- LA Care Health Plan (Los Angeles, CA)
- Quality Configuration Assurance Analyst III Job Category: Information Technology Department: IT Enterprise Data Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Quality Configuration Assurance Analyst III...department. Advanced knowledge of and experience in health plan quality assurance (especially related to claims… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Patient Access Quality Assurance Analyst is responsible for improving department operations by assisting with quality review of assigned patient ... insurance denial rate and increase the number of error-free claims processed by our Patient Financial Services Team. As...Management to review and correct as required. The Outpatient Quality Assurance Analyst must be… more
- Wolters Kluwer (Riverwoods, IL)
- … works closely with a cross-functional team of application designers, developers, quality assurance , product managers, and customer unit stakeholders to document ... the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on ...Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate… more
- CAI (Columbus, OH)
- …including the Center for Medicare and Medicaid Services (CMS) and National Committee for Quality Assurance (NCQA) + Claims research and processing, focusing ... Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited appeal requests,… 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
- Kemper (Mcallen, TX)
- …We deliver meaningful experiences in various internship areas like Product Development, Claims , Operations, Finance, IT, Data Analytics, and much more. Are you ready ... followed within the individual's knowledge base + Create, revise, and approve quality -related documents + Provides feedback to the training team when additional… more
- Chenega Corporation (San Antonio, TX)
- …Minimum three (3) years of experience within the last seven (7) years evaluating disability claims within an Internal Quality Assurance , Office of Quality ... + Participate in special studies and case reviews, reports findings respective Quality Assurance Manager for administrative action. + Assist with program… 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …platforms and technologies). + Familiarity with system analysis, design, development, quality assurance , and integration methodologies. + Understanding of ... technologies). + Solid knowledge with system analysis, design, development, quality assurance , and integration methodologies, relational databases/concepts, and… more
- Prime Therapeutics (Columbus, OH)
- …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
- Subaru of America (Pennsauken, NJ)
- …as graphs and charts by Excel sheet. Additional Responsibilities + Assists other NASI Quality Assurance (QA) teams with data analysis reports on as-needed basis. ... offering seamless performance across desktop and mobile platforms. The Quality Data Analyst gathers and compiles critical...but not limited to the examples below: + Warranty claims . + Telematics (Diagnostic Trouble Code [DTC]). + Customer… more
- LA Care Health Plan (Los Angeles, CA)
- …for internal and external reporting. This includes, but not limited to, data quality assurance , data driven business process programming, test plan and ... that purpose. Job Summary The Care Management Business Data Analyst II supports quality , compliance, and process...Department of Health Care Services (DHCS), National Committee for Quality Assurance (NCQA) and others as identified.… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Knowledge Management Analyst (KMA) (SIOP-2025- 22184): 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 (Livermore, CA)
- …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
- Prime Therapeutics (Columbus, OH)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is… more
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