Top 1876 Quality management system Jobs in Omaha, Ne

Investigator- Remote in Nebraska
UnitedHealthcare —Omaha, NE
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Analysis skills
- AD&D insurance
- Employee stock purchase plan
Director of Clinical Informatics
Midwest Gastrointestinal Associates —Omaha, NE
- $95,000 - $120,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Computer Science
- Health savings account
- Disability insurance
Quick Apply
ESWL Technologist
UroHealth Partners —Omaha, NE
- Full-time
- Surgery
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
CT Technologist
UroHealth Partners —Omaha, NE
- Full-time
- Surgery
- BLS Certification
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Nurse Supervisor
Nebraska Hospital —Papillion, NE
- $50 - $55 an hour
- Full-time
- Nursing
- Patient monitoring
- Addiction Medicine
- AD&D insurance
- Health insurance
Quick Apply
Multimedia Designer
Better Business Bureau —Omaha, NE
- $40,000 - $42,500 a year
- Full-time
- Computer literacy
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
10d
Maintenance Technician
Clarity Real Estate Companies —Omaha, NE
- $22 - $24 an hour
- Full-time
- ASE Certification
- Background check
- Customer service
Quick Apply
Assistant Director
Yellow Brick Road Early Childhood Development Center —Bennington, NE
- $42,000 - $45,000 a year
- Full-time
- Classroom
- CPR Certification
- Customer service
- Paid holidays
- Dental insurance
Quick Apply
Quality and Compliance Manager
Dovida North America —Omaha, NE
- Full-time
- Nursing
- RN License
- No background check
- Health insurance
- Dental insurance
Quick Apply
Tax Operations Manager
Avior Wealth Management LLC —Omaha, NE
- Full-time
- Mid-level
- Office
- 3 years
- Health savings account
- Disability insurance
Quick Apply
X-Ray Technologist
UroHealth Partners —Omaha, NE
- Full-time
- Surgery
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Quality and Patient Experience Leader Inpatient Respiratory Therapist
Children's Nebraska —Omaha, NE
- 12 hour shift
- Computer literacy
- BLS Certification
- Inpatient
Asset Management Specialist
Elevate Living —Omaha, NE
- Online Application
- Background check
- Microsoft Excel
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Project Engineer
Cohere Beauty Omaha Inc —Omaha, NE
- $85,000 - $90,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Engineering
Quick Apply
Manager Sterile Processing
Children's Nebraska —Omaha, NE
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
Store Manager - Automotive Service Center
Jensen Tire —Omaha, NE
- $75,000 - $110,000 a year
- Full-time
- Inventory management
- 5 years
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
3d
TIG Welder
Lawson Cryogenic Manufacturing & Repair —Gretna, NE
- $28 - $32 an hour
- Full-time
- Background check
- Schematics
- Mid-level
- Relocation assistance
- Health insurance
Quick Apply
Dialysis Field Service Specialist / Dialysis
Children's Nebraska —Omaha, NE
- Weekends as needed
- Word processing
- Mid-level
- 3 years
Quality Management System QMS Manager
Dynamix SearchForce, Inc —Omaha, NE
- Full-time
- 5 years
- Bachelor's degree
- In-person
- Relocation assistance
Quick Apply
7d
Mental Health Provider (Psychiatric PA or PMHNP) - Omaha, NE
Geode Health —Omaha, NE
- Online Application
- Hybrid work
- Psychiatry
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance

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quality management system jobs near omaha, ne

Investigator- Remote in Nebraska

UnitedHealthcare -
Omaha, NE

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Job Details

Full-time
$49,700 - $88,800 a year

Benefits

AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Employee discount
Referral program
Pet insurance

Qualifications

Microsoft Word
Spreadsheets
Word embeddings

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Investigator is responsible for identifying, investigating, and preventing healthcare fraud, waste, and abuse (FWA). This role leverages claims data analysis, regulatory guidelines, and investigative methodologies to detect suspicious billing patterns and activities. The Investigator conducts thorough investigations, which may include fieldwork such as interviews and evidence collection, and ensures compliance with applicable regulatory requirements.

Schedule: Monday - Friday 8:00am - 4:30pm

If you reside in the state of Nebraska, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Assess and triage allegations of misconduct received within the organization
Conduct investigations of low- to moderately complex fraud, waste, and abuse cases involving members, providers, employees, and third parties
Identify potential fraudulent activities through data analysis, trend identification, and investigative techniques
Develop and execute efficient, case-specific investigative strategies
Maintain accurate, complete, and timely case documentation within the SIU case management system
Gather, preserve, and analyze evidence; prepare clear and concise investigative summaries and reports
Support settlement negotiations and provide documentation for legal or recovery actions
Analyze referral data to identify patterns, trends, and emerging risks
Ensure adherence to all applicable federal and state regulations, contractual obligations, and company policies
Report suspected fraud, waste, and abuse to appropriate regulatory agencies as required
Collaborate with internal teams and external partners, including state and federal agencies, as directed by SIU leadership
Participate in regulatory meetings, workgroups, and cross-functional initiatives
Communicate findings effectively through written reports and verbal presentations
Establish and manage investigation goals, monitor progress, and adjust priorities as needed
Participate in legal proceedings, including depositions, arbitration, and court testimony, as required

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor's degree or Associate's Degree with 2+ years of equivalent work experience
Ability to travel up to 25% as required
Intermediate level of proficiency in Microsoft Excel and Word

Preferred Qualifications:

Experience in healthcare fraud, waste, and abuse investigations or auditing
Knowledge of federal and state healthcare regulations related to FWA
Experience with data analysis and trend identification in healthcare claims
Formal training in healthcare fraud investigations
National Health Care Anti-Fraud Association (NHCAA) affiliation
Accredited Health Care Fraud Investigator (AHFI)
Certified Fraud Examiner (CFE)
Certified Professional Coder (CPC)
Medical Laboratory Technician (MLT)
Knowledge of investigative techniques and evidence handling practices

Soft Skills:

Strong analytical and problem-solving skills
Ability to interpret complex data and identify irregular patterns
Effective written and verbal communication skills
Strong organizational skills with the ability to manage multiple investigations simultaneously

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 to $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

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Refine Your Search

quality management system jobs in omaha, ne

Investigator- Remote in Nebraska

Director of Clinical Informatics

ESWL Technologist

CT Technologist

Nurse Supervisor

Multimedia Designer

Maintenance Technician

Assistant Director

Quality and Compliance Manager

Tax Operations Manager

X-Ray Technologist

Quality and Patient Experience Leader Inpatient Respiratory Therapist

Asset Management Specialist

Project Engineer

Manager Sterile Processing

Store Manager - Automotive Service Center

TIG Welder

Dialysis Field Service Specialist / Dialysis

Quality Management System QMS Manager

Mental Health Provider (Psychiatric PA or PMHNP) - Omaha, NE

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