- Integra Partners (Troy, MI)
- The Quality Assurance Analyst is... will fairly and consistently review the calls, emails, claims , etc. of our team for accuracy and provide ... quality in support of the departmental goals and initiatives. The Quality Assurance Analyst evaluates both verbal and written customer contact. The … more
- Donegal Insurance Group (Marietta, PA)
- …Group has an opening for a Business Analyst / Quality Assurance Analyst . As a member of our Claims team, this position collaborates with business users ... of functionality is achieved + Provides daily support for Claims business units including providing technical guidance, troubleshooting software...+ 3 years of Business Analyst and/or Quality Assurance Analyst experience with… more
- Justworks (New York, NY)
- …in. Department Risk Programs/ Workers Compensation Operations Function Who You Are The Quality Assurance Analyst will help manage the day-to-day operations ... Analyst , Quality Assurance Workers...closely with the Underwriting, Workers Compensation Operations, Customer Support, Claims and Licensing teams at Justworks. You have no… more
- AIG (New York, NY)
- …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim… more
- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... of Product/Food Safety for complex products categories and processing environments + Quality Assurance and control processes and workflows - Advanced… more
- NJM Insurance (Trenton, NJ)
- …(WC) Training and Quality Assurance Management Supervisor, the WC Quality Assurance /Compliance Analyst is responsible for ensuring adherence to state ... training team to develop resources and training material to support regulatory and Quality Assurance compliance + Attend internal and external QA and Compliance… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- ** Quality Analyst ** **Category:** Testing/ Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 ... . **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance...Expectations, Soda, or custom Python/SQL test harnesses to automate quality assurance processes. * Validate data migration… more
- City of New York (New York, NY)
- …one (1) Administrative Staff Analyst NM2 to function as the Director of Quality Assurance for the Revenue and Reimbursement Office who will: - Oversee the ... revenues, expenditures and staffing for all HRA's programs. The Quality Assurance & Data Analysis Unit is...regulations and to the mandated deadlines - Perform an audit/ quality control review of completed claims for… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... QA processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test practices, supporting… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management (RHIA or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG ... Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based...Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance , or… more
- Center For Health Information And Analysis (Boston, MA)
- …in a dynamic, mission-driven environment. + Champion Data Integrity: Participate in quality assurance (QA) and documentation processes to ensure that reported ... development of data-driven policies that aim to improve the quality and equity of care, while keeping costs affordable...in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …of accuracy in dispute filings and documentation, measured through internal audits and quality assurance reviews. + Conformance: Adhere to the provided daily ... with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research questions regarding the… more
- Elevance Health (Louisville, KY)
- …attempt requirements as established by departmental performance metrics. + Maintain a QA ( Quality Assurance ) score of 95% or higher, demonstrating adherence to ... to verify the accuracy of billed services and ensure claims were submitted and processed appropriately. The analyst... claims were submitted and processed appropriately. The analyst will assess the validity of each recovery request,… more
- Johns Hopkins University (Baltimore, MD)
- …techniques to distill and clarify complex processes or data sets. + Conduct quality assurance and review of all data visualizations to ensure accuracy, ... - Developing + Data Tools and Platforms - Developing + Data Validation and Quality Assurance - Developing + Information Gathering - Developing + Oral and… more
- Houston Methodist (Bellaire, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance , detailed claims analysis and medical record ... are being billed to patients and third-party payers. Performs quality assurance . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Proactively stays up-to-date… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …enrollment, provider management, UM/PA, care management, and data warehouses. Data Analysis & Quality Assurance . Perform data profiling and mapping for clinical ... **Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, Canton… more
- Banner Health (AZ)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care… more
- Prime Therapeutics (Frankfort, KY)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for… more
- CareFirst (Baltimore, MD)
- …new overpayment/cost avoidance concepts. + Reviews claims edit concept results for quality assurance and proof of concept validation. + Reviews all available ... **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider… more
- Genesis Healthcare (Hauppauge, NY)
- …monitoring and audit functions and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. . Responsibilities A ... and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill… more
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