• Analyst , Integration Quality

    Evolent (Sacramento, CA)
    …members, providers + A minimum of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / ... for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality ** Integration testing in the...or claims data. + Demonstrable experience with Testing, Writing Test… more
    Evolent (08/29/25)
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  • Principal Information Systems Analyst…

    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
    The County of Los Angeles (07/29/25)
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  • Administrative Analyst I/II

    County of El Dorado (Placerville, CA)
    …personnel; develop recommendations; and prepare proposed changes. + Perform departmental quality assurance duties by reviewing casework and analyzing time ... of specific program/caseload data to monitor progress toward goals, including progress of Quality Improvement Plan. + Review monthly revenue claims and verifies… more
    County of El Dorado (08/22/25)
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  • Benefit Administration Analyst - Sharp…

    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
    Sharp HealthCare (08/09/25)
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  • Medicaid Provider Hospital Reimbursement…

    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
    Humana (08/14/25)
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  • Medicare Advantage Risk Adjustment Business Data…

    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
    UCLA Health (06/11/25)
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  • Nuclear Medicine Technologist, Special Procedures

    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 (08/10/25)
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  • Nursing Director, Education

    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 (06/05/25)
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  • Exempt to Permanent - Program Specialist…

    City and County of San Francisco (San Francisco, CA)
    …compliance with federal requirements. + Reviews targeted tasks, phone calls, and supervisor quality assurance forms to ensure quality of customer service. ... is sustained by our City's commitment to heighten the quality of life for the diverse population of San...general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and… more
    City and County of San Francisco (08/26/25)
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  • Mental Health Clinical Supervisor / Emergency…

    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
    The County of Los Angeles (07/25/25)
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