• Managed Care QA

    National Vision (Duluth, GA)
    …a priority, hard work is praised, and career growth is a reality. National Vision is hiring a Managed Care QA Auditor to join our growing team! The role ... to live their best. We help people by making quality eye care and eyewear more affordable...is responsible for providing ongoing feedback and education to Managed Care Reps (MCRs) regarding the accuracy… more
    National Vision (04/12/24)
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  • Quality and Compliance Auditor

    CDS Life Transitions (Webster, NY)
    …company + Able to maintain a high level of confidentiality + Familiarity with quality assurance tools and software + Effective computer skills using MS Office ... preferred. + At least 3 years of experience within quality assurance or quality audit,... audit, writing policy and procedures, preferred. + Previous managed care organization experience preferred, to include… more
    CDS Life Transitions (04/06/24)
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  • Risk Adjustment Auditor Educator (CRC)

    Centene Corporation (Raleigh, NC)
    …+ Serves on the RADV Committee as subject matter experts. + Perform quality assurance auditing (ie ensure appropriateness and accuracy of ICD-9/ICD-10 coding) ... risk adjustment to ensure accurate CMS payment and improve quality of care . Analysis of MRA data...experience in a hospital, a physician setting or a Managed Care Organization as a medical coder.… more
    Centene Corporation (04/05/24)
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  • Concurrent Review Nurse-( Auditor )- Metro,…

    InnovaCare (San Juan, PR)
    …concurrently review admissions and continued stay to determine appropriate Utilization, Quality Assurance , Risk Management and Discharge Planning Needs.2. ... the most advanced technologies. Innovacare, Inc. combines innovation and quality care to create progressive, value-based models,...team, with its vast years of combined experience in managed care and care delivery,… more
    InnovaCare (04/17/24)
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  • Supplier QA Engineer II

    Abbott (Alameda, CA)
    …an equivalent combination of education and work experience + Minimum 6 years of Quality Assurance experience in the medical device, pharmaceutical or other ... quality managed industries **Preferred Qualifications** + Some...and statistical techniques. + Some experience in conducting external quality assessments. + Certified Lead Auditor trained… more
    Abbott (05/01/24)
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  • GZ PL Quality Leader - Managed

    Weatherford (Houston, TX)
    …experience in quality related capacity. + Strong knowledge of project management, quality assurance and quality control processes and philosophies. + ... & protection of the Environment, taking into account responsible care , process vulnerabilities, public, customer and employee inputs, knowledge...or process adherence. + As requested by the GZ Quality Manager and Auditor , provide PL SME… more
    Weatherford (04/03/24)
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