• Provider Network Audit

    CVS Health (Little Rock, AR)
    …systems and on daily operations and programs + Responsible to support targeted quality audit projects. Report results and make recommendations eg, training ... service to our internal and external customers. **Position Summary** + Performs routine quality audits for network operations and claim testing for PPO … more
    CVS Health (06/01/25)
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  • Quality Assurance, Sr. Coordinator

    Cardinal Health (Little Rock, AR)
    …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... and continuous improvement. Accurately score interactions to gauge employee's quality performance based on organizational and departmental policies and requirements.… more
    Cardinal Health (04/22/25)
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  • Quality Engineer

    Danfoss (Searcy, AR)
    …and revisions to production failure mode effects analysis (FMEA) and control plans + Lead quality internal audit teams. + Participate in cost out activity to aid ... Quality Engineer Requisition ID: 40656 Job Location(s): Searcy,...and warranty reduction to meet plant DPPM goals. + Network within Danfoss and other companies on best practices.… more
    Danfoss (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Little Rock, AR)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all...in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of… more
    Highmark Health (05/09/25)
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  • Senior Coordinator, Individualized Care (Case…

    Cardinal Health (Little Rock, AR)
    …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... point of contact handling inbound calls, with ability to determine needs and provide one call resolution + Process enrollments via inbound fax, phone, and… more
    Cardinal Health (03/15/25)
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  • Director, Grievance and Appeals

    Humana (Little Rock, AR)
    …with upstream business partners such as Claims, Clinical Guidance, and the Provider Network to identify opportunities and drives initiatives that will ... midst of a people, process and technology transformation that will improve quality , timeliness and the overall experience for our associates, members and providers.… more
    Humana (05/30/25)
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  • IT Services- Architecture Consultant- Senior…

    PwC IT Services Co. (Little Rock, AR)
    …a centralized model to provide security services across the entire member firm network . Mandated at the network level, Network Information Security (NIS) ... strategies. They work to identify vulnerabilities, develop secure systems, and provide proactive solutions to safeguard sensitive data. Those in application security… more
    PwC IT Services Co. (05/31/25)
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  • On-Site Learning & Development Lead

    Post Holdings Inc. (Jonesboro, AR)
    …standard metrics and reporting to site leadership; collaborates with central L&D to provide rollup metrics for assessing network L&D health. Analyzes training ... food. As a company committed to high standards of quality and to our values, we are driven by...new market while remaining true to our purpose to provide delicious and accessible food that our consumers love.… more
    Post Holdings Inc. (06/03/25)
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  • Case Manager

    Cardinal Health (Little Rock, AR)
    …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced...inquiry + Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related… more
    Cardinal Health (05/21/25)
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  • Senior Coordinator, Performance Monitoring

    Cardinal Health (Little Rock, AR)
    …experience, preferred. Diploma or degree in relevant field desirable. + 3+ years' call quality audit experience strongly preferred. + 3+ years' experience in a ... remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer...that can be improved or celebrated. + Analyze and provide weekly & monthly trend analysis to leadership. +… more
    Cardinal Health (05/29/25)
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