• Manager Risk & Quality Assurance

    Highmark Health (Camp Hill, PA)
    …:** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross Blue Shield Association ... Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program (FEP) Quality Program, (b) the National Committee for Quality Assurance (NCQA),… more
    Highmark Health (08/15/25)
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  • Quality Assurance/Risk Management…

    Commonwealth of Pennsylvania (PA)
    …the purpose of establishing baseline performance, and determining areas in need of quality improvement and/or risk mitigation. Levels of Performance Select the ... multiple disciplinary treatment team in a public or private health care facility and a bachelor's degree; or +.... + Yes 09 WORK BEHAVIOR 1 - DEVELOPS/REVIEWS QUALITY MANAGEMENT/PERFORMANCE IMPROVEMENT PLANS Develops/reviews quality more
    Commonwealth of Pennsylvania (09/03/25)
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  • Director Regulatory and Accreditation…

    Penn State Health (Hershey, PA)
    **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** 8-hour shifts ... with expertise in healthcare regulatory compliance and accreditation readiness? Penn State Health Milton S. Hershey Medical Center invites you to join our… more
    Penn State Health (09/03/25)
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  • Director of Quality and Patient Safety…

    Penn Medicine (Philadelphia, PA)
    …Safetyprovides leadership and oversight of the Department of Clinical Effectiveness and Quality Improvement (CEQI), withresponsibility for PAH's activities in ... Quality Improvement , Patient Safety, Outcomes Management, and Reporting, in support...Quality and Patient Safety, the Penn Medicine Academy, Health Information Management (HIM), the Office of Medical Affairs(OMA),… more
    Penn Medicine (08/21/25)
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  • Senior Coding Data Quality Auditor, Coding…

    CVS Health (Harrisburg, PA)
    …for continuous improvement . This position will sit within our Coding Quality Operations team and offers the flexibility of working from home. **Position ... At CVS Health , we're building a world of health...Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts.… more
    CVS Health (08/24/25)
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  • Supervisor-Ambulatory Clinical Operations-LPN…

    WellSpan Health (Reinholds, PA)
    …Supervisor is unavailable. + Serves in a leadership role as a member of the Quality Improvement Team (QIT), seeking to improve quality and safety through ... clinical staff management and patient care. Duties may include quality monitoring, patient assessments, direct patient care, and patient/caregiver/staff education.… more
    WellSpan Health (06/25/25)
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  • Manager, Clinical Care Coordination and Discharge…

    UPMC (Mechanicsburg, PA)
    …skills.Strong analytical and critical thinking skills.Demonstrated leadership capabilities.Strong quality improvement expertise.Knowledge of health ... skills to efficiently coordinate and direct discharge planning expectations among all health care providers while maximizing use of resources. Takes a leadership… more
    UPMC (06/06/25)
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  • Chief Clinical Experience and Quality

    The Cigna Group (Philadelphia, PA)
    …will work closely with clinical, administrative, and technology teams to drive quality improvement initiatives, leverage data analytics, and enhance patient ... **Key Responsibilities:** + ** Quality Management:** + Develop and implement quality improvement and outcome strategies aligned with organizational goals. +… more
    The Cigna Group (08/01/25)
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  • (USA) Manager II, Quality Engineer - Supply…

    Walmart (Tobyhanna, PA)
    …functioning Quality Management System elements including Statistical Process Control, FMEA, Quality KPIs, etc, Quality Improvement experience in a Total ... process variation Assists with the review and response of Quality focused process improvement projects owned by...great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial… more
    Walmart (06/12/25)
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  • Medical Assistant PRN Float - Occupational…

    WellSpan Health (Chambersburg, PA)
    …time. Fosters teamwork with coworkers, and providers. Practices fiscal responsibility through improvement and innovation. Attends Quality Improvement Team ... the direction of your supervisor, takes ownership in an office function/process improvement . + Maintains strict confidentiality of patient's health information.… more
    WellSpan Health (08/24/25)
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