- SAP (Herndon, VA)
- …model. + Active risk management, implement and maintain an ongoing risk and quality management framework, + Assurance of active executive sponsorship at client ... may be required to provide oversight for one or more Project Managers, Associate Project Managers, and/or project team members.The DE has the qualifications and… more
- Humana (Virginia Beach, VA)
- …(DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). **Use your skills to make an impact** **Required ... point of contact. providing integrated care to ensure members receive timely, high- quality , and coordination services that meet their unique needs. This position… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …administrative oversight of the CNH facilities. Manages and coordinates the oversight, quality assurance , and exclusion criteria for all nursing home facilities ... oversight of Veterans receiving care to maintain or improve health, functional status and quality of life, as well as coping ability of the Veteran's caregivers in… more
- Banner Health (VA)
- …department for clarification/additional information for accurate code assignment. 3. Provides quality assurance for medical records. For all assigned records ... timely and accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM and CPT4 for accurate APC assignment. Addresses… more
- CGI Technologies and Solutions, Inc. (Fort Belvoir, VA)
- …Oracle Business Intelligence Suite Enterprise Edition (OBIEE), Hyperion, Enterprise Data Quality (EDQ) software, Oracle User Productivity Kit (UPK), and Oracle ... to ensure all reports and deliverables are delivered with timeliness and quality to the government. **Required qualifications to be successful in this role:**… more
- Banner Health (VA)
- …manager for clarification/additional information for accurate code assignment. 3. Provides coding quality assurance for medical records. For all assigned records ... productivity standards, which are currently more stringent than most national standards identified. Quality standards are set at a DRG accuracy rate of 95% or higher… more
- BrightSpring Health Services (Martinsville, VA)
- …and reimbursement models. Ensure compliance with regulatory requirements through quality assurance activities. Multiple resource and/or reimbursement models ... evaluations when scheduled + Improves processes within a department emphasizing quality and efficiency + Anticipates and resolves problems demonstrating good… more
- ICF (Reston, VA)
- …deliverables + Apply client standards related to the work + Perform/ensure company's Quality assurance / Quality Control (QA/QC) processes are being followed ... who are constantly looking for ways to provide better quality engineering services for our clients. **Why you will...**What we need you to have (minimum qualifications):** + Associate 's degree or High School Diploma **What we would… more
- Humana (Richmond, VA)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new… more
- NTT America, Inc. (Ashburn, VA)
- …existing standards and processes + Works with contractors and consultants to review quality assurance for all system expansions, corrections, and upgrades + ... data center problems are identified and repaired quickly, that contractors deliver quality services, and that internal customer demands are met. **What you'll be… more