- Zurich NA (Maitland, FL)
- …explanations of claim status, decisions, and next steps, fostering trust and confidence. ** Quality Assurance & Risk Reporting:** + Maintain high quality ... claim files in accordance with best practices, ensuring data integrity and compliance . + Verify coverage by analyzing policy language, determining applicability to… more
- Molina Healthcare (Jacksonville, FL)
- …for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * ... reviews, peer reviews and appeals. * Supports behavioral health committees for quality compliance . * Implements behavioral health specific clinical practice… more
- University of Miami (Miami, FL)
- …Excellent organizational, communication, and leadership skills. + Strong skills in data quality assurance , cleaning, and management of study datasets. #LI-YC1 ... Develops SOPs and templates with guidance from the PI/Clinical Research Manager . Oversees and facilitates eligibility screening and study recruitment activities;… more
- General Dynamics Information Technology (Hurlburt Field, FL)
- …of workload, participating in education programs, and participating in clinical staff quality assurance functions. + Participates in peer (record) reviews as ... guidelines for rehabilitation and performance. + Collaborates with the HP program Manager and/or Coordinator for implementation of new protocols and guidelines. +… more
- Utilities Service, LLC (Fort Lauderdale, FL)
- …fast-paced environment, and is motivated by the challenges of delivering high- quality engineering solutions, consider a career supporting the Storm Secure ... will play a key role in advancing a culture of excellence while ensuring quality and value for our customers and clients. **WHAT WE OFFER:** + Industry competitive… more
- Banner Health (FL)
- … for clarification/additional information for accurate code assignment. 3. Provides coding quality assurance for medical records. For all assigned records and/or ... areas assures compliance with coding rules and regulations according to regulatory...interpretation of coding guidelines prior to referral to senior manager , educator or Coding Quality Analyst. MINIMUM… more
- CDM Smith (Sarasota, FL)
- …efforts across disciplines and stakeholders to support integrated project delivery. Conduct internal quality assurance reviews and ensure compliance with CDM ... ensuring alignment with client requirements, industry standards, and internal quality protocols. Interface directly with clients, vendors, and subcontractors to… more
- Vighter Medical Group (Opa Locka, FL)
- …care and reacting to emergency situations. + Basic safety, infection control, quality assurance , records management, statistical information gathering, etc. + ... and during deportation flight missions. HCPs work administratively under the Program Manager and Regional Deputy Program Manager while performing healthcare… more
- Highmark Health (Tallahassee, FL)
- …improvement programs. Train dental office staff and providers on all updates to quality assurance guidelines, with state and local regulations and URAC ... to service United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work… more
- University of Miami (Miami, FL)
- …that is appropriate for the patient and family. + Actively participates in quality assurance programs and peer review activities. + Responsible for providing ... and compassionate manner , utilizing and promoting evidence-based standards of quality , safety, and service while ensuring population-specific patient care. The APRN… more