Designed for People
Funding Quality Assurance Auditor
Location
United States
Posted
8 days ago
Salary
$50K - $55K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Funding Quality Assurance Auditor
Allied Benefit Systems
Role Description The Funding Quality Assurance (QA) Auditor supports the Funding Department by performing detailed audits, ensuring accuracy, and maintaining compliance across all funding related processes. This role is responsible for reviewing daily operational outputs, identifying discrepancies, and helping maintain a high standard of data integrity. As the department’s audit program expands, the QA Specialist will take on additional audit responsibilities, including more complex funding and reimbursement workflows. Essential Functions - Audit Daily ACH Files: Review and validate daily ACH files to ensure accuracy, completeness, and alignment with internal and client requirements. - Monitor Undelivered Emails: Track undelivered or bounced funding related emails, determine root causes, and ensure proper resolution. - Email Assignment and Routing: Review incoming funding inbox emails and accurately assign them to the appropriate Funding Coordinator based on content, client, and workflow type. - Stop Loss Reimbursement Audits: Audit stop loss reimbursement applications, ensuring documentation accuracy, correct calculations, and adherence to carrier and internal guidelines. - Additional Funding Process Audits: Participate in the development and execution of new audit procedures as the department grows, including but not limited to: - Funding request accuracy - Refund processes - Client specific funding workflows - Compliance driven audit initiatives - Process Improvement Support: Identify trends, recurring issues, and opportunities for process improvement. Collaborate with leadership to refine workflows and strengthen internal controls. - Other duties as assigned. Qualifications - Bachelor's degree or equivalent work experience required. - 3+ years’ experience in health insurance, TPA operations, or a related financial/administrative field required; background in funding, claims, stop loss, or financial auditing strongly preferred. - Familiarity with TPA systems, funding workflows, reimbursement processes, and/or quality assurance practices. - Strong analytical skills with the ability to review data, identify discrepancies, and clearly document findings. - High attention to detail with a quality driven mindset focused on accuracy, compliance, and continuous improvement. - Excellent organizational and time management skills; ability to manage multiple priorities in a fast paced environment and work independently. - Effective written and verbal communication skills, with the ability to collaborate across teams, including Funding Coordinators and leadership. - Adaptable and comfortable with evolving responsibilities and new processes. - Demonstrate professionalism and confidentiality in handling sensitive information. - Proficient in Microsoft Office (Excel, Outlook, Teams) and general data review tools. Physical Demands This is a standard desk role requiring extended sitting and computer work. Work Environment Remote. Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home; while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. Benefits - Medical, Dental, Vision, Life and Disability Insurance - Generous Paid Time Off - Tuition Reimbursement - EAP - Technology Stipend
Related Guides
Related Categories
Related Job Pages
More Auditor Jobs
• Responsible for the auditing and monitoring of the 340B Drug Discount Program for compliance with federal requirements/guidelines • Complete and document audits as outlined in the 340B policies and procedures • Collaborate with other 340B staff to perform specialized audits/projects as required • Conduct daily, weekly, monthly and quarterly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies • Upload data and monitor data upload process for software systems and tools daily • Assist with creating, refining, and executing 340B audits as assigned
Role Description SGS helps to improve food safety, enhance quality, support sustainable development, improve margins, and protect brands. SGS auditors have the industry and business expertise to perform food audits against chosen criteria and code of practice. As the Senior Food Safety Auditor , you will: - Perform third-party audits per SGS Certification procedures and requirements of one or more applicable standards (i.e. FSSC22000, SQF, BRC). - Collect and analyze sufficient information to provide a recommendation for certification. - Perform certification audits in any capacity in conformance with the SGS Global/Local procedures, sector specific schemes/standards. - Provide determination whether registration should be recommended or allowed to continue based on evidence gained during audits. - Assimilate, understand, and operate the SGS Certification System in all auditing activities. - Collaborate with teams of Auditors during the auditing activities. - Strive to provide customers with sufficient audit experience to cover the whole of SGS’s Certification's accredited activities. - Assist in the training of other Auditors and Senior Auditors during planned audits or during other training functions. - Actively participate in witness audits by SGS or accreditation bodies. - Maintain all audit-related credentials. - Undertake any other activities as directed by the Manager, Certification Audit or Manager, Technical Accreditation. - Adhere to internal standards, policies, and procedures. Qualifications - Bachelor’s degree in food science or bio science is required. - 5+ years’ work experience and qualified as Lead Auditor to FSSC, BRC and/or SQF. - Minimum 5 years’ work experience of proven management function in food industry. - Minimum 2 years’ work experience in quality assurance function or food safety management system coordination. Requirements - Travels up to 80% of the time - automobile / airplane, some travel might be international with flight time 8+ hours depending on the destination. Weekend travel may be necessary to meet utilization requirements. - Strong background and knowledge of technical applications of the standards. - Language Skills: Highest advanced level of English. - Mathematical Skills: Basic level. - Reasoning Skills/Abilities: Basic level. - Excellent communication and interpersonal, verbal, written and presentation skills. - Proactive attitude and excellent organizational skills. - Effectively react in stressful situations and make clear, well-founded decisions regarding conformity during the audit. - Ability to multitask and manage multiple projects while delivering results on time. - Act with integrity, tact, and character. Benefits - Medical, dental and vision insurance, life insurance, employee assistance programs. - 401(k) with company match (immediate vesting upon enrollment) and an Auditor Bonus Plan. - Online training courses, virtual and classroom development experiences, tuition reimbursement program. - Paid-time off and family leave. Company Description We are SGS – the world's leading testing, inspection and certification company. We are recognized as the global benchmark for sustainability, quality and integrity. Our 99,600 employees operate a network of 2,600 offices and laboratories, working together to enable a better, safer and more interconnected world.
• Develop, deliver and manage compliance and risk programs and activities • Conduct Audits and perform comprehensive internal audits aligned with recognized frameworks (ISO/IEC 27001, ISO 14298, PCI DSS, SOC 2, CIS Controls etc.) • Prepare detailed reports on audit findings, update registers, and highlight areas of concern • Present findings to senior management and compliance committees • Ensure IT systems and procedures comply with industry standards and regulations such as ISO-27001, PCI, and SOC 2 • Create internal policies and procedures to meet emerging or evolving standards • Participate in the maintenance of ongoing risk management program following CBN standard procedures • Identify and evaluate risks collaborating with stakeholders and SMEs • Document identified risks and communicate them to relevant stakeholders • Provide subject-matter guidance to business and technology teams • Oversee the implementation of corrective actions to ensure compliance issues are resolved effectively • Continuously seek ways to improve processes and methodologies
Food Service Auditor
NSF InternationalNSF International, formerly known as the National Sanitation Foundation, is an award-winning, nonprofit, non-governmental organization headquartered in Ann Arbor, Michigan. Founded
Role Description Are you working long hours, evenings, and weekends in hospitality, and ready for a change? At NSF, we’re offering a unique opportunity to transition your hospitality experience into a rewarding auditor role with structured hours and great benefits. This vacancy is specifically for Truro. What NSF can offer you: - Flexible Working: While travel to and from audits means it’s not strictly 9 - 5, you’ll enjoy a more predictable schedule than typical hospitality roles. - Localised Work, Less Travel: We keep your area local so you’re not spending hours on the road. That means more time at home and less time commuting. - Minimal Overnight Stays: Overnight stays are rare and only ever required if you choose to take them on. - Make a Visible Impact: You’ll visit restaurants, bars, and grocery stores, many you may already know as a customer, and help them meet high standards in food safety and compliance. How Independent Contracting Works: - You operate on a self‑employed basis, completing assessments on behalf of NSF. - You are paid per audit, with travel expenses covered, where applicable. - You share your availability, and visits are scheduled based on your location, experience, and scheme coverage. - Work is offered on an ad hoc basis and can vary throughout the year depending on programme needs. - It offers autonomy, flexibility, and the chance to shape your own workload. Company Description
