- CVS Health (Phoenix, AZ)
- …And we do it all with heart, each and every day. **Position Summary** The ** Healthcare Quality Management Auditor ** participates in the development and ... management_ ) Work Plan activities. This person will improve quality products and services by using measurement and analysis...Previous experience with medical record QM auditing and/or case management . + Strong attention to detail. + Ability to… more
- Molina Healthcare (Phoenix, AZ)
- …auditing. * May conduct staff trainings as needed. * Communicates with quality , and/or healthcare services leadership regarding issues identified, and works ... JOB DESCRIPTION Job Summary The Non-Clinical Auditor is responsible for conducting detailed audits of...standards by monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services… more
- Humana (Phoenix, AZ)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and… more
- Columbia Bank (Phoenix, AZ)
- Sr IT Auditor Audit and Loan Review Hillsboro, Oregon Spokane, Washington Tacoma, Washington Greenwood Village, Colorado Irvine, California Phoenix, Arizona ... coverage. Provide effective challenge to audit work products to maintain quality standards aligned to IIA and department guidance. Champion continuous improvement… more
- Datavant (Phoenix, AZ)
- …diversity of professional, educational and life experiences to realize our bold vision for healthcare . As an Auditor , HCC Risk Adjustment Coder, you will review ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...+ Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc. + Other… more
- Datavant (Phoenix, AZ)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Molina Healthcare (Phoenix, AZ)
- … Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance ... Quality Interventions and Quality Improvement Compliance. + Implements key quality strategies, which may include initiation and management of provider,… more
- West Pharmaceutical Services (Tempe, AZ)
- …through our sustainability efforts. **Job Summary** In this role, you will provide quality direction, governance, and Quality Management System best ... cross-functional teams, guiding technical evaluations, and implementing improvements in the Quality Management System **Essential Duties and Responsibilities** +… more
- Merck (Phoenix, AZ)
- …Adaptability, Audits Compliance, Business Processes, Clinical Documentation, Clinical Quality Management , Clinical Systems Implementation, Clinical Trials, ... development and/or improvement of technology solutions related to document, audit, and quality issues management + Develop and/or revise standard operating… more
- DoorDash (Tempe, AZ)
- About the Team DoorDash's Marketplace Quality team is seeking an experienced leader to oversee a team of Marketplace Quality agents. The Marketplace Quality ... investigating, and mitigating negative behavior which affects overall delivery quality . The team conducts investigations, adjudications, and deep-dive analysis on… more
- DoorDash (Tempe, AZ)
- …is at the core of DoorDash's operating engine. As a leader of the CXI Quality Assurance Team, you'll shape the future of the customer experience at DoorDash. Our ... experience. In this role, you'll identify trends, develop and implement quality process improvements, and bring your vision to cross-functional initiatives that… more
- CVS Health (Phoenix, AZ)
- … (UM) and Case Management (CM). + Strong understanding of healthcare quality , accreditation processes, and NCQA standards. + Licensed clinical professional ... to Eastern and Central time zones._ **Job Summary:** The NCQA Accreditation Auditor is responsible for evaluating healthcare organizations' compliance with NCQA… more
- Datavant (Phoenix, AZ)
- …remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience ... company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right… more
- Datavant (Phoenix, AZ)
- …future of healthcare from your own workspace! Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings ... company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right… more
- City National Bank (Phoenix, AZ)
- …and (v) maintaining a thorough understanding of CNB's Internal Controls Management Policy, control testing methodologies, and related regulatory and compliance ... Controls * Maintain a thorough understanding of CNB's Internal Controls Management Policy and Standards, control testing methodologies, and related regulatory and… more
- City National Bank (Phoenix, AZ)
- …are in place to mitigate compliance risk. Maintaining regulatory change management , policies and procedures, training, and advisory matters for mortgage lending ... with regulatory and business standards. * Manage regulatory change management and participate with business areas supported such as...Review and document procedures to ensure secure maintenance and quality of records. * Comply fully with all Bank… more
- Highmark Health (Phoenix, AZ)
- …others to ensures that the system architecture balances functional, service quality and systems management requirements.Tests and validates system ... levels, prepares reporting and other customer communications. Adheres to quality standards, configuration practices and procedures, and supports the realization… more
- Adelante (Phoenix, AZ)
- Patient Support Center Coordinator Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Description POSITION SUMMARY The Patient Support ... and productive department. Entry level leadership role is responsible for providing quality and efficient customer service to AHC patients and team. This entry… more
- Columbia Bank (Phoenix, AZ)
- …development. Provide effective challenge to audit work products to maintain quality standards aligned to IIA and department guidance. Champion continuous improvement ... and technology. + Continuously assess and evaluate the effectiveness of risk management activities and internal controls for assigned portfolio of audit entities. +… more
- DoorDash (Phoenix, AZ)
- …owned and operated by DoorDash, offering customers fast, reliable, and high quality delivery. Customers order their convenience, grocery, retail, and prepared foods ... In this role, your tasks will include: + Inventory receiving and management : Accurately receive and stock inventory, ensuring all products are accounted for… more