• Big Data Engineer - Medicare/Medicaid

    Molina Healthcare (NY)
    …data governance initiatives, including metadata management, lineage tracking, and quality assurance . **Job Qualifications** **Required Qualifications** * Minimum ... models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data… more
    Molina Healthcare (07/18/25)
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  • Environmental, Health and Safety…

    City of New York (New York, NY)
    …Prevention Policy, Executive Order 85 d) Assist with the development of a quality assurance procedure/system for the Workplace Violence case management system ... a discussion of findings and conclusions. Conduct investigations of claims by DEP employees received through the Employee Concerns...(e) Perform regular quality assurance review of all Workplace Violence… more
    City of New York (05/14/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (07/29/25)
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  • Customer Service Representative II

    Leviton (Melville, NY)
    …contact. Interacts with various departments such as Supply Chain Planning, Quality Assurance , Distribution, Marketing, Logistics, etc., to ensure customer ... contact. Interacts with various departments such as Supply Chain Planning, Quality Assurance , Distribution, Marketing, Logistics, etc., to ensure customer… more
    Leviton (07/18/25)
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  • Guidewire UAT Test Lead

    Eliassen Group (Albany, NY)
    **Guidewire UAT Test Lead** **Anywhere** **Type:** Contract **Category:** Quality Assurance (QA) **Industry:** Insurance **Workplace Type:** Remote **Reference ... and issues. **Experience Requirements:** + 10+ years of experience in software testing, quality assurance , or a related field, preferably in the insurance… more
    Eliassen Group (07/03/25)
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  • Compliance Expert

    Zurich NA (New York, NY)
    …insights to enhance compliance strategies and decision-making. + Prepare high- quality reports for business leadership, governance committees, and regulatory bodies, ... accountability. + Engage with senior stakeholders across Group Functions-including Claims and Underwriting-to understand business models and contribute to sanctions… more
    Zurich NA (06/27/25)
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  • Remote Medical Director

    Centene Corporation (New York, NY)
    …activities. + Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, or ... to providers that would improve utilization and health care quality . + Reviews claims involving complex, controversial, or unusual or new services in… more
    Centene Corporation (07/03/25)
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  • Vice President Project Controls Executive…

    MTA (New York, NY)
    …of project control activities for C&D (cost estimating, cost control, scheduling, risk management , quality assurance , and safety assurance ) for the entire ... for escalated items related to cost estimates, schedules, change orders, claims , time extension requests, and disputes . Evaluate actual project performance,… more
    MTA (06/19/25)
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  • Field Clinical Specialist

    Terumo Medical Corporation (Queens, NY)
    …forwarding of customer complaints (ie adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (ie ... develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of...branding strategies, product claims , etc.) and materials (ie literature) discussed or presented… more
    Terumo Medical Corporation (07/09/25)
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  • Data Management Operations Specialist

    Guardian Life (New York, NY)
    …(eg, GDPR, HIPAA, and industry-specific standards) and organizational policies. + **Data Quality Assurance :** Monitor and maintain data integrity and consistency ... of data, and implementing strategic initiatives aimed at optimizing data governance and quality . This is a unique opportunity to work closely with senior leadership… more
    Guardian Life (05/07/25)
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