- Randstad US (Phoenix, AZ)
- claims analyst iii. + phoenix , arizona... III (CAIII) works on the full range of claims , correspondence, quality assurance and escalations ... added bonus of REMOTE? Holidays and weekend off. Paid weekly We are looking for Claims Analyst III with a heavy finance background to add to our team. Must pass… more
- City of New York (New York, NY)
- …issues and responds to claims of harassment based on maintenance conditions. The Quality Assurance (QA) Analyst must ensure the needs of the business ... Product Area, Release & Service Management, and Security. Your Impact: As the Quality Assurance (QA) Analyst for the Division of HPD TECH, you will… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... unit test all code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues in a timely manner. Collaborate… more
- Catholic Health Services (Melville, NY)
- …Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or ... will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/ Claims program. Is competent to work on all phases of Epic Resolute… more
- Adecco US, Inc. (Phoenix, AZ)
- … Processing/Reviewing Experience** + Strong Computer Skills + Works full range of claims , correspondence, quality assurance and escalations. + Attention to ... We are currently looking for Claims Representatives for a Remote Opportunity. **You MUST be located within the Phoenix area and have the following qualifications** :… more
- Medical Mutual of Ohio (OH)
- …assist with determining appropriate rates for provider contracts. . Updates and provides quality assurance of provider rate loading. . Prepares monthly contract ... focus on improvement of financial and/or clinical outcomes. . Updates and provides quality assurance of provider rate loading. . Analyzes payer value-based… more
- General Dynamics Information Technology (Falls Church, VA)
- …to Obtain:** Secret **Public Trust/Other Required:** None **Job Family:** Quality Assurance **Skills:** Communication,Detail-Oriented, Quality Assurance ... your opportunity to make a personal impact as a ** Quality Analyst ** supporting the _Bureau of Medicine...YOU WILL MAKE AN IMPACT** + Conduct Centralize Credentials Quality Assurance System (CCQAS) database information … more
- Prime Therapeutics (Glen Allen, VA)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... assignments within project + Educate and advance business systems analyst practice within the Claims IT team...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on key...+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / ... within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will be responsible for handling all aspects of multi-line,… more
- LA Care Health Plan (Los Angeles, CA)
- …are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing. ... national averages/percentiles published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease Control (CDC).… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team! This role will work standard daylight hours, ... Auditor/ Analyst is an integral part of the Quality Assurance and Operational Integrity department and...working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Knowledge Management Analyst (KMA) (SIOP-2024- 21438): Bowhead is seeking to network with a Knowledge Management Analyst (KMA) for future/upcoming ... and escalate issues to achieve program objectives. **Responsibilities** The Knowledge Management Analyst will assist in the planning and management of the SOC and… more
- TriTech Enterprise Systems, Inc. (Raleigh, NC)
- …client and promote understanding of relevant issues Required 8 Years Software quality assurance /testing experience Required 8 Years Strong understanding of the ... seeking a 'Technical Specialist - EHR Epic Rev Cycle Analyst ' to support a Raleigh, NC project. This candidate...will build the following Epic modules: Resolute Hospital Billing Claims and Resolute Professional Billing Claims . In… more
- The Cigna Group (Seattle, WA)
- . **Job Description Summary** Provides advanced professional input to complex Quality Assurance /Audit assignments/projects to identify pharmacy audit risks. ... and acumen to develop models and procedures, and monitor trends, within Quality Review and Audit. Using independent judgement and discretion, may recommend changes… more
- Abbott (Orlando, FL)
- …solutions are helping address some of the World's greatest healthcare challenges. As the Analyst I, QA, you'll have the chance to analyze and audit claims , ... functions. Apply sampling methods and other procedures that ensure that quality standards are met. **Principle Responsibilities** The following reflects management's… more
- TEKsystems (Montgomery, AL)
- …* Validate new or enhanced technical development and implementation and work closely with Quality Assurance Engineers to achieve quality and accuracy * ... with the software development life cycle (ie Business Requirements, Technical Documentation, Quality Assurance ) * Ability to perform data investigation, reverse… more
- Terumo Medical Corporation (Somerset, NJ)
- …forwarding of customer complaints (ie adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (ie ... Contract Analyst Date: Nov 23, 2024 Req ID: 3720...involve the sale of Terumo product, to ensure high quality contracts that are effective, equitable and compliant. The… more
- Idaho Division of Human Resources (ID)
- …Mental Health Professional, etc.; OR experience as a part of a Quality Assurance / Quality Improvement, administrative-directed program. + Experience analyzing ... Medicaid Program Policy Analyst - MED Posting Begin Date: 2024/10/25 Posting...Professional, etc.; OR experience as a part of a Quality Assurance / Quality Improvement, administrative-directed program.… more
- Choice Hotels (North Bethesda, MD)
- …+ Documents and maintains Sarbanes-Oxley reviews and audits. + Develops and performs quality assurance processes. + Keeps up on industry trends and regulatory ... has an exciting new opportunity as our Senior Benefits Analyst in the Total rewards department. The Senior ...tools. + Develop reports for testing, surveys, data transmissions, claims analysis, and ad-hoc requests. + Participates in and… more
- Pharmacy Data Management, Inc. (OH)
- …+ Resolves issues before escalation path transitions outside of department. + Performs quality assurance peer reviews on system configurations with a high degree ... PDMI is looking for a Benefits Configuration Analyst to join our team! This role requires...in 2023! + Meaningful Work: Contribute to improving healthcare quality and efficiency. + Collaborative Environment: Work with passionate… more