• Clinical QA Specialist

    Hologic (Newark, DE)
    Clinical QA Specialist Newark,...Are you passionate about ensuring the highest standards of quality and compliance in the medical device industry? We ... are seeking a dedicated and dynamic ** Clinical QA Specialist ** to join...operations. Apply today! **Knowledge:** + In-depth understanding of FDA Quality System Regulations, ISO 13485, EU Medical Device Regulation,… more
    Hologic (05/15/25)
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  • Quality Performance Improvement…

    Trinity Health (Wilmington, DE)
    …FUNCTIONS** + Identifies, collaboratively plans, implements and evaluates agency quality assurance / quality improvement/process improvement programs, focused ... to Newark, Delaware or Philadelphia, PA. **St. Francis at Home is seeking a Quality Performance Specialist /Education Specialist -RN in Newark, Delaware for a… more
    Trinity Health (06/18/25)
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  • Correspondence Policy Specialist

    Evolent (Dover, DE)
    …to ensure they meet the minimum standards for National Committee for Quality Assurance + Utilization Review Accreditation Commission (URAC), Employee Retirement ... skills. + Knowledge of legislative/oversight bodies [e.g., National Committee for Quality Assurance Utilization Review Accreditation Commission (URAC), Employee… more
    Evolent (06/17/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Dover, DE)
    …experience in Home Care, 2 years of which are in an administrative, supervisory, quality assurance or teaching position in/or related to a Medicare certified ... caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests,… more
    CenterWell (07/30/25)
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  • DRG Coding Auditor

    Elevance Health (Wilmington, DE)
    …Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment ... of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
    Elevance Health (07/22/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Dover, DE)
    …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
    Evolent (07/30/25)
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