- TEKsystems (Fresno, CA)
- We are hiring Medical Claims Examiners! Must live within 65 miles of Fresno, CA to be considered due to onsite training requirements. Location: Fully remote with ... 4:00PM PST Monday-Friday Overview Our client is seeking a Medical Claims Examiner to join their growing... processing, attention to detail, and a commitment to quality assurance . The position involves adjudicating a… more
- Prime Healthcare (Chino, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/222648/risk-management-manager quality - assurance /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Chino Valley Medical Center has been recognized nationally for its quality , including as among the 100 Great Community Hospitals by Becker's Hospital Review… more
- Prime Healthcare (Redding, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/218087/risk-management-coordinator quality - assurance /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... an award-winning team of dedicated professionals committed to our core values of quality , compassion and community! Shasta Regional Medical Center, a member of… more
- ICW Group (Pleasanton, CA)
- …support appropriate financial forecasting, reinsurance reporting and risk scoring. + Oversees quality assurance processes and conducts regular audits of complex ... in-house counsel for litigation strategy and nurse case managers for medical management. **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Strategic Claims … more
- Emanate Health (Covina, CA)
- …indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and ... in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and… more
- TEKsystems (Los Angeles, CA)
- Medical Claims Examiner Location: Remote (must be located in Santa Barbara or Los Angeles) Department: Claims Processing Job Summary: We are seeking a ... detail-oriented Claims Examiner to join our team. This role is...departmental improvement projects. + Perform audits and contribute to quality assurance efforts. Qualifications: + Prior experience… more
- Envista Holdings Corporation (Pomona, CA)
- …The **Sr. Quality Engineer** plans and conducts activities concerned with the quality assurance of industrial processes, materials, and products. The Sr. ... working closely with cross-functional teams to develop, implement, and maintain quality assurance protocols that comply with regulatory requirements and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current… more
- Banner Health (CA)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care… more
- Sharp HealthCare (San Diego, CA)
- …clinical ackground and skills. + Solid understanding of utilization management and quality assurance activities. + Excellent communication skills, both verbal ... + Provides professional leadership and direction to the functions within the Medical Management Department (Utilization/Cost Management and Quality Management) +… more
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