- Robert Half Accountemps (Los Angeles, CA)
- Description A National Healthcare Organization is seeking a knowledgeable and detail-oriented Quality Assurance /Risk Analyst to join its Los Angeles Team. ... Audit Management, Medi-Cal, Excel Formulas, Health Care Audits - Medicare - Medicaid, Medical Insurance, Risk Management, QA -... - Medicaid, Medical Insurance, Risk Management, QA - Quality Assurance Robert Half is the world's… more
- Providence (Renton, WA)
- …Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ensure compliance with laws and regulations pertaining to ... Analyst is also responsible for maintaining a claims quality assurance program, management of projects and...aides and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary… more
- LA Care Health Plan (Los Angeles, CA)
- …care measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. ... are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing.… more
- Peak Vista (Colorado Springs, CO)
- …regulatory entities. The Quality Assurance RN works closely with the Quality Oversight RN and Health Informatics Analyst , as well as clinic staff and ... Population Health & Quality Assurance RN Summary Title:Population Health...leadership regarding their performance + Monitor organizational performance of Medicare Annual Wellness Visits (AWVs) and provide training to… more
- Intermountain Health (Columbus, OH)
- …including business and technical research, planning, analysis, risk assessment, quality assurance , documentation, communication and deployment. Provides project ... Analysis + Facilitation + Continuous Improvement + Work Prioritization + Quality Assurance + Documentation \#SelectHealth **Minimum Qualifications** + Bachelor's… more
- Prime Therapeutics (Eagan, MN)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... and drives every decision we make. **Job Posting Title** Sr. Business Systems Analyst **Job Description** The Sr. Business Systems Analyst (BSA) is responsible… more
- RWJBarnabas Health (Oceanport, NJ)
- …of protocol submission to the end of the study. 7. Assists management with Quality Assurance audits of research billing. 8. Works with Clinical Trial Educator ... Charge Capture Analyst -Patient Accounts, Remote for NJ, PA or...research charges are collected and posted in accordance with Medicare s Clinical Trial Policy, federal regulations and pharmaceutical/third… more
- CVS Health (St. Louis Park, MN)
- …senior leaders . Assisting with documentation of work instructions . Participating in quality assurance of member materials . Tracking and submitting seasonal ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Project Management will support the Minnesota Medicare market with coordination… more
- CareOregon (Portland, OR)
- …analysis and reporting format for results. + Guide the development, maintenance, quality assurance , and documentation for the department's data tables and ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Healthcare Analyst Manager Exemption Status Exempt Department Informatics & Evaluation Manager Title… more
- Prime Therapeutics (Columbus, OH)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The IT Business Systems Analyst is responsible… more
- Motion Recruitment Partners (Durham, NC)
- …Medicaid Services (CMS), ERISA, etc.) accreditation agency standards (National Committee for Quality Assurance - NCQA), ASO group performance guarantees and ... Appeals Analyst Durham, North Carolina **100% Remote** Contract $20/hr...for all decisions regarding clinical appeals/grievances. + Ensures timeliness, quality , and efficiency in all work to comply with… more
- New York State Civil Service (Albany, NY)
- …data analytics supporting Medicaid program management and effective provision of data quality assurance and data integration techniques; Developing and executing ... NY HELP No Agency Health, Department of Title Data Analyst 4- 78214 Occupational Category IT Engineering, Sciences Salary Grade 664 Bargaining Unit M/C -… more
- Humana (Columbus, OH)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- CVS Health (Scottsdale, AZ)
- …and project status + b. Proven experience identifying data anomalies and providing quality assurance solutions + c. Proven experience with VBA, SQL, Python ... deliverables. This position provides technical support for Center for Medicare & Medicaid (CMS) Plan Finder program. In this...In this position, you will be responsible for supporting quality control of price files, create monitoring tool required… more
- Healthfirst (NY)
- …insurance policies, and industry regulations + Support audits, compliance checks, and quality assurance initiatives to ensure coding accuracy + Provide coding ... NCDs and Medicaid coverage determinations + Prior experience with multiple Medicare and Medicaid physician, hospital, AMB Surgery, DME, vaccination Ambulance fee… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center Business Analyst to track, trend, and analyze results of Quality Assurance (QA) scorecards for training and quality improvement. Perform ... Medicare and Medicaid Services(CMS), LACC - CalHers, and National Committee for Quality Assurance (NCQA) along with review and analysis of regulatory… more
- City and County of San Francisco (San Francisco, CA)
- …experience + Engaging staff and improving their experience + Participating in quality assurance activities Once submitted, applicant responses on the Required ... reapply. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in… more
- City and County of San Francisco (San Francisco, CA)
- …methods, and procedures within the specialty area; including but not limited to Quality Assurance activities; prepares or reviews detailed and complex medical ... reapply. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in… more
- City of New York (New York, NY)
- …the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE...and acquire the analytical, data mining, data matching, data quality , and data sharing methods and/or tools that drive… more
- Banner Health (GA)
- …patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for ... accurate code assignment. 3. Provides coding quality assurance for medical records. For all...prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High school diploma/GED… more
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