- 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
- 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