Senior Quality Specialists Jobs

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. Review and handle relevant correspondences assigned to the team that may result in adj

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As a Senior Data Insights Specialist, you will be responsible for using SQL, MS Excel, Dataiku, Python, and related applications to determine disruption to existing and potential clients when network changes take place to retain and win business. This position involves making high-level decisions, managing multiple requests/priorities, developing new solutions to simplify the reporting process, and producing both standard and custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility. Required Qualifications Experience in SQL, Microsoft Excel, and other relevant applications. Experience with data cleaning, transformation, and/or ETL. Strong analytical and problem-solving skills with the ability to interpret complex data sets. Preferred Qualifications 2&#43; years' of professional analytical experience. Proficiency in Dataiku, Alteryx, or other related ETL applications. Experience with Python. Experience with Salesforce. Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry. Excellent verbal and written communication skills to effectively interact with internal teams and external clients. Ability to manage multiple requests and priorities in a fast-paced environment.</li

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience. Additional Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication. - Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures. - Identifies and reports potential overpayments, underpayments, and other claim irregularities. - Performs claim rework calculations as needed. - Trains and mentors as needed to enhance team performance and technical proficiency. - Conducts outbound calls to obtain required information for claims or reconsideration requests. Required Qualifications - Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator. - Proven

We anticipate the application window for this opening will close on - 27 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. As one of three comprehensive portfolios at Medtronic, Neuroscience is dedicated to improving the lives of people living with neurological disorders, spine conditions, and chronic pain. Guided by our Mission—to alleviate pain, restore health, and extend life—we develop technologies and therapies that help people regain function, reduce pain, and return to the activities that matter most. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. This role will be part of our Deep Brain Stimulation (DBS) Clinical team. Our DBS devices send electrical signals within the brain that can help reduce symptoms of certain disorders or disease. O

About the Team OpenAI’s User Operations team ensures that our customers’ experience is nothing short of exceptional. We resolve complex issues, provide guidance, and support customers in maximizing value with our products. Within User Operations, Ads Safety Operations helps OpenAI grow advertising in a way that is safe, trusted, and sustainable for advertisers, users and the business. The Ads Safety Support team sits within Ads Safety Operations and owns the advertiser-facing support journey: helping advertisers navigate ads products, policies, reviews, and enforcement decisions while turning frontline insights into better guidance, tooling, and product experiences. About the Role We’re looking for a Senior Advertiser Support Specialist to help build and scale advertiser support within Ads Safety Operations. You’ll work directly with advertisers through support tickets, escalations, owning high-impact questions related to ads policies, review outcomes, product behavior, and operational processes. Many cases will be novel or ambiguous, and you’ll be expected to investigate carefully, communicate clearly, and drive them to resolution in a fast-moving product environment. As OpenAI’s advertising ecosystem grows, your work will help advertisers operate successfully at scale while serving as a critical bridge between frontline support and the teams responsible for product quality, policy integrity, and platform safety. Beyond resolving individual cases, you’ll help define what world-class support looks like in an AI-native environment. You’ll turn support interactions into operational intelligence, identifying recurring friction, gaps in guidance, and emerging issues to improve support at scale, and protect the quality and safety of OpenAI’s ad ecosystem. You’ll partner closely with Engineering, Product, Policy, Legal and Go To Market partners to improve systems, reduce bugs, and elevate the customer experience, while leveraging automation, agents, and our own AI technol

About the Team OpenAI’s User Operations team ensures that our customers' experience is nothing short of exceptional. We resolve complex issues, provide guidance, and support customers in maximizing value with our products. Within User Operations, Ads Safety Operations helps OpenAI grow advertising in a way that is safe, trusted, and sustainable for advertisers, users and the business. The Ads Safety Support team sits within Ads Safety Operations and owns the advertiser-facing support journey: helping advertisers navigate ads products, policies, reviews, and enforcement decisions while turning frontline insights into better guidance, tooling, and product experiences. About the Role We’re looking for a Senior Advertiser Support Specialist to help build and scale advertiser support within Ads Safety Operations. You’ll work directly with advertisers through support tickets, escalations, owning high-impact questions related to ads policies, review outcomes, product behavior, and operational processes. Many cases will be novel or ambiguous, and you’ll be expected to investigate carefully, communicate clearly, and drive them to resolution in a fast-moving product environment. As OpenAI’s advertising ecosystem grows, your work will help advertisers operate successfully at scale while serving as a critical bridge between frontline support and the teams responsible for product quality, policy integrity, and platform safety. Beyond resolving individual cases, you’ll help define what world-class support looks like in an AI-native environment. You’ll turn support interactions into operational intelligence, identifying recurring friction, gaps in guidance, and emerging issues to improve support at scale, and protect the quality and safety of OpenAI’s ad ecosystem. You’ll partner closely with Engineering, Product, Policy, Legal and Go To Market partners to improve systems, reduce bugs, and elevate the customer experience, while leveraging automation, agents, and our own AI technol

We’re looking for a hardworking, driven leader with superb energy, passion and initiative to lead a Partner Sales team. The Partner Sales team concentrates driving co-sell and delivering incremental value to the field through formulating and executing a pipeline generation strategy through Partners, recruiting and building healthy mutual partnerships. Reporting to Regional Vice President of Partners APAC, the Senior Director of Partners will cover India with a high focus on people leadership, recruiting and developing a high performance team fostering a culture of collaboration. With a people-first culture, which is echoed throughout the whole company, managing and leading our team is top of mind. Our sales leadership is committed to building the best salesforce in technology, with a legendary reputation of excellence and integrity. This means, inspiring and enabling success for everyone on the team. We provide the opportunity for all Senior Directors to sit with their peers and collectively learn from each other about how to better develop our people, recruit, retain, and use our data to get the best results for and from our people. All of us are committed to working hard in order to build something unparalleled in the industry We are looking to speak to candidates who are based in Gurugram for our hybrid working model. Responsibilities Own, on behalf of Area Vice President (AVP) - India Sales leader, all things Partner related Develop a holistic regional partner strategy, aligning Solution, Services & Cloud Partners and aligning to AVP priorities. Own senior stakeholder engagement both internally and externally. Recruit, onboard and ramp new Partner Sales Specialists and accelerate their productive capacity. Own Partner team quota for geographies and responsible for forecast. Enable, develop and empower your team to proactively prospect, identify, qualify, and build sales pipeline through our Cloud Partners, Global, Regional and local System Integrators,

Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Specialist, Talent Acquisition (12 Month FTC) Overview The Talent Acquisition team is looking for a Senior Specialist, Talent Acquisition on a 12 month fixed term contract to support our Core Payments, Commercial New Payment Flows and International Marketing Communications organisations with a primary focus on sales and product recruitment across Europe. You would be responsible for managing the end to end hiring process for our candidates, sourcing great talent for our teams and proactively delivering a high-quality experience for both candidates and hiring managers alike. The ideal candidate is passionate about the candidate and hiring manager experience journey, highly motivated, intellectually curious, loves engaging and sourcing new talent, and possesses an organised mindset (with the ability to navigate complex matrix environments). All About the Role • Managing requisitions across three business units with a focus on but not limited to product and sales. • Serves as the point of contact for internal and external candidates, initial hires, business groups and divisions. • Collaborate with stakeholders to tailor strategies to attract the best talent in the external market. • Collaborating with hiring managers to create job ads for current openings. • Advertising job openings on

Our Mission You call. You wait. You call again. In every other part of your life, you book in seconds. In healthcare, you’re blocked. We’re here to give power to the patient. For nearly 20 years, we’ve built the leading healthcare marketplace - helping tens of millions of people find and book the care they need. Now, we’re going further: building our infrastructure beyond Zocdoc’s marketplace to power access to care wherever patients search, from provider websites and insurance directories to search engines, AI platforms, and more. Healthcare still lacks something every other major consumer industry takes for granted: a seamless way to go from seeking to getting . We don’t want to own the front door to care; there isn't one. We want to make sure all of those doors open when patients are knocking. Fixing healthcare starts with fixing access to it. And we're still just getting started. As an Insurance Senior Specialist, you will serve as the subject matter expert for Zocdoc's insurance taxonomy and related systems. You will own the policies, processes, and quality standards that ensure our insurance data is accurate, scalable, and aligned with product strategy. This role combines deep expertise in the U.S. health insurance landscape with strong analytical thinking to improve the patient search experience and strengthen the integrity of our insurance database. You will partner closely with Product, Operations, and Engineering teams to define insurance policies, monitor database health, and drive continuous improvements. Your work will directly influence how patients find in-network care by ensuring that our insurance taxonomies, carrier and plan coverage, and provider matching systems remain accurate, scalable, and responsive to changes in the healthcare market. A Day in the Life of a Product Operations Specialist: Define Insurance Policies & Standards: Own the policies governing insurance carriers and plans across the Zocdoc marketpl

About the Team The B2B Marketing team is a small, high-impact group focused on driving lead generation across multiple DoorDash business lines, including Restaurants (U.S. & Canada) and New Verticals (Alcohol, Flowers, and more). We’re a fast-growing team where you’ll have the opportunity to shape our marketing approach, work closely with global stakeholders, and grow as the team expands. About the Role We’re looking for a performance-driven Paid Search specialist to help scale our B2B acquisition efforts across the U.S. and Canada. In this role, you’ll own the end-to-end execution of Paid Search campaigns, managing performance, identifying growth opportunities, and driving efficiency across a multi-million dollar budget. You’ll work closely with U.S.-based teams and platform partners like Google and Microsoft. You will report directly to our local Manager, B2B Performance Marketing. You’re excited about this opportunity because you will… Ownership: End-to-end Paid Search execution aligned to B2B growth goals (lead quality, efficiency, and scale) Campaigns: Build, launch, and optimize Search and Performance Max campaigns across the U.S. and Canada Performance: Monitor and improve campaign performance against core KPIs (e.g., lead generation, efficiency, and return) Optimization: Drive continuous improvements through testing, automation, and data analysis Insights: Translate performance data into clear insights and recommendations for cross-functional partners Stakeholder collaboration: Partner with internal teams and external platforms (Google, Microsoft) to unlock growth opportunities We’re excited about you because… You have 3–5+ years of experience in performance marketing, with a focus on Paid Search You have hands-on experience managing Google Ads and/or Microsoft Ads campaigns You’re comfortable working with data and using it to make decisions and drive improvements You can clearly communicate insights and recommendations to stakeholders You’re

About the Team The B2B Marketing team is a small, high-impact group focused on driving lead generation across multiple DoorDash business lines, including Restaurants (U.S. & Canada) and New Verticals (Alcohol, Flowers, and more). We’re a fast-growing team where you’ll have the opportunity to shape our marketing approach, work closely with global stakeholders, and grow as the team expands. About the Role We’re looking for a performance-driven Paid Search specialist to help scale our B2B acquisition efforts across the U.S. and Canada. In this role, you’ll own the end-to-end execution of Paid Search campaigns, managing performance, identifying growth opportunities, and driving efficiency across a multi-million dollar budget. You’ll work closely with U.S.-based teams and platform partners like Google and Microsoft. You will report directly to our local Manager, B2B Performance Marketing. You’re excited about this opportunity because you will… Ownership: End-to-end Paid Search execution aligned to B2B growth goals (lead quality, efficiency, and scale) Campaigns: Build, launch, and optimize Search and Performance Max campaigns across the U.S. and Canada Performance: Monitor and improve campaign performance against core KPIs (e.g., lead generation, efficiency, and return) Optimization: Drive continuous improvements through testing, automation, and data analysis Insights: Translate performance data into clear insights and recommendations for cross-functional partners Stakeholder collaboration: Partner with internal teams and external platforms (Google, Microsoft) to unlock growth opportunities We’re excited about you because… You have 3–5+ years of experience in performance marketing, with a focus on Paid Search You have hands-on experience managing Google Ads and/or Microsoft Ads campaigns You’re comfortable working with data and using it to make decisions and drive improvements You can clearly communicate insights and recommendations to stakeholders You’re

Who we are At Twilio, we’re shaping the future of communications, all from the comfort of our homes. We deliver innovative solutions to hundreds of thousands of businesses and empower millions of developers worldwide to craft personalized customer experiences. Our dedication to remote-first work , and strong culture of connection and global inclusion means that no matter your location, you’re part of a vibrant team with diverse experiences making a global impact each day. As we continue to revolutionize how the world interacts, we’re acquiring new skills and experiences that make work feel truly rewarding. Your career at Twilio is in your hands. . Hiring and how we work We use Artificial Intelligence (AI) to help make our hiring process efficient. That said, every hiring decision is made by real Twilions! Also, while we are a remote-first company, you may be asked to report in person on an ad-hoc basis for team gatherings, functional off-sites or customer meetings. . See yourself at Twilio Join the team as Twilio’s next Senior AI and Data Specialist About the job This position will be responsible for unlocking exceptional growth for Twilio’s customers and business. We are seeking a high-achieving individual to join Twilio’s Strategy & Operations team within the Industry Relations & Strategic Growth organization. In this high-visibility role, you will use data analysis, scripting, and agentic workflows to improve product quality, fight fraud, reduce billing errors, and optimize gross margins for our global telecommunications network. You will build root-cause-analysis tools and automations that query complex datasets, uncover trends, drive human decisions, and allow business partners to self-serve data insights. To achieve this, you will collaborate closely with Carrier Relations to define business requirements, engage with Enterprise Technology and Engineering to build data pipelines and governance, and partner with Produc

Who we are At Twilio, we’re shaping the future of communications, all from the comfort of our homes. We deliver innovative solutions to hundreds of thousands of businesses and empower millions of developers worldwide to craft personalized customer experiences. Our dedication to remote-first work , and strong culture of connection and global inclusion means that no matter your location, you’re part of a vibrant team with diverse experiences making a global impact each day. As we continue to revolutionize how the world interacts, we’re acquiring new skills and experiences that make work feel truly rewarding. Your career at Twilio is in your hands. . Hiring and how we work We use Artificial Intelligence (AI) to help make our hiring process efficient. That said, every hiring decision is made by real Twilions! Also, while we are a remote-first company, you may be asked to report in person on an ad-hoc basis for team gatherings, functional off-sites or customer meetings. . See yourself at Twilio Join the team as Twilio’s next Senior AI and Data Specialist About the job This position will be responsible for unlocking exceptional growth for Twilio’s customers and business. We are seeking a high-achieving individual to join Twilio’s Strategy & Operations team within the Industry Relations & Strategic Growth organization. In this high-visibility role, you will use data analysis, scripting, and agentic workflows to improve product quality, fight fraud, reduce billing errors, and optimize gross margins for our global telecommunications network. You will build root-cause-analysis tools and automations that query complex datasets, uncover trends, drive human decisions, and allow business partners to self-serve data insights. To achieve this, you will collaborate closely with Carrier Relations to define business requirements, engage with Enterprise Technology and Engineering to build data pipelines and governance, and partner with Produc

WPP is the trusted growth partner for the world’s leading brands. We unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company – powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. We work with the world's most valuable brands and have global reach across 100+ markets, with deep local expertise. Our people are the key to our success. We're committed to fostering a culture of creativity, belonging and continuous learning, attracting and developing the brightest talent, and providing exciting career opportunities that help our people grow. For more information, visit WPP.com. Why we're hiring: The Technology Risk & Controls Analyst operates as part of the second line Technology Risk & Controls function, working under the direction of the Technology Risk & Controls Manager, Tech Ops. The role supports the delivery of independent assurance over Technology Operations control environments, including infrastructure, cloud platforms, identity and access management, service management and core operational processes. The role is focused on executing high-quality control testing, audit support and remediation assurance activities in line with WPP standards and methodologies. The Analyst works closely with Technology Operations teams, Financial Risk & Control colleagues and auditors to evidence control performance, support audit readiness (including SOX 404) and contribute to a consistent, well-documented and sustainable control environment. What you'll be doing: • Perform control design and operating effectiveness testing across Technology Operations processes, including change management, access management, incident/problem management, backup and resil

Reolink , a leader in intelligent visual technology for homes and businesses, was founded in 2009 by a group of engineers with a strong commitment to and passion for smarter security solutions. Our products are now trusted by millions of users across more than 110 countries and regions worldwide. Building on this trust, we continue expanding our presence and bringing our innovations to more markets around the globe. Reolink remains committed to delivering advanced, reliable, and user‑centric solutions that empower people to protect what matters most. Position: E-Commerce Executive / Specialist 5 Work Days Per Week Office Near Tai Seng MRT, Singapore Medical Benefits Provided Entitled to Yearly Bonus & Performance Bonus Qualifications [ Fulfill all 5 Requirements ] Bachelor's Degree in any field is preferred for this post. Minimum 2 Years of hands-on experience handling Company's Official Website / Amazon for E-Commerce Duties Solid understanding of platform policies such as Amazon, Shopee, Lazada, etc. Familiar with Website traffic & conversion, Google Analytics, A/B testing, CPC, CRO Proven experience in cross-border e-commerce (B2C) is an advantage, particularly for the Australia and Europe & US Markets. This Role will mainly focus on handling Reolink Official Website (E-Commerce) & Amazon for different region in Australia, Europe and US Markets. Manage and maintain the company's e-commerce storefronts across multiple platforms, ensuring smooth daily operations and optimal store performance, with a focus on the Australia and Europe & US Markets. Upload product listings across platforms, including writing and optimizing high-quality titles, descriptions, and item specifics, aligned with target market preferences. Conduct keyword research and listing optimization to improve product visibility, search ranking, and conversion rates across different platform algorithms. Plan and execute promotional strategies (e.g., discounts, campaigns, ads, sponso