• Medical Quality Assurance /Risk…

    Robert Half Accountemps (Los Angeles, CA)
    Description A National Healthcare Organization is seeking a knowledgeable and detail-oriented Quality Assurance /Risk Analyst to join its Los Angeles Team. ... Audit Management, Medi-Cal, Excel Formulas, Health Care Audits - Medicare - Medicaid, Medical Insurance, Risk Management, QA -... - Medicaid, Medical Insurance, Risk Management, QA - Quality Assurance Robert Half is the world's… more
    Robert Half Accountemps (04/26/25)
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  • Senior Quality Analyst , Claims…

    Providence (Renton, WA)
    …Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ensure compliance with laws and regulations pertaining to ... Analyst is also responsible for maintaining a claims quality assurance program, management of projects and...aides and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary… more
    Providence (05/09/25)
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  • Population Health & Quality

    Peak Vista (Colorado Springs, CO)
    …regulatory entities. The Quality Assurance RN works closely with the Quality Oversight RN and Health Informatics Analyst , as well as clinic staff and ... Population Health & Quality Assurance RN Summary Title:Population Health...leadership regarding their performance + Monitor organizational performance of Medicare Annual Wellness Visits (AWVs) and provide training to… more
    Peak Vista (04/12/25)
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  • Clinical Data Analyst III (HEDIS, Tableau,…

    LA Care Health Plan (Los Angeles, CA)
    …care measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. ... are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing.… more
    LA Care Health Plan (04/08/25)
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  • Sr. Business Systems Analyst

    Prime Therapeutics (Eagan, MN)
    …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... and drives every decision we make. **Job Posting Title** Sr. Business Systems Analyst **Job Description** The Sr. Business Systems Analyst (BSA) is responsible… more
    Prime Therapeutics (04/25/25)
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  • Charge Capture Analyst -Patient Accounts,…

    RWJBarnabas Health (Oceanport, NJ)
    …of protocol submission to the end of the study. 7. Assists management with Quality Assurance audits of research billing. 8. Works with Clinical Trial Educator ... Charge Capture Analyst -Patient Accounts, Remote for NJ, PA or...research charges are collected and posted in accordance with Medicare s Clinical Trial Policy, federal regulations and pharmaceutical/third… more
    RWJBarnabas Health (04/03/25)
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  • Senior. Analyst , Project Management

    CVS Health (St. Louis Park, MN)
    …senior leaders . Assisting with documentation of work instructions . Participating in quality assurance of member materials . Tracking and submitting seasonal ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Project Management will support the Minnesota Medicare market with coordination… more
    CVS Health (05/03/25)
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  • Appeals Analyst

    Motion Recruitment Partners (Durham, NC)
    …Medicaid Services (CMS), ERISA, etc.) accreditation agency standards (National Committee for Quality Assurance - NCQA), ASO group performance guarantees and ... Appeals Analyst Durham, North Carolina **100% Remote** Contract $20/hr...for all decisions regarding clinical appeals/grievances. + Ensures timeliness, quality , and efficiency in all work to comply with… more
    Motion Recruitment Partners (05/08/25)
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  • IT Business Systems Analyst - ScriptMed…

    Prime Therapeutics (Indianapolis, IN)
    …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems Analyst more
    Prime Therapeutics (04/29/25)
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  • Data Analyst 4

    New York State Civil Service (Albany, NY)
    …data analytics supporting Medicaid program management and effective provision of data quality assurance and data integration techniques; Developing and executing ... NY HELP No Agency Health, Department of Title Data Analyst 4- 78214 Occupational Category IT Engineering, Sciences Salary Grade 664 Bargaining Unit M/C -… more
    New York State Civil Service (05/03/25)
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