- Stony Brook University (Stony Brook, NY)
- …services. The position performs duties that include back-up supervisory, phlebotomy, quality assurance , send-out testing processing and billing audit duties ... Receiving. Off-site resource for environmental issues. + c. Lab IT Implementation Team: Specimen Receiving LIS System Manager. As...to other committees and CQI Teams as needed. + Quality Assurance and regulatory billing responsibilities: a.… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …you may be required to review updated knowledge base articles, or review quality assurance feedback and behaviors. **Compensation Highlights** + Base Pay: + ... with complaints + Maintain a "willing to assist" attitude and ensure consistent quality service throughout the workday + Meet and exceed call center metrics,… more
- US Tech Solutions (Columbia, SC)
- …Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. + The Quality Assurance Tester - Advanced will be assigned to projects for the South ... applications for reliability and stability. + Implement testing programs to perform quality assurance on technical applications including negative testing and… more
- Humana (Little Rock, AR)
- …requirements development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + ... for hospitals and facilities. They will work closely with IT , the pricing software vendor, CIS BSS, Medicaid...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Waystar (Louisville, KY)
- …Help Desk technicians and assist with onboarding and training. + Participate in quality assurance reviews of ticket handling and customer interactions. + ... **ABOUT THIS POSITION** The Advanced IT Support Engineer is a senior-level Tier 1...complex end-user support requests, mentoring junior technicians, and ensuring high- quality service delivery. While not directly responsible for Tier… more
- Children's Mercy Kansas City (Kansas City, MO)
- …is responsible for the design, implementation, education and oversight of the quality improvement, quality assurance , infection control, risk management, ... improve the lives of children beyond the walls of our hospital. Overview The Quality Systems Manager, in collaboration with and under the direction of the Director… more
- AdventHealth (Altamonte Springs, FL)
- …responsible for the quality integration and results driven by the Quality Assurance & Performance Improvement (QAPI) system committee. This includes ... Leadership experience in hospital or physician practice operations Leadership in clinical IT quality initiatives and EMR integration Nursing Magnet Accreditation… more
- Point32Health (Canton, MA)
- …will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance . **Job Description** + **Provider Consulting, Risk Score Reporting ... leading not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health… more
- Cayuse Holdings (Austin, TX)
- …system integration and project delivery experience. Experience working with external vendors and/or Quality Assurance efforts a plus. + 7 Required Experience in ... management of large-scale IT projects, including system integration, resource management, procurement transition and vendor management. + 7 Required Experience with … more
- SSM Health (Richmond Heights, MO)
- …fees; (6) Personnel management and related policies; (7) Risk management and quality assurance ; and (8) Coding compliance. + Responsible for after-hours ... reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and related to the practice. +… more
- Mathematica (Ann Arbor, MI)
- …for major Mathematica projects. + Regularly leads proposal content development and quality assurance reviews of proposals for model implementation, value-based ... could be focused on improving the Medicare, Medicare Advantage, Medicaid , and veterans and military focused programs, as well...skills of both projects and staff + Experience with quality assurance procedures + Accuracy with work,… more
- WellSense (MA)
- …audiences + Maintains a basic understanding of the National Committee for Quality Assurance (NCQA) accreditation standards, MassHealth, NH DHHS and other ... and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high- quality... Medicaid plans. Founded in 1997, WellSense provides high- quality health plans and services that work for our… more
- Fallon Health (Worcester, MA)
- …have been awarded "Excellent" Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and… more
- Grant Thornton (Atlanta, GA)
- …assessments, and implement strategies and recommendations for business and IT process optimization, profit improvement, cost reduction, fraud prevention, internal ... Perform engagement management responsibilities, including project scheduling, financial oversight, quality review, and client relationship management. + Lead business… more
- Molina Healthcare (Atlanta, GA)
- …+ Creating and executing comprehensive test plans + Ongoing pricer maintenance, quality assurance , and compliance with deployment activities. + Interpret release ... and facilities priced through PPS pricing methodologies. Works closely with IT , the pricing software vendor, operations, health plan representatives, and other… more
- Humana (Nashville, TN)
- …+ Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance , and compliance + Determine root causes driving issues ... for hospitals and facilities. They will work closely with IT , the pricing software vendor, CIS BSS, claims operations,...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …for Medicare and Medicaid (CMS) Stars programs, National Committee for Quality Assurance (NCQA) programs, and Healthcare Effectiveness and Data Information ... from across the company, eg performance measurement and improvement, clinical quality , operations, and pharmacy, to identify opportunities for improvement and… more
- New York State Civil Service (Queens Village, NY)
- …and changes in the service delivery systems.* Assist and Participate in any Regional Office Quality Review and Quality Assurance as related to OPWDD service ... Service Access (Eligibility, Self-Direction, Housing, Crisis, Property/Development, Fiscal, and Quality Management/Technical Assistance.Through the five Regional Field Office(s) with… more
- Omaha Children's Hospital (Omaha, NE)
- …to facilitate an outstanding patient experience. + Ensures compliance with quality assurance , safety practices, policies, regulatory, and legal requirements. ... and clearinghouse build and coordinating testing of changes with IT team. Provides training and/or support on an as...changes in the industry by keeping current with CMS, Medicaid , HIPAA and payor billing regulations as well as… more
- Advocates (Framingham, MA)
- … IT and clinical teams to implement privacy-by-design and secure data practices. ** Quality Assurance and Auditing** 1. Manage a robust quality management ... Ensure compliance with federal, state, and local regulations, including HIPAA, Medicaid , EOHHS licensing, and DOJ/OIG standards. 4. Lead internal audits,… more
