- Conduent (Elkridge, MD)
- …and be part of a culture where individuality is noticed and valued every day. As the ** Claims Quality Assurance Analyst ** , you will be responsible for ... to all internal systems, conducting various audits related to claims , systems, business, and project requirement rules. **Responsibilities:** +...a minimum of 3 years of experience in IT Quality Assurance or a related role. +… more
- Zelis (TX)
- …work and team objectives in accordance with Company policies. The Claims Testing Quality Assurance Analyst will deliver the highest levels of quality ... to a suite of software products for the Zelis Claims team. This position will be involved in design,...manual processes, data validation and development of testcases. The Quality Assurance Analyst will participate… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) ... training opportunities that exist. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Executes the quality assurance program by completing quality reviews of… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 13173 - Analyst - Quality Assurance Facility: BMH - Central Business Office ... Summary Quality Assurance Analysts evaluate the adequacy...that processes and practices lead to appropriate adjudication of claims . This role requires thorough understanding of regulatory requirements,… more
- Zelis (St. Petersburg, FL)
- …team to facilitate clear and open communication between Business Owners, Scrum/Development, Quality Assurance , UAT and Product Owners. This role provides a ... Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR)... Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This… more
- AIG (Stevens Point, WI)
- …to AIG policies and procedures (Release and Change management and other Quality Assurance processes) + Contribute continuous improvement activities for Testing ... of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with...in CIS/Computer Science or 1-2 years Travel Guard or Quality Assurance experience. + Software and Industry… more
- Carrington (Columbus, OH)
- …for user acceptance testing, may be responsible for management and completion of quality assurance testing. + Conceptualize and design dashboards and reports ... amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an...solution design. + Track requirements, provide status and ensure quality of solution throughout the project. + Participate in… 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
- City of New York (New York, NY)
- …requesting to hire an Administrative Staff Analyst NM-I to function as a Quality Assurance Manager within the Revenue & Reimbursement Office to handle the ... Staff Analyst NM-I to function as a Quality Assurance Manager, will be responsible for...functions to OMB and the Comptroller's Office. - Perform audit/ quality control reviews of prepared claims for… more
- General Dynamics Information Technology (Falls Church, VA)
- …Obtain:** Secret **Public Trust/Other Required:** NACLC (T3) **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
- 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. ... that purpose. Job Summary The Care Management Business Data Analyst II supports quality and process improvement...(CMS), Department of Health Care Services (DHCS),National Committee for Quality Assurance (NCQA) and others as identified.… more
- Hawaiian Electric (Honolulu, HI)
- Senior Digital Forensic Analyst Date:Sep 9, 2024 Location: Honolulu, Hawaii (HI), US, 96814 Company: hawaiianel We recognize our competitive advantage -- our people. ... End Date: at 11:59PM HST BRIEF POSTING DESCRIPTION: The P EJ INFORMATION ASSURANCE Department of the P INFORMATION ASSURANCE Division at Hawaiian Electric… 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. ... Clinical Data Analyst III Job Category: Clinical Department: Quality...published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease… 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
- MTA (Brooklyn, NY)
- …- $61,111 Responsibilities: The Staff Analyst Trainee will assist with quality control/ quality assurance activities for Occupational Health Services. OHS ... Staff Analyst Trainee Series - Occupational Health Services (OHS)...(OHS) Division/Unit: Medical Management & Operations Reports to: Manager, Quality Assurance Work Location: 300 Cadman Plaza… more
- New York State Civil Service (Albany, NY)
- … position where primary responsibilities were policy or programmatic quality assurance , regulatory compliance, and/or communications.*Substitution: Bachelor's ... HELP No Agency Office of Cannabis Management Title Program Analyst 1 (Cannabis) VID 167592 Occupational Category Other Professional...common roadblocks for grant recipients to be successful.* Evaluates quality control and quality assurance … more
- Bank of America (Westerville, OH)
- Practice Solutions - Quality Analyst Westerville, Ohio **Job Description:** At Bank of America, we are guided by a common purpose to help make financial lives ... satisfy the needs of users and clients **Skills:** + Claims Management + Controls Management + Monitoring, Surveillance, and...and Testing + Policies, Procedures, and Guidelines Management + Quality Assurance + Adaptability + Attention to… more
- New York State Civil Service (Albany, NY)
- … position where primary responsibilities were policy or programmatic quality assurance , regulatory compliance, and/or communications.*Substitution: Bachelor's ... NY HELP No Agency Office of Cannabis Management Title Program Analyst 2 (Cannabis) VID 167594 Occupational Category Other Professional Careers Salary Grade 23… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- **Overview** Program Analyst -SME (PEOC3T): Bowhead is looking for a Program Analyst -SME to support our PEOC3T contract in Aberdeen, MD. The Program Analyst ... necessary to support the Project Manager (PM) acquisition programs. The Program Analyst /SME maintains a current knowledge of all applicable policies and the… more
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