Role Description We are looking to hire a Metals Inspector based in the UK (Remote Role). - Performs assigned and routine visual inspections of scrap metal loads. - Tests and inspects materials based on established quality specifications. - Attends loadings of containers at supplier sites. - Notify operations and commercial supervisors of problems and assist in recommending remedial procedures to correct violations or issues encountered during inspection. - Collaborate with commercial department concerning quality and consistency of suppliers. Qualifications - Experience in the scrap metal industry (ferrous and non-ferrous). - Experience in commercial roles will be considered a plus. - Driving license. - Good communication skills. - Adaptive to change, and ability to work under pressure. - Strong decision-making ability. - Availability to travel in the UK for business purposes. Benefits - Competitive salary, according to experience and qualifications. - Corporate equipment (laptop, mobile phone). - Excellent working conditions in a multinational environment. - Only local candidates will be considered - No relocation is offered. Company Description VIPA is a European multinational company, based in Lausanne, Switzerland, with a leading position in the global recycling and recovered material trading sectors. As our business in the UK is growing, we want to expand our team and wish to employ an Inspector for our Metals Division.

Role Description UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst position in the Fraud, Waste & Abuse department. This is a full-time position working Monday through Friday daylight hours and will be a remote position. The Clinical Auditor/Analyst is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. The Clinical Auditor/Analyst creates, maintains and analyzes auditing reports related to their assigned work plan and communicates the results with management. Other responsibilities include but are not limited to: - Analysis of controlled substance prescribing and utilization to identify potential clinical care issues. - Prepayment review of claims and unlisted codes. - Claims analysis and the use of fraud and abuse detection software tools. - Collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management. - Interaction with providers, law enforcement, and/or regulatory entities. Responsibilities: - Respond to fraud, waste, and abuse referrals and/or complete data analysis and related audits as assigned. - Utilize fraud detection software to assess and monitor for potential FWA. - Review and analyze claims, medical records and associated processes related to the appropriateness of coding, clinical care, documentation, and health plan business rules. - Provide a clinical opinion for special projects or various issues including appropriate utilization of controlled substances, prescribing of controlled substances, or medically appropriate services. - Query medical and/or pharmacy claims and conduct a risk assessment by performing data analysis and applying applicable coding guidelines, Health Plan policies, and any applicable National Coverage Determination (NCD) or Local Coverage Determination (LCD). - Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated clinical documentation in HealthPlaNET, Mars, Epic and/or Cerner. - Complete audits by utilizing standard coding guidelines and principles and coding clinics to verify that the appropriate CPT codes/DRGs were assigned and supported in the medical record documentation. - Attend in person or virtual recipient restriction hearings. - Review Medical Pended Queue claims to understand and resolve claim referral issues through research and interaction with other Health Plan Departments including Medical Management, Medical Directors, various committees, and other appropriate Health Plan departments. - Assist in the development of new policies concerning future Health Plan payment of identified issues as necessary. - Assess, investigate and resolve low to intermediate issues. - Write concise written reports including statistical data for communication to other areas of UPMC Health Plan and to communicate with department heads for identification of various problem issues, how they affect the Health Plan, and to make recommendations for resolution of the issue. - Identify error trends to determine appropriate training needs and suggest modifications to company policies and procedures. - Conduct provider education, as necessary, regarding audit results. - Communicate effectively with Medical Directors and ancillary departments as necessary to address issues and concerns. - Understand customers including internal Health Plan Departments (i.e. Claims staff, Customer Service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) to understand issues, identify solutions and facilitate resolution. - Serve as an SIU representative at internal and external meetings, document and present findings to SIU Staff and document as appropriate in the SIU FWA Case Management Database. - Assist in the development and revision of SIU policies and procedures. - Identify trends for improvements internally, such as claims payment, to determine appropriate training needs and suggest modification to company policies and procedures. - Participate in training programs to develop a thorough understanding of the materials presented. - Obtain CPE or CEUs to maintain nursing license, and/or professional designations. - Design and maintain reports, auditing tools and related documentation. - Maintain or exceed designated quality and production goals. - Maintain employee/insured confidentiality and adhere to HIPAA regulations. Qualifications - Registered Nurse (RN). - Five years of clinical experience. - Two years of fraud & abuse, auditing, case management, quality review or chart auditing experience required. - Ability to analyze data, maintain designated production standards, and organize multiple projects and tasks. - In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding. - Knowledge of health insurance products and various lines of business. - Detail-oriented individual with excellent organizational skills. - Keyboard dexterity and accuracy. - High level of oral and written communication skills. - Proficiency with Microsoft Office products (Excel, Access, OneDrive, OneNote and Word). Requirements - AAPC or AHIMA Certified (CPC, CPMA, CIC, CCA, CCS, CCS-P) or AHFI designation preferred. - Registered Nurse (RN). - Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Company Description UPMC is an Equal Opportunity Employer/Disability/Veteran.

• ensuring compliance with the NMDP/CIBMTR Research Database Protocol by independently conducting audits at Transplant and Cellular Therapy Centers. • Requires working autonomously with center staff, interpreting complex reporting guidelines, making real-time decisions during audits, and exercising professional judgment to assess data reporting compliance without direct supervision. • Leads site audits with a focus on data verification and regulatory review, utilizing independent judgment to identify, prioritize, and directly resolve data reporting issues in partnership with transplant center staff. • Builds strong relationships with transplant center staff by leveraging mentoring and professional guidance, while effectively managing complex challenges through independent problem-solving and a commitment to continuous improvement. • Analyzes patterns and root causes in audit findings, synthesizing trends into actionable insights and authoring follow-up reports that drive corrective and preventative strategies to support transplant center staff. • Cultivates clear, constructive communication with site teams, providing technically sound guidance and confidently facilitating discussions that encourage collaboration and quality of the date being reported to CIBMTR. • Assists in the development and testing of electronic data capture (EDC) systems, clinical trial management systems (CTMS), and other applications as required. • Other duties as assigned, often involving special projects that require the individual to plan, organize, and execute tasks with minimal supervision. These projects may necessitate creative problem solving, cross-functional collaboration, and the ability to adapt quickly to changing priorities.

Role Description We're looking for a billing compliance professional who has been in the weeds; someone who has audited timekeeper entries line by line, pushed back on attorneys when entries didn't hold up, and written appeals that resulted in successful resolutions. You know your UTBMS codes. You know when a narrative is going to get cut before it ever reaches the carrier. And when the billing guidelines don't have a clear answer, you make a sound judgment call, in alignment with the spirit of carrier guidelines, and own it. This is a high-volume role with real variety, steady audit work, alongside special projects that require you to shift gears quickly, reprioritize, and perform at a high level under pressure. You'll work within a collaborative, fully remote team that communicates directly, respects each other's expertise, and expects everyone to bring their best. If you've spent years building expertise in this niche and you're looking for a team that actually values it, this is for you. This position reports to the Director of Quality Assurance and the Head of Legal Operations, and collaborates closely with the Billing Department. This is a fully remote position. Our entire team works 100% remotely, and we are built to operate that way with strong communication, clear expectations, and mutual accountability. For candidates located near one of our office locations, optional hybrid arrangements are available but never required. The right candidate is someone who takes ownership, communicates proactively, and thrives with autonomy. Responsibilities - Conduct front-end pre-bill audits for insurance defense matters before invoices are submitted to carriers. - Perform line-by-line invoice review to verify accuracy, reasonableness, and compliance with carrier billing guidelines and UTBMS task codes. - Identify billing discrepancies based on carrier requirements, industry standards, and litigation practices and make corrections before submission. - Communicate directly with attorneys, paralegals, and billing staff to resolve non-compliant entries, including navigating pushback with professionalism and persistence. - Prepare, submit, and track formal billing appeals; coordinate with the billing department to adjust invoices following appeal outcomes. - Build and analyze compliance reports in Excel to identify timekeeper performance trends and systemic billing issues. - Escalate recurring billing trends or compliance risks to management for resolution. - Manage the Billing Compliance inbox, triaging and prioritizing incoming requests. - Contribute to special projects including large-scale compliance initiatives and carrier-specific audit reviews as assigned. - Exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines, and communicate your rationale clearly. Qualifications - Minimum 3–5 years of direct front-end bill review experience in an insurance defense law firm, or equivalent experience with an e-billing platform provider (e.g., CounselLink, Bottomline, Legal Tracker) supporting insurance defense billing compliance, timekeeping oversight, or litigation defense matters. - Proven ability to audit billable hours for attorneys, paralegals, and other timekeepers prior to carrier submission. - Strong knowledge of UTBMS task codes, carrier billing rules, and common rejection reasons. - Demonstrated experience preparing and submitting successful billing appeals including strong written communication skills and the ability to construct persuasive, well-documented appeal narratives. - Advanced proficiency in Microsoft Excel, including pivot tables, formulas, and building custom reports to identify trends and support audit findings. Excel fluency is essential; we will train on internal processes, but this skill must come with you. - High comfort operating in a high-volume billing environment with competing deadlines, shifting priorities, and periodic large-scale special projects. - Demonstrated ability to exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines. - Strong written and verbal communication skills with a professional, direct style. Requirements - Prior experience as a timekeeper (paralegal, legal assistant, or similar role) in a litigation environment, candidates who have billed time themselves bring a practical understanding of how entries are constructed and where compliance issues originate. - Direct litigation experience in an insurance defense, civil litigation, or related legal setting. - Familiarity with carrier billing portals and billing guidelines across multiple major insurance carriers (P&C, commercial, and specialty lines). - Experience with e-billing platforms such as CounselLink, Bottomline/Legal eXchange, Legal Tracker, BillBlast, TyMetrix 360, or similar. - Familiarity with billing guidelines across multiple insurance carriers. - Bachelor's degree or equivalent combination of education and direct experience. Benefits - The hourly pay range of $30-37/hour, depending on experience. - Overtime paid at 1.5× the regular hourly rate, as needed. - Comprehensive benefits coverage offered, including plans available at zero employee cost (average annual employee contribution for health/vision/dental coverage is $700-1,700). - Employee Assistance Program through HealthAdvocate. - Employees benefit from a 401(k) program that includes a 100% match on the first 3% contributed and a 50% match on the following 4-5%. - Vacation time is accrued annually at the employee’s base rate. - Paid parental leave at base pay. - Employees receive a monthly technology reimbursement of $60. - 37.5-hour standard workweek designed to promote balance and prevent burnout. - Educational reimbursement program for non-attorney eligible team members (up to $3,500 per calendar year). - Internal diversity and inclusion programs, such as the Women’s Initiative and Young Professionals Initiative. - Firm-wide charitable giving program. - Numerous social and off-site events each year to enrich your relationships with your colleagues.