Utilization Management Quality Reporting and Auditing Specialist I Job at L.A. Care Health Plan (Los Angeles)

Food Quality Compliance Specialist

The Quality Specialist will support both business teams and suppliers in the IKE...

Location

United States , King of Prussia

Salary:

Not provided

IKEA

Expiration Date

Until further notice

Requirements

Background in food quality assurance, engineering, risk management, and production development
preferably having a food quality assurance or engineering education (2-5 years of working experience within the food industry)
Auditing experience and skills
Certification and practical knowledge of HACCP and HARPC analyses, able to identify gaps
Knowledge of Quality Management Systems and Quality tools
Are result oriented, high energy, and self-driven
Able to assess manufacturing process
Fluent in English (both written and verbal)
Comfortable with traveling up to 50-60% (air travel, domestically and internationally)
Able to drive and hold a valid driver’s license

Job Responsibility

Plan and perform food related audits and verifications and execute assessments according to IKEA standards working instructions
Support the business teams and suppliers in implementing the containment and corrective actions
Coach, inspire, and enable business teams and suppliers in the IKEA quality standards as well as in utilization of problem-solving tools in the daily work and specifically related to quality deviations to continuously maintain and improve compliance performance and create a compliance culture
Review of importers FDA Foreign Supplier Verification Program (FSVP), hazard analyses, documentation, and procedures in accordance with requirements and legislation
Lead and facilitate effective trainings for both internal and external business partners to develop competence of local, global, and IKEA-specific requirements
Update and maintain all necessary systems where reports and results are registered
Secure supplier & product quality/safety compliance following GFSI standard
Lead and participate in global/local projects related to quality
Collaborate across globe within quality matrix to develop IKEA food safety and quality policies

Fulltime

Lead Project Controls Specialist - Quality

This position supports compliance with Capital Delivery project management polic...

Location

United States , New York

Salary:

94300.00 - 122256.00 USD / Year

AMTRAK

Expiration Date

Until further notice

Requirements

Minimum six (6) years of relevant experience in a quality control and\or assurance function and a Bachelor’s degree in Science or Engineering, or 10 years’ experience without a degree
Valid Driver’s License or ability to utilize an alternative method of transportation when needed to carry out job-related functions
Must have work authorization in the United States
Lean Six Sigma or process improvement training, certification, and/ or experience
Experienced in use of statistical analysis tools (Excel, SPSS, EngineRoom)
Familiarity with project management methods, techniques, standards, and best practices
Experience drafting technical documents such as standard practices, technical specifications, procedures, or policies
Ability to clearly organize and present reports, and other related technical information to upper management
Experienced in developing and delivering training

Job Responsibility

Prepare audit/compliance plans with sampling and test design for process measurement
Conduct audits, surveys, and performance reviews to ensure compliance with policies and best practices
Identify and recommend improvement opportunities across various management levels
Support development of corrective action scopes and monitor implementation
Conduct process mapping, quality checks, and audits to ensure data integrity and support data initiatives
Apply disciplined quality management common in manufacturing to construction projects
Identify gaps and inefficiencies and presents recommended improvement opportunities at various levels of management
Supports development of scope for corrective action or improvement projects
Track and monitor (or implement) corrective / preventive actions
Conduct process and value mapping activities

What we offer

health, dental, and vision plans
health savings accounts
wellness programs
flexible spending accounts
401K retirement plan with employer match
life insurance
short and long term disability insurance
paid time off
back-up care
adoption assistance

Fulltime

Clinical QA Specialist II

The Clinical Quality Specialist will own data quality generated in Loyal’s pre-c...

Location

United States

Salary:

75000.00 - 95000.00 USD / Year

Loyal

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent experience required, preferably in animal science, biology, veterinary, or related life sciences
3+ years experience in GCP animal health studies (non human health studies), clinical development or operations, or QA
Excellent communication, presentation, and interpersonal skills
Exceptional organizational and follow-up skills, as well as attention to detail
Able to travel up to 40% regionally and nationally
Working knowledge of regulations, standards, and guidances for Good Laboratory Practice and (Veterinary) Good Clinical Practice
Proficiency in electronic data capture systems and study drug inventory management systems
Ability to analyze complex problems and develop multiple solutions within regulatory guidance

Job Responsibility

Participate in a rigorous quality control program for Loyal’s clinical team
Site visits to clinical trial sites (vet clinics) with clinical research associates (CRAs) to ensure procedural quality at the data collection source
Assist in maintaining and organizing quality management system (QMS) documentation, including SOPs, CAPAs, and training records
Provide/support GCP guidance on questions arising from day to day clinical trial activities
Support clinical teams with quality-related questions, document requests, and system access
Identifying discrepancies and inconsistencies in data collection and, if necessary, providing remediation or training to the clinical operations team
Working closely with CRAs to standardize data collection methods and quality processes from site initiation through study close out
Utilize guidance documents and standards to interpret for guidance, ensuring quality and compliance to regulations
Support preparation for internal and external audits, including vendor and site audits
Help track and follow up on audit findings, deviations, and corrective/preventive actions (CAPAs)

What we offer

Full-coverage health insurance — medical, dental and vision — for you and your dependents
$1,000 home office equipment stipend
$1,200/year learning budget for books, courses, etc.
$250/month wellness budget for gym, cleaners, spa, food, etc.
All 3-day weekends are turned into 4-day weekends
Unlimited vacation and paid holidays
Paw-ternity leave — adopt a dog and get a day off with your new family member
Competitive salary
Company equity options grant for new hires

Fulltime

Digital Assurance Senior Specialist

We are currently looking for a Digital Assurance Senior Specialist to join our I...

Location

Greece , Athens

Salary:

Not provided

Metlen Group

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Computer Information Systems, Engineering, Finance, Business Administration, or a related field
7+ years of client-facing experience delivering Digital Assurance services, with a background in Cyber/IT audit, SOX IT audits, and IT risk advisory
Hands-on experience auditing IT general controls, financial IT systems (e.g. Windows, Linux, SAP, Oracle, SQL), and cloud environments (e.g. AWS, Azure, AI tools)
Familiarity with IT standards and frameworks such as ISO 27001, COBIT, NIST, NIS2, and the AI Act
Certified in CISA, CRISC, CGEIT, CISM, ITIL, ISO 27001/LA, or similar credentials
Skilled in agile ways of working, sprint management, stakeholder engagement, and producing high-quality reports
Strong analytical, communication, and problem-solving skills, with a high sense of confidentiality
Fluent in English and willing to travel both in Greece and internationally

Job Responsibility

Apply the Internal Audit strategy/policies, update the Digital Audit and Assurance strategy and prepare the Digital Assurance annual plan
Participate in digital assurance engagements, ensuring the delivery of high-quality, tech-enabled solutions
Collaborate with business units to understand their systems and technologies and provide recommendations to mitigate risks
Develop and utilize GRC, data analytics and other innovative tools to help business units identify, assess and manage risk and controls during their transformation journey
Work closely with external audit teams and internal cybersecurity teams to ensure comprehensive risk management
Stay updated with emerging technologies (e.g., cloud, AI, cybersecurity) and provide insights to integrate them into client solutions
Provide mentorship to junior team members, fostering a culture of continuous learning and improvement

What we offer

Competitive remuneration package
Ticket Restaurant Card
Group Health Insurance Plan
Preferential household electricity plan
Pension Plan

Fulltime

Accounting Specialist

We are offering a contract to permanent employment opportunity for an Accounting...

Location

United States , Walnut Creek

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in Accounting Software Systems
Experience with Concur
Familiarity with various Accounting Functions
Expertise in Accounts Payable (AP) and Accounts Receivable (AR)
Knowledge in Auditing
Experience in Billing Functions, payroll and benefits
Proficiency in Microsoft Excel

Job Responsibility

Execute accounting functions, including management of Accounts Payable (AP) and Accounts Receivable (AR)
Utilize Accounting Software Systems and Concur to manage and track financial transactions
Conduct regular audits to ensure accuracy in financial data and adherence to financial regulations
Oversee billing functions, ensuring accurate and timely invoicing
Maintain comprehensive and accurate customer credit records
Regularly monitor customer accounts and take appropriate actions based on their status
Use Microsoft Excel for data analysis and financial reporting
Ensure the correct entry of payables, receivables, and benefits in the ERP system
Respond to customer inquiries, providing high-quality service

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Marine Claims Team Leader

We are looking for a Marine Claims Team Leader to oversee a team of Marine claim...

Location

United States of America , New York; O'Fallon; Chicago

Salary:

104361.00 - 187548.00 USD / Year

Allianz

Expiration Date

Until further notice

Requirements

7 - 10 years’ experience in specialized understanding of LOB products and portfolio with technical specialist knowledge
Management of systems (e.g., WINS, CLAWS, Global Genius)
Specialized understanding of regional/local LoB insurance markets and competitor landscape
7 - 10 years’ experience in specialized understanding of insurance related financial mechanisms and KPIs
7 - 10 years’ experience in in-depth understanding of Claims Handling requirements as per internal and regulatory guidelines
7 - 10 years’ experience in understanding of reporting and evaluating Claims data for management purposes
Managing people: Ability to lead and manage a team of claim handlers
Recognized relationship building with brokers at peer group level and well established within local market
Strong understanding of legal and regulatory framework
Experience in applying artificial intelligence (AI) and machine learning (ML) to improve business process and decision-making is highly beneficial

Job Responsibility

Lead and manage Marine Claims Team that handles Marine claims
Act as a technical referral point for Claims handlers
Ensure claims handled within authority limits, and in line with AzC Claims Standards procedures and guidelines
Utilize third party service providers to achieve economical results and to provide a high-quality service to all internal and external customers
Develop and maintain strong relationships with brokers and clients
Managing a team of Claims Handlers including training and mentoring of staff, managing technical referrals, and supporting Data Quality and Reporting initiatives
Oversight of investigations and reserving claims
Investigation of claims, including coverage determination and evaluation of loss exposures
Determine appropriate reserving levels
Oversight of claims processing and administration

What we offer

Hybrid working model
Great compensation and benefits package
Annual performance-based cash incentive awards
Career development and digital learning programs
International career mobility
Health and wellbeing benefits including private healthcare and generous parental leave
Flexible working
Pension scheme

Fulltime

New

Quality Specialist

We are looking for a passionate, support-focused Quality Assurance (QA) professi...

Location

United States , Greensboro

Salary:

Not provided

PartnerHero

Expiration Date

Until further notice

Requirements

At least 1 year in a customer service/sales role
Strong knowledge of Customer Support best practices
An understanding of the importance and impact QA can have on a support organization
Strong oral and written communication
Organization and prioritization skills
Excellent time management skills and ability to meet deadlines reliably
Ability to identify trends and root causes of these trends
Data driven reporting abilities- using visualizations, spreadsheets and other data
Ability to maintain strict confidentiality and awareness of implicit bias

Job Responsibility

Review and score associate interactions according to an established rubric, evaluating for quality and compliance
Prepare reports for Team Leads, Program Managers, and other key stakeholders regarding trends in associate performance and opportunities for process or training improvements
Participate in root cause analysis (RCA) of qualitative and quantitative data regarding individual and team-wide performance
Utilize a quality scoring tool to log insights, and provide product feedback to improve the tool
Assist in training and mentoring other QA Specialists as needed
Participate in regular meetings for calibration and coaching strategy
Develop insights and recommendations from analysis of quality audits
Create reports for leadership and other key stakeholders
Remain up to date on all necessary processes, product and policy impacting the operation
Assist with tickets during backlogs and as requested

What we offer

A dedicated wellness program, including support from an in-house psychologist
Attractive benefits package including medical, dental, and vision options based on location
Access to free posture-based fitness workouts from home
Paid Sabbatical Leave
Training opportunities provided by PartnerHero and outside entities
1-on-1 coaching with feedback sessions, mentorship, and opportunities for cross-functional development

Fulltime

New

Audit Supervisor

We are not actively looking for this position, but if you feel that you meet the...

Location

United States , El Paso

Salary:

Not provided

Lauterbach Financial Group

Expiration Date

Until further notice

Requirements

BS/BA Degree in Accounting or equivalent degree
CPA Certification
3-5 years of current or recent experience in a public accounting environment, auditing financial statements
Minimum of 3 years of experience with financial statement audits
Minimum of 2 years of team lead or supervisory experience overseeing staff on multiple engagements
Understanding of audit services with knowledge of GAAP, GAAS, GAGAS, GABB and FASB regulations

Job Responsibility

Provide timely, high-quality client service that meets or exceeds client expectations including coordinating the auditing of all required financial statements, related disclosures, and other client deliverables
Develop an understanding of the client’s business, and become an industry specialist to understand client-specific needs
Lead the team through the entire audit process, preparing all necessary financial statements and related disclosures and reportable conditions letters, with an eye on quality, thoroughness and accuracy
Understand and utilize Lauterbach’s audit methodology
Supervise Audit Associates and Seniors on engagement teams and facilitate field work by monitoring and reporting regarding productivity and adherence to work plan schedules on each assignment
Anticipate and address client concerns and escalate issues as they arise
Interact with clients to help ensure the information flow from the client to the audit team is efficient
Identify and communicate accounting and auditing matters to Managers and Partners
Identify performance improvement opportunities
Recognize and inform audit team lead of opportunities to increase level and types of services to clients

Utilization Management Quality Reporting and Auditing Specialist I

L.A. Care Health Plan

Location:
United States , Los Angeles

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 29, 2025

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Job Posted:December 29, 2025

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December 29, 2025