- Molina Healthcare (Rochester, NY)
- …fashion and in accordance with unit standards. **Knowledge/Skills/Abilities** * Trains audit staff on configuration functionality, enhancements and updates. * ... of business rules as they apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it… more
- L3Harris (Rochester, NY)
- …improvement opportunities and to evaluate quality issues. Additionally, the Quality Engineer will lead teams to develop dispositions, formally evaluate ... policies, plans, and procedures. They will develop and implement audit plans to ensure compliance with internal policies, program...test procedure reviews to ensure design modifications meet all quality requirements + Lead Root Cause and… more
- Molina Healthcare (Rochester, NY)
- …criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead current/future-state ... : Ensure alignment to CMS, HIPAA, state regulations, and audit readiness. Establish governance, RAID (risks/assumptions/issues/dependencies), and quality … more
- University of Rochester (Rochester, NY)
- …supporting University systems and applications. This position creates and reviews data audit and quality processes for the validation of deliverables. The ... cross functional teams and provides leadership for design, development, configuration , testing, implementation, maintenance, security of reporting and associated… more