- Comerica (Farmington Hills, MI)
- …activities as assigned, specifically for risks and controls relative to high-risk business processes. Quality : Perform Quality Assurance reviews on work of ... Operational Risk Management LeadOperational Risk Management Lead with extensive knowledge of risk mitigation and...Process Changes: Working with business partners to support and lead initiatives with that impact key business processes and… more
- OCLC (Dublin, OH)
- …Spring Framework.Team Collaboration: Collaborate with teams including developers, architects, quality assurance , and product owners to understand requirements ... team, an OCLC Shared Service, is seeking a skilled and experienced Lead Software Engineer to provide hands-on development and technical direction. The ideal… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …departmental clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient ... oversee delegate clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient… more
- New York Technology Partners (San Francisco, CA)
- …sponsors, vendors and IT managers, as appropriate* Reviews, assesses and communicates quality assurance planning to team members, sponsors, and vendors* Develops ... multiple complex projects simultaneously* Plans, monitors, and tracks delivery of quality control and takes corrective action as appropriate* Develops project… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …for Prior Authorization process within Utilization Management Out-Patient Services. You lead quality audits, provide clinical oversight, and mentor the ... departments to ensure timely and accurate response to information requests concerning quality assurance and prior authorization activities (eg, timely processing… more
- Inspira Health (Millville, NJ)
- …service line including, but not limited to chart review, billing accuracy, quality assurance , best practice, education, training of staff, certification and ... fostering a culture of integrity, accountability, and professionalism within the department.* Lead by example and promote a positive work environment that aligns… more
- Comerica (Farmington Hills, MI)
- …issues.Responsible for reporting, action plan monitoring, and GRC Tool quality assurance .Training, Communication and Leadership/ManagementDevelop team through ... (CCRA) and ensures consistency in how the methodology is applied. Lead the evolution and maintenance of the Compliance Controls...the continued automation of the CCRA in the GRC Tool. Lead the evolution and maintenance of the Compliance Controls… more
- Inland Empire Health Plan (Vallejo, CA)
- … quality and production performance metrics.5. In collaboration with the Claims Quality Assurance and Training teams, review audit results to evaluate ... standard operating procedures. Develops best practices to optimize claim processing quality . Evaluates professional skills of team members and provide appropriate… more
- CFG Health Network (Bordentown, NJ)
- …facilitate medical service coverage.Chair the Medical Audit Committee and approve clinical protocols. Lead the on-site quality assurance program, including ... part of our healthcare team dedicated to improving the quality of life for juvenile patients in a dynamic...a comprehensive healthcare provider that is dedicated to improving quality of life for individuals and families by providing… more
- Navy Federal Credit Union (Vienna, VA)
- …internal project team, as well as to business stakeholdersWorks closely with Business, Quality Assurance team and developers on projects and to address ... available to support intended system capabilitiesMaps data between interfacing systemsAssists lead analysts in developing and prioritizing features and epics to… more
