- Wellpath (San Diego, CA)
- …to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra ... We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training,… more
- Maxim Healthcare (Sacramento, CA)
- Maxim Healthcare is hiring for a Client Relations Specialist to work with clients, patients and active caregivers to monitor program participants' ability to ... program participants + Completes the consumer admissions/intakes as directed by the management team + Ensures client's hours/services are authorized by the Payor… more
- Sharp HealthCare (San Diego, CA)
- …+ 3 Years Experience in hospital, Home Infusion pharmacy environment or equivalent healthcare setting + 1 Year Experience in a leadership role. + Certified Pharmacy ... consistent and timely manner.Evaluation Method(s):O: Observation; T: Test; M: Quality Monitoring; D: Demonstration + Equipment maintenance and monitoringMonitors… more
- J&J Family of Companies (Santa Clara, CA)
- …Quality Compliance Specialist supports Shockwave Medical's processes for Quality including management of associated procedures ensuring compliance with ... **Job Description:** Johnson & Johnson is hiring for a ** Quality Compliance Specialist II - Shockwave Medical**...Focus, Goal Attainment, Internal Controls, Issue Escalation, Process Oriented, Quality Control (QC), Quality Management … more
- Sharp HealthCare (San Diego, CA)
- …with the Regulatory Affairs Department, in regards to patient complaints.Assists Sharp HealthCare Risk Management Department in assessing entity risk issues. + ... concerns brought to patient relations department. Uses clinical knowledge to assess quality of care and minimizes risks by providing trends, analysis and performance… more
- Medtronic (Los Angeles, CA)
- …a more connected, compassionate world. **A Day in the Life** The Regional Distribution Quality Specialist is responsible for ensuring the quality of ... **Must Have:** + Bachelors degree (or equivalent) in a relevant field (eg, quality management , supply chain, logistics, pharmaceuticals). + Minimum 4 years of… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the...or a related role within a managed care or healthcare environment. + Strong knowledge of healthcare … more
- Sharp HealthCare (San Diego, CA)
- …communication skills and evidence-based behavioral coaching practices to provide quality individualized care.Assists the patient with self- management goal ... You Will Do** Provide condition specific health education and create health management strategies for patients based on medical conditions and physician orders.… more
- CVS Health (Sacramento, CA)
- …+ Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard ... effective and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as… more
- University of Southern California (Alhambra, CA)
- …state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related ... USC request for payment for both IP & OP healthcare services provided to covered patients. Manages the denial...provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated… more