- Harbor Health Services, Inc. (Mattapan, MA)
- …Oversees the collection of quality measures and other data by the Quality Analyst for report to regulatory agencies, including CMS and MassHealth. Supports ... a subcommittee of the Board. In collaboration with the Quality Analyst , oversees preparation of reports for...communication of practice standards, PACE, and through an internal quality assurance program that measures vendor performance.… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical role in ensuring ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- Applied Technical Services, Inc. (Metairie, LA)
- Appraisal Quality Assurance Analyst Job Details...insurance claims and other purposes. The QA Analyst will be responsible for the quality of ... detail, a solid work ethic, and a positive, growth-minded attitude. Appraisal Quality Assurance Analystis responsible for applying specialty knowledge and… more
- Donegal Insurance Group (Marietta, PA)
- …Group has an opening for a Business Analyst / Quality Assurance Analyst . As a member of our Claims team, this position collaborates with business users ... of functionality is achieved + Provides daily support for Claims business units including providing technical guidance, troubleshooting software...+ 3 years of Business Analyst and/or Quality Assurance Analyst experience with… more
- AIG (New York, NY)
- …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim… more
- WTW (Miami, FL)
- …+ Maintain strong professional relationships with key parties to facilitate efficient claims resolution. **Compliance & Quality Assurance ** + Ensure ... We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims responsibilities… more
- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... of Product/Food Safety for complex products categories and processing environments + Quality Assurance and control processes and workflows - Advanced… more
- NJM Insurance (Trenton, NJ)
- …(WC) Training and Quality Assurance Management Supervisor, the WC Quality Assurance /Compliance Analyst is responsible for ensuring adherence to state ... training team to develop resources and training material to support regulatory and Quality Assurance compliance + Attend internal and external QA and Compliance… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- ** Quality Analyst ** **Category:** Testing/ Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 ... . **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance...Expectations, Soda, or custom Python/SQL test harnesses to automate quality assurance processes. * Validate data migration… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... QA processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test practices, supporting… more
- City of New York (New York, NY)
- …one (1) Administrative Staff Analyst NM2 to function as the Director of Quality Assurance for the Revenue and Reimbursement Office who will: - Oversee the ... revenues, expenditures and staffing for all HRA's programs. The Quality Assurance & Data Analysis Unit is...regulations and to the mandated deadlines - Perform an audit/ quality control review of completed claims for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management (RHIA or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG ... Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based...Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance , or… more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? **Hybrid Schedule:** ... Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk...with a focus on large claim volumes and consistent quality + Monitor and guide Third-Party Administrator (TPA) performance,… more
- Center For Health Information And Analysis (Boston, MA)
- …in a dynamic, mission-driven environment. + Champion Data Integrity: Participate in quality assurance (QA) and documentation processes to ensure that reported ... development of data-driven policies that aim to improve the quality and equity of care, while keeping costs affordable...in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …of accuracy in dispute filings and documentation, measured through internal audits and quality assurance reviews. + Conformance: Adhere to the provided daily ... with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research questions regarding the… more
- NTT DATA North America (Raleigh, NC)
- …and maintain custom reports and dashboards, and assist with data validation and quality assurance . Minimum Qualifications Bachelor's degree in a relevant field ... apply now. We are currently seeking a Business Systems Analyst - EPIC to join our team in Durham,...tools, especially related to critical payer data like eligibility, claims , and membership. Key Responsibilities System Analysis and Design:… more
- The County of Los Angeles (Los Angeles, CA)
- …and systems implementation tools, techniques and methodologies, as needed. Establishes quality assurance procedures, as needed. Supervises lower level technical ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply … more
- Johns Hopkins University (Baltimore, MD)
- …techniques to distill and clarify complex processes or data sets. + Conduct quality assurance and review of all data visualizations to ensure accuracy, ... - Developing + Data Tools and Platforms - Developing + Data Validation and Quality Assurance - Developing + Information Gathering - Developing + Oral and… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …enrollment, provider management, UM/PA, care management, and data warehouses. Data Analysis & Quality Assurance . Perform data profiling and mapping for clinical ... **Senior Business System Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, Canton **Position… more
- Clark County, NV (Las Vegas, NV)
- …5 years + More than 5 years 13 Indicate your full-time professional experience with quality assurance and program evaluations. + No Experience + Less than 2 ... professional experience ensuring compliance with Medicaid regulations and billing procedures, including quality assurance and error resolution. + No Experience +… more
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