- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** BROOKE ARMY MEDICAL CENTER (BAMC) INFORMATION TECHNOLOGY (IT) SUPPORT (BAMCIT): Bowhead seeks individuals to network with relative to a potential ... opportunity supporting theGeographic Service Providers (GSP) Brooke Army Medical Center (BAMC) IT Support Services directorate located in San Antonio, TX. The… more
- US Tech Solutions (North Chicago, IL)
- **JOB SUMMARY:** + Under general direction, the **Post Market** Quality Assurance (PMQA) Analyst I will investigate and maintain **complaint files,** in ... communication pertinent to the **MDR** as needed. + Track files sent to Quality Assurance for further investigation and complete necessary documentation. +… more
- Genesis Healthcare (NM)
- …the recruitment, coaching and development of area medical directors, the assurance of effective quality and utilization management, and the successful ... Participates in monitoring and auditing activities and investigations, and implementing quality assurance and performance improvement processes, as required. 7.… more
- Elevance Health (Grand Prairie, TX)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical... assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines,… more
- MyFlorida (Jacksonville, FL)
- …Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division of Medical Quality Assurance Bureau of Enforcement ... relations, personnel, working as a licensed healthcare professional regulated by the Division of Medical Quality Assurance AND; + One (1) year of… more
- Elara Caring (Broken Arrow, OK)
- …and others. + Coordinates with central business teams including finance, business configuration, quality assurance , payer audit, and others to clear held ... home, and that's why our teams continue to provide high- quality care to more than 60,000 patients each day...+ Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- Centene Corporation (Austin, TX)
- …activities. + Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, or ... Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions...to providers that would improve utilization and health care quality . + Reviews claims involving complex, controversial,… more
- Providence (Anchorage, AK)
- …for care. + Participate in clinic, department, and program-specific and system-wide quality assurance and improvement programs through active involvement in ... is responsible for all clinical activities, ensuring the highest quality of medical care delivered by PMG...of problem areas identified from summary data of paid claims , admissions, authorization logs, grievance process and other sources… more
- Centene Corporation (Charlotte, NC)
- …activities. Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, ... flexibility. **Position Purpose:** **:** Supports health plan operations through medical management, quality improvement and/or credentialing functions for… more
- CVS Health (Hartford, CT)
- … assurance projects. + 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance , or related functions. + 5+ ... dynamic leader with extensive experience in provider and contract testing, test automation, and quality assurance . You will be responsible for managing a team of… more