- Molina Healthcare (Tucson, AZ)
- …for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Mondelez International (Ontario, CA)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality , ... execute warehouse operations in term of service, cost, health and safety, quality , food defense, sustainability, legal requirements and policies compliance. You will… more
- Air National Guard Units (Phoenix, AZ)
- …and techniques of budgeting. DUTIES: Provides administrative oversight of the Quality Assurance (QA) Program. Provides technical assistance and advice to the ... the effectiveness of procedures and also determines if supervisors are recording quality data upon which accurate management conclusions and decisions are based.… more
- Centene Corporation (Clayton, MO)
- …the integration, conforming, profiling and mapping of complex data, and leads quality assurance oversight (data error detection and correction) on business processes ... transformed, or used. Reviews more complex data to optimize the efficiency and quality of the data being collected, identifies and resolves complex data quality… more
- Centene Corporation (Jefferson City, MO)
- …Purpose:** Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes ... transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems,… more
- Queen's Health System (Honolulu, HI)
- …improvement activities, including but not limited to clinical benchmarking, quality improvement, specialty variation, population health, and patient safety ... Works with a multiple sources of healthcare data, ie, claims , financial and clinical data, to meet both internal...year experience in health care required, preferably in performance ( quality ) improvement. * Minimum one (1) year experience in… more
- Queen's Health System (Honolulu, HI)
- …health initiatives including but not limited to benchmarking, care management, quality performance, risk adjustment, patient experience and access, and total cost ... at least two (2) years experience in working with claims , electronic health record, and programming language (ie SAS,...preferred. * Experience with health care regulatory and clinical quality and risk measurements frameworks such as MIPS, HCCs,… more
- BronxCare Health System (Bronx, NY)
- …and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations ... and its employees. - Contributes to and participates in the Performance/ Quality Improvement activities of the assigned department. Contribution and participation… more
- AIG (Parsippany, NJ)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... urgency and strong attention to detail to produce high quality results in a time sensitive environment + Team-player...implementation of accounting controls to ensure consistency and data quality of the team's financial output + High level… more
- UCHealth (Fort Collins, CO)
- …with payors and insurers, and clinicians to ensure the pay-ability of claims . + Performs root cause analysis and collaborates on the development, implementation, ... Incentive Bonus to recognize employee contributions to our success in quality , patient experience, organizational growth, financial goals and tenure. The bonus… more
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