- Cognizant (Atlanta, GA)
- …* Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be able to work with minimal ... flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of… more
- Emory Healthcare/Emory University (Decatur, GA)
- …8th Ed) to ensure consistency and compliance with reporting guidelines. + Performs quality assurance activities when assigned such as review of abstracted data ... Posting) : Location** _US-GA-Decatur_ **_Location : Name_** _Winship Clairmont Admin Annex_ ** Remote Work Classification** _Full Remote - Monthly_ **Health and… more
- Optiv (Atlanta, GA)
- …clients at all organizational levels + Demonstrated experience in team development, project quality assurance , and client satisfaction + CISSP or other relevant ... _This position will be fully remote and can be hired anywhere in the...delivery processes are current, consistently followed, and effectively support high- quality client engagements. As both a people leader and… more
- The Cigna Group (Atlanta, GA)
- …time, and customer satisfaction + Participate in regular coaching sessions and quality assurance reviews to continuously improve performance + Contribute to ... make all the difference in our success. **L** **OCATIONS:** Remote Opportunity - Must live in Georgia, Illinois, Missouri,...key performance indicators such as average handle time, call quality , and calls per hour + Achieve daily, weekly… more
- Prime Therapeutics (Atlanta, GA)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst (BSA)...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Atlanta, GA)
- …including API Platforms, Integration Platforms, Application Platforms, Data Platforms, and Quality Assurance Platforms. This includes defining the common ... Posting Title** Sr. Principal Enterprise Architect - Application Platform - Remote **Job Description** The Enterprise Application Platform Architect will be… more
- Evolent (Atlanta, GA)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency… more
- Public Consulting Group (Atlanta, GA)
- …and records maintenance + System documentation review and updates + Testing and quality assurance + Data analysis and reporting + Assistance with communications ... who do not require visa sponsorship, either now or in the future + \#LI- Remote + **As required by applicable law, PCG provides the following reasonable range of… more
- Cognizant (Atlanta, GA)
- …and regulations + Experience in the analysis and processing of claims, utilization review/ quality assurance procedures + Must be able to work with minimal ... technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**… more
- Molina Healthcare (Savannah, GA)
- …survey activities, such as the annual Provider Satisfaction Survey. + Ensures quality assurance is performed for generated reports including performance ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement… more