- The County of Los Angeles (Los Angeles, CA)
- …to a staff of consultants; manage informal dispute resolution, compliance, and quality assessment and assurance monitoring processes; and handle informal ... consultative and enforcement services in the evaluation of total patient quality -of-care provided by hospitals and other health care facilities in accordance… more
- Kemper (Henderson, NV)
- …Recommend hiring, promotions, salary adjustments, and termination of assigned staff. + Works with Quality Assurance Team to measure and ensure that quality ... assigned staff, answering questions, solving problems as well as assuring quality and service levels are met. **Position Responsibilities:** + Responsible for… more
- GE Vernova (Greenville, SC)
- …Responsibilities** As a Vendor Recovery Analyst, you will manage the following: + Quality assurance of our vendor recovery cost tool (VERT) and provide ... assess for trends to support service actions, etc.) + Build and track claims for assigned commodities and/or failure type using recovery workflow process + Identify… more
- Community Health Systems (Lufkin, TX)
- …preferred + 3-5 years of experience in healthcare risk management, compliance, or quality assurance required + 1-2 years of leadership or supervisory experience ... and exposure. This role supports patient safety, regulatory compliance, and quality improvement through risk assessment, staff education, and incident management.… more
- Danaher Corporation (New Port Richey, FL)
- …material science fields with 15 years of progressive Regulatory compliance and / or quality assurance experience. + Thorough understanding of ISO 9001 and AS9100 ... Pall is there, helping protect critical operating assets, improve product quality , minimize emissions and waste, and safeguard health. For the exponentially… more
- Point32Health (MA)
- …is compliant with the regulatory requirements set-forth by NCQA (National Committee for Quality Assurance ), DOI (Dept of Insurance), CMS, DOL and any state ... and Federal regulatory requirements + Manage the collection of documents and records ( medical , claims , administrative) needed to fully research the appeal or… more
- CVS Health (Hartford, CT)
- …that service operations are patient-centered and responsive to patient needs. + Implements quality assurance programs to monitor and assess service quality ... satisfaction by developing and implementing service strategies, monitoring service quality and performance metrics, resolving escalated customer issues, collaborating… more
- CVS Health (Springfield, IL)
- …new tools and approaches that will enhance our platform and our team's capabilities. ** Quality Assurance :** Establish and enforce data quality standards and ... position is open in a data engineering team that is responsible for processing Claims , Revenue, Medicare Specific files and data from 30+ payors into our Data… more
- The Cigna Group (Morris Plains, NJ)
- …of complex technology components; * Create detailed specifications or designs, conduct quality assurance reviews of peer's application programming to ensure the ... for multiple concurrent projects or programs for an application family (ie Claims , C&PS, or CS&DW); * Communicate with key stakeholders to determine project… more
- Diversicare Healthcare Services & Diversicare Ther (Huntsville, AL)
- …ensure claims have supporting MDS assessments documents. 18. Participates in Quality Assurance and Process Improvement Activities. 19. Continues to update ... and residents, **APPLY NOW!** **Full Time Benefits include:** + ** Medical /Dental/Vision** + **Excellent 401k plan** + **Tuition Reimbursement** + **Vacation,… more