• Revenue Integrity Charge Auditor

    Stanford Health Care (Palo Alto, CA)
    …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
    Stanford Health Care (12/10/25)
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  • Clinical Quality Management Auditor

    BlueCross BlueShield of North Carolina (NC)
    …supplemental ad hoc HEDIS or ad hoc requests, as assigned ​ **What You'll Bring** + RN with 3 years of clinical experience or LPN with 5 years of clinical experience ... about making health care better for all. Help us lead the charge for better health care by joining...roles, you can choose where to work - fully remote in one of the states listed below, in… more
    BlueCross BlueShield of North Carolina (12/09/25)
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  • Case Manager, RN (Medicare - Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
    Excellus BlueCross BlueShield (12/08/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (NE)
    …continuous improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. **Job ... Duties** + Acts as a lead specialist to provide project, program, and/or initiative related...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
    Molina Healthcare (12/11/25)
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  • Senior Specialist, Quality Program Management…

    Molina Healthcare (WA)
    …reporting and monitoring for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides ... programs meet regulatory requirements. **Job Duties** + Acts as a lead specialist to provide project-, program-, and/or initiative-related direction and guidance… more
    Molina Healthcare (12/11/25)
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  • Senior Specialist, Quality Interventions/QI…

    Molina Healthcare (Rockford, IL)
    …functions: Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active,...for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
    Molina Healthcare (11/21/25)
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