• Quality Improvement Auditor

    Centene Corporation (New York, NY)
    …and requires an clinical license. 3+ years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ... processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....and delivered timely + Perform other performance and process improvement activities + Performs other duties as assigned +… more
    Centene Corporation (05/10/25)
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  • Inpatient DRG Quality Auditor

    Humana (Trenton, NJ)
    …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
    Humana (05/03/25)
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  • Manager - Contract Review and Compliance Reporting

    Novo Nordisk (Plainsboro, NJ)
    …tasks at all times + Provides strategic input and contributes to process / quality improvement initiatives + Guides the successful completion of major programs ... About the Department The Clinical , Medical and Regulatory (CMR) department at Novo...find better and more innovative ways to improve their quality of life. We're changing lives for a living.… more
    Novo Nordisk (05/10/25)
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