- 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
- Elevance Health (Woodbridge, NJ)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... is responsible for developing, implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources… more
- Mount Sinai Health System (New York, NY)
- …MSHP seeks a Risk Adjustment Analyst support efforts to improve the overall quality and completeness of clinical documentation in outpatient physician practices. ... 2 years of HCC Risk Adjustment experience, preferred * Clinical background in a healthcare setting, preferred * Demonstrated...plan, monitor conditions prior to patient visits. * Facilitates improvement in the overall risk adjustment quality ,… more
- Wolters Kluwer (New York, NY)
- …consistent practices across the company. You will report to the VP, Clinical Content Management **RESPONSIBILITIES** ** Quality Management and Compliance** + ... approved locations on the posting). **OVERVIEW** You will be the global product quality lead in support of a broad portfolio of on-market medical devices including… more
- Bristol Myers Squibb (Princeton, NJ)
- …risk into the Company's controls program for US OTC controls. + Identify improvement opportunities with the core business functions and driving enhancements of the ... controls. + Review Sarbanes-Oxley testing results and assess the quality of testing and related test conclusions for the...US OTC controls. + Review and comment upon service auditor reports related to US OTC controls annually, including… more