- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Home Health Quality Assurance Manager is responsible for leading the ... development, implementation, and oversight of the Quality Assurance and Performance Improvement (QAPI) Program...Performance Improvement (QAPI) Program to ensure the delivery of high- quality , compliant home health services.… more
- General Motors (Tallahassee, FL)
- …organization. The ideal candidate is a change agent with deep expertise in quality assurance methodology and a passion for cross-functional collaboration that ... This position serves as the primary point of contact for all quality assurance activities, ensuring alignment, compliance, and continuous improvement in… more
- MyFlorida (Tallahassee, FL)
- …Assessment and Restoration's Water Quality Standards Program, Aquatic Ecology and Quality Assurance Section (AEQAS) in Tallahassee and will be responsible ... for providing quality assurance support throughout DEP. The duties...sciences, biological sciences, physical sciences, environmental policy, or public health . Post-secondary degrees from an accredited college or university… more
- CVS Health (Tallahassee, FL)
- …responses to members and providers. Leads all aspects of utilization review/ quality assurance , directing case management Provides clinical expertise and ... and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care...care resources. **This is a remote based (work at home ) based anywhere in the US.** Aetna, a CVS… more
- CVS Health (Crawfordville, FL)
- …you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such ... an essential pharmacist function + Ability to work in home store, and across the market in other locations,...new approach to total health care. As health care innovators, we are making quality … more
- HCA Healthcare (Tallahassee, FL)
- …You Will: + Analyze proficiency testing samples + Review proficiency testing and/or quality assurance results and work with departments to develop corrective ... plans, where indicated + Complete all required records/documentation pertaining to quality assurance and/or point-of-care testing records + Monitor accreditation… more
- CenterWell (Tallahassee, FL)
- … health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that ... . + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling… more
- Datavant (Tallahassee, FL)
- …closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding… more
- Humana (Tallahassee, FL)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst...Access skills **Additional Information** This role is "remote/work at home " and can be based anywhere in the United… more
- Humana (Tallahassee, FL)
- …a project team in determining objectives and approaches to assignments. Assists with quality assurance and user acceptance testing. Collaborates with the Risk ... part of our caring community and help us put health first** The Senior Vendor Management Professional will work...time that is best for your schedule. **Work at home requirements:** To ensure Home or Hybrid… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... skills + Energetic and curious with a passion for quality and value in health care +...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... skills + Energetic and curious with a passion for quality and value in health care +...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... skills + Energetic and curious with a passion for quality and value in health care +...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource ... skills . Energetic and curious with a passion for quality and value in health car ....all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... skills-Required + Energetic and curious with a passion for quality and value in health care-Required +...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for ... **Required** + Energetic and curious with a passion for quality and value in health care- **Required**...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- CenterWell (Tallahassee, FL)
- …care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as inpatient ... as ABQAURP, or other boarddemonstratingadvanced training in transitions of care, quality assurance ,utilizationmanagementand care coordination. + A current and… more
- Lumen (Tallahassee, FL)
- …the future. **The Role** The Network Implementation Engineer III role on Lumen's Fiber Quality Assurance (FQA) team performs fiber test results analysis for DWDM ... the US **The Main Responsibilities** Network Implementation Engineer III for Lumen's Fiber Quality Assurance (FQA) team. + Elevated proficiency with OTDR testing… more
- Humana (Tallahassee, FL)
- …+ Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance , and compliance + Determine root causes driving issues ... part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement...system logic **Use your skills to make an impact** **Work-At- Home Requirements** + WAH requirements: Must have the ability… more
- Humana (Tallahassee, FL)
- …Identity and Access Management. Job Description The Software Engineer standardizes the quality assurance procedure for software. Oversees testing and debugging ... part of our caring community and help us put health first** The Software Engineer codes software applications based...+ Participating in the review of code to ensure quality and functionality. + Documenting coding and design activities… more