- Sedgwick (Augusta, ME)
- …service experience **Care Team Lead** + Develop, implement and maintain the delivery quality assurance , client services and workforce management service + Four ... **This requisition is for ADUSA Program for all roles** ** Claims Assistant** + Provide Support to the claims...(4) years of call center or customer service experience ** Quality Assurance Coach** + Provide service transaction… more
- Centene Corporation (Spring Hill, FL)
- …and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, ... Provider Relations to improve provider performance in areas of Quality , Risk Adjustment and Operations ( claims and...a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill… more
- AdventHealth (Altamonte Springs, FL)
- …Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient ... in support of medical management programs, promoting the delivery of high quality , patient focused and cost-effective medical care. **The value you will… more
- HCA Healthcare (Sun City Center, FL)
- …in Healthcare Quality ) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP ... United Kingdom. We are looking for a VP of Quality and Patient Safety for our HCA Florida South...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Sharp HealthCare (San Diego, CA)
- …clinical background and skills. + Solid understanding of utilization management and quality assurance activities and concepts. + Excellent communication skills, ... direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure… more
- The Cigna Group (St. Louis, MO)
- …indicators (KPIs) related to healthcare quality and outcomes. + Oversee quality assurance programs to ensure compliance with local, state, and federal ... Health Officer (OCHO) Organization **Position Summary:** The Chief Clinical Experience and Quality Officer (CEQ) at The Cigna Group is responsible for overseeing the… more
- Elevance Health (Woodbridge, NJ)
- …in Healthcare Quality and Management (HCQM) by the American Board of Quality Assurance and Utilization Review Physicians** or similar certifications may be ... **Clinical Quality Management Analyst Sr. Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Clinical Quality Management Analyst Sr.… more
- Subaru of America (Sacramento, CA)
- …staff. Works in partnership with Zone, District, and SOA personnel including Field Quality Assurance , Techline, and the Customer Advocacy Department (CAD). Must ... and delight our customers. SUMMARY Serves as Subaru of America's (SOA's) Service and Quality representative in the SOA Field. Travels to retailers on a regular basis… more
- Actalent (Clayville, NY)
- …Skills + Quality control and inspection + Data entry and admin support + Quality assurance and visual inspection + Use of calipers and inspection equipment + ... 1st Shift Quality Technician Job Description The Quality ...and prevent defects in supplied materials and verify defect claims . + Lead cross-functional teams to pursue performance improvements… more
- Centene Corporation (Montgomery, AL)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving...facing teams to improve provider performance in areas of Quality , Risk Adjustment and Operations ( claims and… more