- CVS Health (Phoenix, AZ)
- …And we do it all with heart, each and every day. **Position Summary** The ** Healthcare Quality Management Auditor ** participates in the development and ... management_ ) Work Plan activities. This person will improve quality products and services by using measurement and analysis...Previous experience with medical record QM auditing and/or case management . + Strong attention to detail. + Ability to… more
- Humana (Phoenix, AZ)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and… more
- West Pharmaceutical Services (Tempe, AZ)
- Quality Auditor Supervisor Requisition ID: 71230 Date: Oct 9, 2025 Location: Tempe, Arizona, US Department: Quality Description: **This is an on-site ... Cycle Activities, Verification / Validation Activities, Metrology/Manufacturing background and Risk Management preferred. + Experience with quality systems such… more
- Prime Therapeutics (Phoenix, AZ)
- …established deadlines **Preferred Qualifications** + Experience in prescription benefit management (PBM), healthcare , health insurance industry or highly ... our passion and drives every decision we make. **Job Posting Title** Senior Internal Auditor - Remote **Job Description** The Senior Internal Auditor plays a key… more
- Columbia Bank (Phoenix, AZ)
- Sr IT Auditor Audit and Loan Review Hillsboro, Oregon Spokane, Washington Tacoma, Washington Greenwood Village, Colorado Irvine, California Phoenix, Arizona ... coverage. Provide effective challenge to audit work products to maintain quality standards aligned to IIA and department guidance. Champion continuous improvement… more
- Datavant (Phoenix, AZ)
- …diversity of professional, educational and life experiences to realize our bold vision for healthcare . As an Auditor , HCC Risk Adjustment Coder, you will review ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...+ Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc. + Other… more
- CVS Health (Phoenix, AZ)
- …accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting. + Sound knowledge of ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Datavant (Phoenix, AZ)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Molina Healthcare (AZ)
- … Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance ... and other data in support of annual HEDIS project management and ongoing review of medical records submitted by...SKILLS & ABILITIES:** * Min. 4 years experience in healthcare Quality /HEDIS projects/audits * 2+ years of… more
- Humana (Phoenix, AZ)
- …our department's continuous process improvement, operational excellence objectives, and quality management . **Primary Responsibilities:** + Provide expertise, ... and flows and uses that knowledge to design and implement master data management solutions. The Lead, Data Quality /Integrity works on problems of diverse… more
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