- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Quality Assurance Coordinator in the Medicare Sales Support department. This is a full time position ... This position is located in Pittsburgh, PA. Support the Medicare Sales Contact Center to increase ...and/or equivalent experience. 3 years experience ( quality assurance , operational controls, risk management, auditing, or sales… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Quality Assurance Coordinator in the Medicare Sales Support department. This is a full time position ... This position is located in Pittsburgh, PA. Support the Medicare Sales Contact Center to increase ...equivalent experience. + 3 years experience ( quality assurance , operational controls, risk management, auditing, or sales… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …for Medicare and Medicaid (CMS) Stars programs, National Committee for Quality Assurance (NCQA) programs, and Healthcare Effectiveness and Data Information ... opportunities for improvement and measures of success in the pursuit of continuous quality improvement of our Medicare stars ratings. The successful candidate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- CenterWell (Lansing, MI)
- …Care Delivery Call Quality Professional is responsible for conducting quality assurance reviews of service recovery interactions, resolving escalated patient ... standards are maintained while working independently. **Role Responsibilities:** + Maintain Quality Assurance scorecard + Align with Training on curriculum,… more
- CDPHP (Latham, NY)
- … Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's ... physician-founded, member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …boards, as required by state and federal regulations, National Committee for Quality Assurance (NCQA) accreditation standards, and CPRC policies. + Collaborate ... (7) years nursing experience in the delivery system + Proven competency with quality assurance reviews and strong medical record review background. + Strict… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …relations program in support of the skilled nursing center. + Manage the Quality Assurance and Performance Improvement program through the development of ... ensure the continuity of the total regimen of care. ** Quality Assurance and Regulatory Compliance** + Strive...Planning and Organizing + Presentation and Training Delivery + Sales Ability / Persuasiveness + Stress Tolerance + Work… more
- Fresh Encounter (Anderson, IN)
- …and sell prescriptions and Pharmacy-related products + Participate in patient assistance and quality assurance programs as directed + Follow proper pharmacy and ... + Following recall protocol + Comply with the legal requirements for pseudoephedrine sales + Comply with Medicare Durable Medical Equipment (DME) guidelines +… more
- Fallon Health (Worcester, MA)
- …in Massachusetts to have been awarded "Excellent" Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid ... in a number of different key area's such as; Sales and Marketing, Provider Relations, Care Services, Pharmacy and...health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care… more
