• Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …for professional services, FQHC, MSO, and ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ... with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor /Educator. Demonstrate the ability to formulate an appeal rationale based on … more
    St. Luke's University Health Network (05/21/25)
    - Related Jobs
  • Coord Cardiovascular Clinics

    HCA Healthcare (Portsmouth, NH)
    …all work orders for facilities, Biomed and IS department. + Infection Control Auditor for the Infection Control Department. + Contact for the Environmental Safety ... and Service Recovery. + Work in tandem with Diagnostics Clinical Coordinator to maintain daily logistical flow and troubleshoot...the needs of the clinic, physicians and staff to provide quality patient care. + Able to prioritize tasks… more
    HCA Healthcare (04/25/25)
    - Related Jobs
  • Quality Assurance (QA) Technician

    Kelly Services (St. Clair, MO)
    Kelly(R) Science & Clinical is seeking a **Quality Assurance (QA) Technician** for a direct-hire (permanent) position with one of our industry partners in **Franklin ... career, trust The Experts at Hiring Experts. **SUMMARY** The Production Quality Auditor is responsible for conducting quality audits on production lines in… more
    Kelly Services (05/22/25)
    - Related Jobs
  • Microbiologist III

    Kelly Services (Lynchburg, VA)
    **Microbiologist III - Lynchburg, VA** Kelly Science and Clinical is currently recruiting for a qualified, contract to potential permanent Microbiologist III in the ... materials, processes, and equipment. + Review change controls and provide impact assessments for quality assurance. + Execute IQ/OQ/PQ,...the Internal Audit Program by serving as a lead auditor or audit team member. + Manage the environmental… more
    Kelly Services (05/19/25)
    - Related Jobs
  • Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Provo, UT)
    …key quality strategies, which may include initiation and management of provider , member and/or community interventions (eg, removing barriers to care); preparation ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** 1 year of… more
    Molina Healthcare (04/20/25)
    - Related Jobs
  • Analyst, Risk & Quality Reporting (Remote in CA)

    Molina Healthcare (San Diego, CA)
    …designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how ... HEDIS and Risk data **Preferred Education** Master's Degree or higher in a clinical field, Public Health or Healthcare **Preferred Experience** + 1 year of… more
    Molina Healthcare (04/19/25)
    - Related Jobs
  • Senior Governance and Compliance Analyst

    RELX INC (Philadelphia, PA)
    …Professional (CISSP) + Certified Information Security Manager (CISM) + Certified Information Systems Auditor (CISA) Work in a way that works for you We promote a ... health education and interactive learning, as well as exceptional healthcare and clinical practice. At Elsevier, your work contributes to the world's grand… more
    RELX INC (03/05/25)
    - Related Jobs
  • Director of Rehab / DOR

    Aegis Therapies (Columbus, GA)
    …of Columbus / HAC** is an award-winning organization that strives to provide the highest standard of compassionate care, which includes post-surgical recovery, ... with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry. + **Flexibility - Redefining Work-life… more
    Aegis Therapies (04/10/25)
    - Related Jobs
  • Health Care Financial Analyst/Community Programs

    The County of Los Angeles (Los Angeles, CA)
    …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more
    The County of Los Angeles (05/29/25)
    - Related Jobs
  • Assistant Director of Problem Resolution Systems

    State of Massachusetts (Everett, MA)
    …comprehensive, and accurate. 2. Establish and maintain effective supervision structures. Provide timely supervision and direct support to PRS Supervisors, including ... other team staff. Develops and maintains a cohesive staff unit, to provide an opportunity for staff, supervisors, and/or administrators to share information,… more
    State of Massachusetts (04/15/25)
    - Related Jobs