• Pro Fee Coding Quality Review

    HCA Healthcare (Brentwood, TN)
    …you want to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to ... opportunity to make a difference. We are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of our team. **Job Summary and… more
    HCA Healthcare (07/12/25)
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  • Clinical Quality Review & Sepsis…

    LifePoint Health (Henderson, NC)
    …local law. **Job:** ** Quality * **Organization:** ** **Title:** *Clinical Quality Review & Sepsis Coordinator* **Location:** *NC-Henderson* **Requisition ... more *Position Summary* Conducts chart audits/reviews for clinical practice guidelines, death review , blood review , core measures and any other chart… more
    LifePoint Health (08/09/25)
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  • Quality Review and Pharmacy…

    The Cigna Group (Bloomfield, CT)
    …travel for pharmacy audits up to 50% of the time. **POSITION SUMMARY:** The Quality Review and Pharmacy Technician Audit Lead Analyst is responsible to identify ... pharmacy audit risks using analytical skills and audit tools and develop and execute audit plans and scope of procedures determined necessary to address those risks. They will complete audits in order to correct risks identified and present findings to the Sr… more
    The Cigna Group (08/02/25)
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  • Medicaid Quality Control Case Review

    City of New York (New York, NY)
    …is recruiting for (1) one Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the ... Verify they capture the elements necessary to assist the Quality Control Case Reviewers in their eligibility review... Quality Control Case Reviewers in their eligibility review findings. - Assist the Medicaid Audit and … more
    City of New York (07/05/25)
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  • Quality Control Case Review

    City of New York (New York, NY)
    …is recruiting for one (1) Principal Administrative Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and provide ... PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity (OQA & FI) ensures...Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification to QC Case… more
    City of New York (05/14/25)
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  • Remote Position - Quality Control\Plan…

    Consolidated Electrical Distributors (Omaha, NE)
    Summary Job title: Remote Position - Quality Control\Plan Review Specialist Job ID: 202598530005 Department: Greentech Design Services Location: NE-Omaha ... Description Summary: The Quality Control\Plan ReviewSpecialist is responsible for ensuring the completion of locally code-compliantplansets conforming to customer… more
    Consolidated Electrical Distributors (08/08/25)
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  • Utilization Review / Quality

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review / Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance paperwork is ... completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement indicators on a… more
    SUNY Upstate Medical University (06/03/25)
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  • RN Quality Review Nurse Home Health

    AdventHealth (Orlando, FL)
    …+ Associate's of Nursing + 3 years of Work Experience + 3 years of experience in home health + 2 years of experience in management position. + Registered Nurse State ... Licensure and/or Compact State Licensure + Cert for Oasis Specialist-Clinical (COSC) **Preferred qualifications:** + Bachelor's of Nursing + 2 years Leadership Experience + 3 years of Work Experience This facility is an equal opportunity employer and complies… more
    AdventHealth (08/07/25)
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  • Loan Review Analyst Sr

    Liberty Bank (Middletown, CT)
    Review Manager, the incumbent is responsible for providing an independent quality review of the Bank's commercial lending portfolio and lending practices. ... The position is responsible for supporting the Loan Review function and Loan Review Manager through...a loan specific or portfolio wide basis, of loan quality and corresponding potential loan loss exposure for the… more
    Liberty Bank (07/08/25)
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  • Course Review Assistant

    Florida Atlantic University (Boca Raton, FL)
    …or related area and two years in instructional technology, instructional design, quality review or related experience required. Preferred Skills: Experience ... in alignment with COCE's standards and processes. + Prepare courses for Quality Matters (QM) Certification, including pre- review documentation and support. +… more
    Florida Atlantic University (08/08/25)
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