESE TASKS: - Effective oral and written communication skills required to interact with members, branches, call center staff and other outside contacts on the telephone. - Must possess sufficient manual dexterity to skillfully operate an on-line computer terminal and other standard office equipment, such as financial calculators, personal computer, facsimile machine and telephone. ORGANIZATIONAL CONTACTS & RELATIONSHIPS: - INTERNAL: Mortgage operations staff, applicable supporting department staff, branch staff, contact center staff, and management - EXTERNAL: Member(s), prospective borrowers, realtors, builders, applicable third party vendors, governmental agencies and personal and professional contacts QUALIFICATIONS: - EDUCATION: High school diploma or equivalent work experience or four year college degree preferred. - EXPERIENCE: Minimum five years in a mortgage related function with at least two years of generating self-sourced business. - KNOWLEDGE/SKILLS: - Exceptional member service skills. - - Strong credit and general financial analysis. - Current working knowledge of the mortgage industry. - Excellent ability to collect and report information on market conditions including competitive product and service offerings. - Understanding of the secondary market including governmental programs. - Strong oral and written communication skills. - Develop and maintain advisory and consultative home loan skills. - Working knowledge of office equipment and intermediate computer skills including excel. PHYSICAL REQUIREMENTS: - Prolonged sitting throughout the workday with occasional mobility required. - Corrected vision within the normal range. - Hearing within normal range. A device to enhance hearing will be provided if needed. - Ability to travel for business, as needed to visit with applicants, partners and vendors, to attend meetings at headquarters or to attend conferences/training as deemed necessary by management. LICENSES/CERTIFICATIONS: - MLO Registration required: An individual in this position has been determined to be a Mortgage Loan Originator as defined by the S.A.F.E Act and whose responsibilities include taking applications and discusses terms or negotiates rates on loans secured by real property #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. THIS JOB DESCRIPTION PROVIDES AN OVERVIEW OF THE GENERAL SCOPE AND LEVEL OF WORK EXPECTED TO BE PERFORMED, BUT IT IS NOT AN EXHAUSTIVE LIST OF ALL DUTIES OR RESPONSIBILITIES ASSOCIATED WITH THE POSITION. THE CREDIT UNION RESERVES THE RIGHT TO MODIFY, ADD, OR REMOVE DUTIES AS NEEDED WITHOUT ADVANCE NOTICE. EMPLOYEES MAY BE REQUIRED TO PERFORM ADDITIONAL TASKS AND DUTIES AS DIRECTED BY THEIR SUPERVISOR, PROVIDED SUCH TASKS ARE WITHIN THE EMPLOYEE’S KNOWLEDGE, SKILLS, AND ABILITIES, OR CAN BE PERFORMED WITH REASONABLE TRAINING. NOTHING IN THIS JOB DESCRIPTION ALTERS THE AT-WILL EMPLOYMENT RELATIONSHIP OR LIMITS THE CREDIT UNION’S RIGHT TO ASSIGN OR REASSIGN DUTIES AND RESPONSIBILITIES TO THIS POSITION AT ANY TIME. REV. 1/9/2026

United States
Job Closed
Full TimeRemoteTeam 10,001+H1B Sponsor

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for a DRG Nurse Quality Auditor, Sr. Specialist who is responsible for performing on-going quality assurance audits of the accuracy and consistency of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical records, accurately documenting findings and providing policy/regulatory support for determination. The candidate must have extensive clinical experience and an active coding certification with a background in auditing medical records with a high level of understanding payment methodologies including MS-DRG, and APR-DRG. What you will do - Conducts QA audits to ensure accurate determinations and high-quality documentation. - Identifies quality trends and develops corrective education and training. - Reviews medical records for accurate coding, compliance, and guideline adherence. - Applies job aids, policies, and criteria consistently during reviews. - Documents review decisions clearly for reporting and trending. - Meets productivity and quality standards while completing all review elements accurately. - Supports and trains new reviewers, coders, or clinical DRG auditors as needed. - Demonstrates strong knowledge of payment methodologies, DRG validation, and client-specific requirements. - Maintains current knowledge of coding guidelines, licensure, and CEU requirements. - Participates in trainings, cross-trains on claim types, and supports projects, analysis, and reporting. - Serves as a subject matter expert as needed. What we're looking for - Associates degree required; bachelor’s degree preferred. - Active, unrestricted RN licensure from the United States and in the state of primary home residency, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), required - One of the following Coding Certifications required: RHIA, RHIT, CCS, CIC, CCDS or CPC - 5+ years clinical experience in an inpatient hospital setting required - 3+ years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies - Expert knowledge of ICD -10-CM coding including but not limited to; expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM) - Expert knowledge of ICD-10-PCS coding methodologies, code sequencing, and discharge disposition in accordance with CMS requirements, Official Guidelines for Coding and Reporting, and Coding Clinic guidance. - Demonstrated ability to apply clinical review judgment to make clinical determinations - Excellent written communication skills including ability to write clear, concise, accurate, and fact-based rationales in support of review determinations. - Advanced knowledge of medical codes, coding conventions and rules. - Demonstrated experience in medical review, chart audits and quality improvement processes. What you should expect in this role - Remote within the U.S. - 0–10% travel required Applications for this posting will be accepted until April 24, 2026. The pay range for this position is $85,000.00 - $102,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

United States
$85K - $102K / year
Job Closed
Medline Industries, LP logo

Auditor QA

Medline Industries, LP

Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, disability/handicap status or any other legally protected characteristic.

Auditor83 days ago
Full TimeRemoteTeam 10,001

Job Summary Job Description JOB SUMMARY: Audit a broad, global supplier base against FDA regulations, ISO standards, and other applicable global regulatory requirements across the full spectrum of Medline products including sterile products, APIs, raw materials, medical devices, pharmaceuticals, biologics, cosmetics, medical foods, and dietary supplements, as well as contract sterilizers and laboratories. Perform internal audits of Medline divisions and manufacturing sites. MAJOR RESPONSIBILITIES: - Plan, schedule and execute complex supplier audits to evaluate QMS and regulatory compliance in accordance with FDA regulations, ISO13485, MDSAP, MDD/MDR, and other applicable global regulatory requirements for manufacturers of a diverse finished product portfolio (including APIs, sterile products, medical devices, cosmetics, pharmaceuticals, biologics, medical foods, and dietary supplements), as well as contract sterilizers, laboratories and raw material suppliers. - Evaluate Medline suppliers to determine approval status. Assist in development of Regulatory/Quality Management Systems for potential suppliers. - Manage and participate in quality initiatives to maintain and improve compliance, such as evaluate internal processes, suggest and implement improvements, and create and revise applicable procedures and SOPs. - Assess compliance risk of systems, facilities, and procedures per applicable regulations through audits and assessments, assuring compliance to regulatory requirements and Medline specifications, including novel products and services. - Plan, schedule and execute internal audits in accordance with applicable FDA regulations, ISO standards, and other global regulatory requirements. - Conduct adequate CAPA follow-up for supplier and internal audits. - Write audit reports and communicate results to upper management. - Provide training and consulting services to internal departments to comply with Quality Management System requirements. - Assist in the review and writing of responses to observations issued by FDA or other regulatory agencies. - Aid in preparation for FDA inspections and/or audits by other regulatory agencies for both Medline facilities and suppliers. - Plan and coordinate travel for supplier and internal audits, both domestically and internationally. Education - Bachelor’s degree in microbiology, chemistry, engineering or related field. Work Experience - At least 2 years of experience auditing FDA regulated medical device or pharmaceuticals manufacturing or testing OR at least 3 years working in quality role within medical device or pharmaceutical manufacturing. Knowledge / Skills / Abilities - Detail-oriented, with excellent oral and written communication skills. - Ability to listen and process all relevant details, understanding and prioritizing their importance and drawing clear and concise conclusions. - Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. - Experience controlling and coordinating concurrent projects, competing priorities and critical deadlines. - Position requires travel up to 50% of the time for business purposes (within state, out of state and/or internationally). PREFERRED JOB REQUIREMENTS - Experience with FDA regulations (21 CFR 820, 21 CFR 210/211). - Experience with ISO 13485. - Experience applying knowledge of process validation, method validation and sterilization processes. - Experience in CAPA (Corrective and Preventive Actions) management. Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $79,000.00 - $119,000.00 Annual The actual salary will vary based on applicant’s location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We’re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here. Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

United States
$79K - $119K / year