- CVS Health (Tallahassee, FL)
- …aim to enhance member, provider and plan sponsor satisfaction and experience. + Implements quality assurance programs to monitor and assess service quality ... managing a team of Claims Operations resources, monitoring service quality and performance metrics, resolving escalated customer issues, and collaborating… more
- Bowman (Tallahassee, FL)
- …broad areas of assignments and related fields. Review work produced by staff for quality assurance . **At the Operational and Company Level** + Establish new ... and written communication skills. + Strong work ethic and commitment to quality . + Self-reliance and ability to operate independently with limited direction. +… more
- Bowman (Tallahassee, FL)
- …and processes to ensure effective execution. Review work produced by staff for quality assurance . + Provide oversight and direction of department or business ... and mindset. + Commitment to promoting the reputation of the company through quality of work. + Commitment to driving profitability and growth. + Commitment to… more
- Carrington (Jacksonville, FL)
- … of solution throughout the project. + Develops test cases and performs quality assurance testing and responsible for supporting business in user acceptance ... testing. + Work with business subject matter experts, vendors, consultants, and system administrators to develop solutions and communicate possible resolutions to the business + Works with business to meet project timelines, including working sessions and… more
- Highmark Health (Tallahassee, FL)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... criteria, as well as other approved guidelines and medical policies. + Promote quality and efficiency in the delivery of care management services. + Respect the… more
- Cisco (FL)
- …innovative, open, fun and dedicated peers, all the way from engineering and QA to product management and customer support. + Growth and mentorship. We believe ... role in your location during the hiring process. US employees have **access** to quality medical, dental and vision insurance, a 401(k) plan with a Cisco matching… more
- AssistRx (Orlando, FL)
- …is responsible for the success of trading partner implementations. The Data Quality Analyst is responsible for monitoring client data submissions and communicating ... with them in the resolution of data quality issues. Requirements + Developing reports and analytics using...the data and investigate their causes. + Review and QA data/report before it is provided to the client… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,...HEDIS performance and supplemental data monitoring + Develops and QA custom health plan reports related to Risk and… more
- University of Miami (Medley, FL)
- …co-insurance and out of pocket benefits + Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ current at 14 days out ... with minimum daily pending visits + Assists in educating and acts as a resource to patients, primary care and specialty care practices within the UHealth system and externally + Contact Primary Care Physician offices and/or Health Plans to obtain authorization… more
- Liberty IT Solutions, LLC (Melbourne, FL)
- Summary: The Tester ( Quality Assurance role) assesses software quality through manual and automated testing. The tester coordinates and executes test events ... The tester must develop and execute test cases and be passionate about quality . Ultimately, the tester will ensure that products, applications and systems work… more
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