- Medical Mutual of Ohio (OH)
- …(CAHPS) and Health Outcomes Survey (HOS). Supports data capture and reporting of clinical quality of care received by members. Works closely with the Quality team ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
- Aegis Therapies (Bettendorf, IA)
- …+ Plan, develop, implement, and monitor appropriate provision, documentation, billing of clinical services and customer relations. + Identify and implement ... of the nation's leading providers of rehabilitation and wellness services , is hiring a **Director of Rehabilitation** to join...for CCRC you will be responsible for:** + Overall clinical quality, integrity, service excellence, financial and… more
- Aegis Therapies (Sauk Rapids, MN)
- …+ Plan, develop, implement, and monitor appropriate provision, documentation, billing of clinical services and customer relations. + Identify and implement ... of the nation's leading providers of rehabilitation and wellness services , is hiring a **Director of Rehabilitation** to join...for CCRC you will be responsible for:** + Overall clinical quality, integrity, service excellence, financial and… more
- Humana (Indianapolis, IN)
- …the QSI Senior Data Quality / Integrity Engineer will leverage their Humana, clinical data, market, and healthcare expertise to develop and execute a comprehensive ... annual HEDIS season and Humana strategy. + Support STARs Clinical Team to gather data for pilots and Humana...and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required… more
- Hospice Of San Joaquin (Stockton, CA)
- …the Chief Clinical Officer (CCO) to ensure seamless operation of the services and facilities. + Maintains written service agreements or contracts, including ... and financial management, administration of and quality for individual and family services , and public relations and marketing. In addition, an essential focus of… more
- AdventHealth (Altamonte Springs, FL)
- …FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of ... the Director of Clinical Documentation Integrity, and in collaboration with physicians, nursing...practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals,… more
- Charles River Laboratories (Rockville, MD)
- …through preclinical development. Charles River also provides a suite of products and services to support our clients' clinical laboratory testing needs and ... Guide Environmental Monitoring and Quality Lab Manager in identifying and maintaining services and timeframes to all internal and external clients. + Develop metrics… more
- HCA Healthcare (Brownsville, TX)
- …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Commonwealth Care Alliance (Boston, MA)
- …Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements ... Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
- Dignity Health (Bakersfield, CA)
- …Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers ... channels with contracted entities such as healthcare providers, health plans, and service vendors. - Conduct regular risk assessments and risk management activities… more