- Providence (CA)
- …The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual learning, ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst ...assists the Claims leaders in managing a quality assurance program to ensure compliance with… more
- LA Care Health Plan (Los Angeles, CA)
- Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise Configuration Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Quality Configuration Assurance Analyst III...department. Advanced knowledge of and experience in health plan quality assurance (especially related to claims… more
- LA Care Health Plan (Los Angeles, CA)
- …are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing. ... to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease… more
- The County of Los Angeles (Los Angeles, CA)
- …and systems implementation tools, techniques and methodologies, as needed. Establishes quality assurance procedures, as needed. Supervises lower level technical ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply … more
- Sharp HealthCare (San Diego, CA)
- …checks) provide efficient, cost-effective solutions as directed.Serve as the lead on claims testing and quality assurance activities and assisting ... direction of the Manager of Benefits Administration, the Benefits Administration Analyst provides operational support to ensure benefit plans are designed… more
- Humana (Sacramento, CA)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- UCLA Health (Los Angeles, CA)
- …measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain ... Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team,...ensuring a comprehensive understanding of data relationships across encounters, claims , membership, and provider databases. + Develop or apply… more
- The County of Los Angeles (Los Angeles, CA)
- …to As Low as Reasonably Achievable standards. + Performs assigned quality assurance and institutional regulatory procedures. + Prepares radiopharmaceuticals ... diagnostic nuclear imaging studies using a dual-mode scanner to produce high- quality three-dimensional images of the body. Essential Job Functions + Performs… more
- The County of Los Angeles (Los Angeles, CA)
- …changing goals and objectives. + Directs the development of educational programs based on quality assurance data to evaluate and monitor quality and ... time of filing, or via email to the Exam Analyst within 15 calendar days of filing your application...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- …regulations by determining type and level of services to be provided; measures of quality - assurance to be employed; and formulating and carrying out policies and ... suggestions and recommendations. Reviews case records for completeness, consistency, and quality of mental health services provided including application of proper… more