- 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 (Yonkers, NY)
- **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and ... is responsible for developing, implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources… 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
- RWJBarnabas Health (Oceanport, NJ)
- …or a related field. + Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or equivalent professional certification preferred. + Minimum of 6-8 years ... risk assessments, testing, and reporting findings, ensuring timely delivery and high- quality outcomes. + Evaluate the effectiveness of internal controls, policies,… more