• Risk Adjustment Coding Specialist-Excellus Fully…

    Trinity Health (Syracuse, NY)
    …Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and ... current industry standards of ethical coding. Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit… more
    Trinity Health (05/29/25)
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  • Quality Manager

    BPC Plasma, Inc. (Fort Myers, FL)
    …of donor files. * Directs the maintenance and calibration of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) ... internal and external audits including execution (if applicable). This includes documentation , review of and preparation of the response. Also including… more
    BPC Plasma, Inc. (05/20/25)
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  • Validation Lead, Quality Assurance

    Astellas Pharma (Westborough, MA)
    …range of disease indications, ranging from macular degeneration (currently in clinical trials) and other ocular indications to vascular and autoimmune disease. ... cGMP Cell Therapy Manufacturing facility in Westborough, MA as products move through clinical trials and commercialization. The Validation Lead will be a leader and… more
    Astellas Pharma (03/25/25)
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  • Senior Analyst, Quality Engineering (On-site)

    AbbVie (North Chicago, IL)
    …actions (CAPA) and ensure they meet timeliness requirements + Review/approve clinical documentation and specifications, as applicable + Write/review/approve ... batch records, quality approvals, exception reports, metrics, and other documentation . Responsibilities: + Review/approve/release batch record packets and associated… more
    AbbVie (05/22/25)
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  • Manager, Quality Systems Audit

    Catalent Pharma Solutions (Harmans, MD)
    …+ Ensure staff are fully trained on all cGMP manufacturing operations and documentation and adhering to safety guidelines + Build effective teams that apply their ... Control function with a strong familiarity of general GMP documentation + Bachelor's degree in a Scientific, Engineering or...+ ASQ CQA (American Society of Quality Certified Quality Auditor ) highly desirable + Have the knowledge, and ability… more
    Catalent Pharma Solutions (05/14/25)
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  • Quality Assurance Area Specialist III

    Novo Nordisk (West Lebanon, NH)
    …experience with Quality Assurance oversight and support for all phases of Clinical and Production documentation and processes + Knowledge, Skills, and ... is responsible for performing reviews of manufacturing and support documentation and records to certify compliance with in-house specifications/standards and… more
    Novo Nordisk (05/13/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …+ Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding, and reimbursement processes. + ... to ensure appropriate charges. + Performs reviews of electronic and manual documentation , coding, and billing systems. . + Review, assess, study, and analyze… more
    University of Texas Rio Grande Valley (05/09/25)
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  • HEDIS Abstractor II (Temporary)

    LA Care Health Plan (Los Angeles, CA)
    HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... offices and provides feedback to office staff and providers on documentation , medical record coding, preventative services, member satisfaction. Duties Reviews… more
    LA Care Health Plan (04/09/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (Troy, MI)
    …The Specialist, Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business ... of department interventions + Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or deliverables +… more
    Molina Healthcare (05/31/25)
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  • Claims Editing Specialist

    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
    Commonwealth Care Alliance (05/28/25)
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