- Sharp HealthCare (San Diego, CA)
- …checks) provide efficient, cost-effective solutions as directed.Serve as the lead on claims testing and quality assurance activities and assisting in defect ... investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or… more
- JPMorgan Chase (Washington, DC)
- …within Morgan Health, you will utilize your deep experience with health care claims , survey data, and quality measurement to support initiatives across Morgan ... Chase launched Morgan Health, a new business unit focused on improving the quality , equity, and affordability of employer-sponsored health care in the United States.… more
- Chenega Corporation (San Antonio, TX)
- …three (3) years of experience within the last seven (7) years evaluating disability claims within an Internal Quality Assurance, Office of Quality Review ... The **Disability Review Analyst** is responsible for conducting reviews of disability claims competed by Medical and Psychological consultants and assisting with the… more
- AdventHealth (Altamonte Springs, FL)
- …the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... in support of medical management programs, promoting the delivery of high quality , patient focused and cost-effective medical care. **The value you will bring… more
- Cummins Inc. (Jackson, MS)
- …Completing required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system ... basic repairs/diagnostics; requires direct supervision and review of workmanship quality **Competencies:** Communicates effectively - Developing and delivering multi-mode… more
- Evolent (Salem, OR)
- …necessary/required. + Participates in continuing education initiatives. + Collaborates with Claims , Quality Management and Provider Relations Departments as ... with the health care delivery team to maintain high quality and cost effective care delivery. **What You'll Be...to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Appropriately identifies potential… more
- Cummins Inc. (Oklahoma City, OK)
- …lists, etc Completes required documentation, such as service worksheets, timesheets, warranty claims , quality documents via handwritten forms or business system ... guidelines, using required tools within standard repair time to ensure a quality repair; disassembles and assembles engines or power generators following guidelines,… more
- Humana (Raleigh, NC)
- …network providers to foster positive provider experiences, accurate and timely provider claims payment, and high- quality care delivery among network providers, ... for and oversee key business functions, including provider relations and training, claims analysis and education, provider quality and value-based payment… more
- Parsons Corporation (Aiea, HI)
- …variety of design and construction topics including change orders, field orders, delay claims , quality issues, construction phasing, invoices, etc. + Review and ... in projects and solutions that improve communities as well as people's quality of life by promoting economic growth, enhancing mobility, and increasing… more
- Ascension Health (Carmel, IN)
- …health staff practice and performance, including patient injuries, complaints, compliments, claims , quality indicators and other risk-related data. + Coordinate ... professional practice evaluation and peer review activities. + Collaborate with Quality /Risk Management to investigate and analyze root causes, patterns, or trends… more
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