- Highmark Health (Pittsburgh, PA)
- …in coordination with Internal Audit, Risk Operations, and Risk Enablement; + (iv) Monitoring and tracking of the delivery of all risk activities for Highmark Health, ... or related field **EXPERIENCE** **Required** + 5 years in Compliance, Quality , Public Policy, Government Affairs, Project Management, Healthcare Operations or Law… more
- Huntington Ingalls Industries (Newport News, VA)
- …Mission Technologies is leading the next evolution of national defense - the data evolution - by accelerating a breadth of national security solutions for government ... commercial customers. Our capabilities range from C5ISR, AI and Big Data , cyber operations and synthetic training environments to fleet sustainment, environmental… more
- Centene Corporation (Jefferson City, MO)
- …levels, and communicates findings to business stakeholders to support the integrity and quality of risk adjustment data . Collaborates with coding teams to ... Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring , auditing, and supports Line 1 oversight. Reviews medical records to… more
- American Red Cross (NC)
- …or councils. * May develop modeling and reporting tools or other systems for monitoring and analyzing performance or data integrity. Such as: ○ Perform Risk ... local regulations. Responsibilities: * Provide program planning support through data analyses. Analyze possible solutions using established policies, procedures, and… more
- CVS Health (Oak Forest, IL)
- …of Members: Through the use of care management tools and information/ data review, conducts comprehensive evaluation of member's needs/eligibility and recommends an ... and monitors care plan progress. * Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors,… more
- CVS Health (Columbus, OH)
- …Members: o Through the use of care management tools and information/ data review, conducts comprehensive evaluation of referred member's needs/eligibility and ... care plan progress. * Enhancement of Medical Appropriateness and Quality of Care: o Using holistic approach consults with...immediate and acute gaps in care and access. * Monitoring , Evaluation and Documentation of Care: o Utilizes case… more
- Lockheed Martin (Liverpool, NY)
- …and excellence\. **THE WORK** Performs activities involving the producibility and quality of the product, and the processes that directly pertain, encompassing ... disciplines: failure analysis, industrial, manufacturing, manufacturing equipment, process, product, quality assurance, reliability, supplier quality , Lean Six… more
- City of New York (New York, NY)
- …investigations for water treatment, management of recreational waters, or other water quality monitoring . - Strong working knowledge of relevant Federal, State, ... Department. - Assess regulatory compliance, enforcement trends, performance indicators, and quality control measures using program data and provide… more
- Highmark Health (Pittsburgh, PA)
- …environment through the building of solid relationships with team members, monitoring workloads of all team members, and adjusting and redistributing assignments ... accordingly to promote work/life quality , while taking into account team members' capabilities and...responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be… more
- Noblis (Reston, VA)
- …Program Management records, maintaining and tracking action items, responding to data calls, drafting, reviewing, and delivering program and project briefings, ... are completed on time, within budget, and according to scope and quality requirements. They utilize their expertise in project management methodologies, tools, and… more
Recent Jobs
-
Senior Manager, AI Engineer
- BeOne Medicines (Emeryville, CA)
-
Configuration Analyst
- Huntington Ingalls Industries (Nellis AFB, NV)
-
Senior Software Engineer - Machine Learning & Cloud Technologies
- CACI International (Laurel, MD)
-
Senior Human Resources Manager
- Tutor Perini (Sylmar, CA)