- Healthfirst (NY)
- …**Scope of Responsibilities:** + **Conduct moderately complex to complex quality audits of provider claims, pre-payments and post-payments including high-dollar ... reports policies and procedures.** + **Mentor and coach Financial and//or Operations QA auditors.** + **Participate as a Subject Matter Expert on various process… more
- Molina Healthcare (Syracuse, NY)
- …complaint with the applicable state, federal, contractual requirements, National Committee for Quality Assurance (NCQA), and Molina requirements for the health ... procedures, case files and evidence of ongoing monitoring to ensure quality and cost-effective provision of delegated services. * Engages delegate leadership… more
- Solstice Advanced Materials (Buffalo, NY)
- …striving to flawlessly deliver superior value to our customers every day. As a Quality Assurance expert for a new cGMP manufacturing team. Ensure that ... **YOU MUST HAVE** *Bachelor's degree in Chemistry, Chemical Engineering, or Quality Assurance management, Advanced degree is preferred. *5+ years… more
- City National Bank (New York, NY)
- …update reporting of compliance test results along with comparable line of business QA testing results. * Conduct meetings to discuss testing and risk assessment ... with deadlines. * Certified Regulatory Compliance Manager (CRCM), Certified Internal Auditor (CIA), and/or Certified Financial Services Auditor (CFSA)… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the ... serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources. + Participates… more
- CDPHP (Latham, NY)
- …Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the ... physician-founded, member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York.… more
- DoorDash (New York, NY)
- …to ensure the successful development and deployment of features + Act as the quality assurance arm of the development; flagging critical quality blockers ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
- DoorDash (New York, NY)
- …Manager role is part of the Consumer Experience team and will focus on Quality Improvements with tooling (AW & DWR), and content management platform utilization. On ... have experience in Product Operations, setting up guardrails for QA , implementing teammate tooling, and content management platforms, leading...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
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