• City of New York (New York, NY)
    …IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity (OQA & FI) ensures the integrity, ... & FI is recruiting for one (1) Principal Administrative Associate III to function as a Quality ...Reviewers assigned to conduct reviews for either the Enhanced Quality Assurance System (EQAS) or the State… more
    Upward (07/17/25)
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  • ICL (New York, NY)
    …lost, stolen, missing, or damaged. Assists the Program Director in Providing Quality Assurance Oversight: 1. Assists in ensuring internal program compliance ... JOB SUMMARY The Associate Program Director is responsible for compliance with...mission statements and goals. Participates in the development of Quality Assurance and Improvement plans and in… more
    Upward (07/12/25)
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  • State of Mississippi (Jackson, MS)
    …approximately $120 million annually.*Developing and implementing performance-based goals and quality assurance strategies.*Representing OSDP in state and federal ... in their own home/community. In partnership with the Mississippi Division of Medicaid , OSDP administers two 1915(c) Home and Community-Based Waiver programs. These… more
    Upward (07/13/25)
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  • Kaiser Permanente (Washington, DC)
    …(infection control, Members Rights policies, and any regulatory requirements) Participate in Quality Assurance duties and implementation of programs to improve ... care Quality Indicators. Maintain professionalism with all duties in an...an acute medical/surgical/ED or critical care nursing area. Education Associate Nursing degree required. License, Certification, Registration This job… more
    Upward (06/22/25)
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  • Abby Care (Boston, MA)
    …holiday rotation, and possible phone triage night coverage during weekdays. Quality Assurance : Achieve caregiver satisfaction by providing high- quality ... class care to our families. Our culture encourages clinical growth and emphasizes quality in all our clinical processes. Family training and support - We believe… more
    Upward (07/18/25)
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  • Quality Assurance Associate

    Conduent (Helena, MT)
    …and be part of a culture where individuality is noticed and valued every day. ** Quality Assurance Associate ** Location: Remote - US Only Salary: $17.00/hr., ... am - 5:00pm (MST), Monday - Friday **About the Quality Assurance Associate role** The...and Attributes/Successful candidates will have the following skills:** + Quality Assurance experience with Medicaid more
    Conduent (06/21/25)
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  • Medicaid Quality Control Case Review…

    City of New York (New York, NY)
    …standards. Within DSS-AO, resides an area called the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC). ... (1) one Principal Administrative Associate , who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the audit findings… more
    City of New York (07/05/25)
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  • Director, Quality Improvement (Michigan…

    Humana (Sterling Heights, MI)
    Quality Improvement Director provides strategic leadership for Humana's Michigan Medicaid Quality Improvement Program, in alignment with organizational ... Improvement Director oversees all aspects of the plan's Quality Assurance and Performance Improvement (QAPI) Program....need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (07/03/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Topeka, KS)
    …requirements development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + ... Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (07/09/25)
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  • Medicaid Consultant

    City of New York (New York, NY)
    …resolution for high priority actions such as Immediate Needs, Fair Hearing and Quality Assurance issues. Work Location: 470 Vanderbilt Avenue, Brooklyn, NY, ... Program (HCSP) is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid ...based on the unit review to reduce or eliminate Quality Control errors. - Review computer error reports, checks… more
    City of New York (05/14/25)
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  • Medicare/ Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical role in ... the direction of the Director of Claims Operations and Quality Assurance , this role is responsible for...Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports… more
    Commonwealth Care Alliance (05/31/25)
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  • Deputy Commissioner, Office Of Audit…

    City of New York (New York, NY)
    …Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance and Support (OCS), Investigation, ... Vendor Monitoring Office (VMO). The Office of Audit and Quality Assurance (OAQA) ensures that FIA programs...the performance and compliance of Cash Assistance, SNAP, and Medicaid programs. Ensure that all projects lead to improved… more
    City of New York (07/18/25)
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  • MES Quality Assurance Project…

    NTT DATA North America (Albany, NY)
    …in Albany, New York (US-NY), United States (US). **Overview of job** **:** The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will ... organization, apply now. We are currently seeking a MES Quality Assurance Project Manager to join our...in a technical, healthcare or management field or an Associate 's degree and at least 5 years of relevant… more
    NTT DATA North America (07/02/25)
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  • Quality Assurance Coordinator

    Elara Caring (Broken Arrow, OK)
    Associate degree preferred + 3 years of experience in clinical auditing, quality assurance , or healthcare compliance + Experience in home health, hospice, or ... FULL TIME MONDAY - FRIDAY STARTING AT $62,400/YEAR **Clinical Quality Auditor** The Clinical Quality Auditor performs...at Elara Caring to ensure compliance with Medicare and Medicaid regulations. The Auditor's areas of focus to ensure… more
    Elara Caring (07/16/25)
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  • Quality Assurance Auditor

    City of New York (New York, NY)
    …(HASA) is recruiting for one (1) Staff Analyst II to function as a Quality Assurance Auditor, who will: - Review contracts, budgets and case records ... assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides...or fiscal management; or in a related area. An associate degree or completion of 60 semester credits from… more
    City of New York (05/18/25)
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  • Accounts Receivable Associate

    City of New York (New York, NY)
    …Update reports with daily payment and disbursement information. Perform scanning, indexing and quality assurance of documents to the HRA One Viewer. Perform ... Accounting. The Finance Office is requesting approval to fill one (1) Clerical Associate III vacancy in the Office of Fiscal Operations. The Division of Accounts… more
    City of New York (07/13/25)
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  • Patient Care Associate

    Planned Parenthood of Greater New York (Queensbury, NY)
    …Reports facility and equipment issues, as indicated + Follows all lab and quality assurance protocols; uses appropriate personal protective equipment (PPE) and ... of Greater New York is seeking a Patient Care Associate to join our Clinical Services team for a...health outcomes in communities that face systemic barriers to quality , innovative sexual and reproductive health services -- including… more
    Planned Parenthood of Greater New York (07/10/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …all statutory, regulatory and contractual standards. Within the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC) ... accurate and complete error findings. OQA&FI is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer, who… more
    City of New York (05/25/25)
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  • Quality Compliance Nurse Professional

    Humana (Richmond, VA)
    …standards and to ensure compliance with National Committee for Quality Assurance (NCQA), Centers of Medicare & Medicaid Services (CMS) and Department ... conduct quality reviews and research to support quality assurance . The Quality Compliance...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (07/21/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    …Data Warehouse (EDW) queries to assist in reducing fraud. Ensure staff perform quality assurance on EMEDNY, Medicaid Data Warehouse (MDW), Enterprise ... Job Description APPLICANT MUST BE PERMANENT IN THE PRINICIPAL ADMINISTRATIVE ASSOCIATE TITLE. The Office of Revenue Management and Development (ORMD) is a major… more
    City of New York (07/12/25)
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