- BeneLynk (Detroit, MI)
- …for our employees to thrive in their ability to assist others. BUSINESS WORKFLOW ANALYST I, QUALITY ASSURANCE POSITION SUMMARY BeneLynk, a leading national ... they deserve. Currently BeneLynk serves clients representing 12 million Medicare /Medicaid lives in every state in the USA. The...work in conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance , the Sr. Business Analyst… 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
- 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …based contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst II** + Conducts quality assurance analysis on data ... quality , utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple...Gathers and maintains data from multiple sources and conducts quality assurance to identify potential errors or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …maintains technical specifications, unit test plans, and dataflow diagrams. Follows quality assurance guidelines including the documentation, review and approval ... **_The_** **_Government Data Analyst III_** **_position allows you the flexibility to...mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans.… more
- BeneLynk (Sunrise, FL)
- …research, reporting as well as innovation in collaboration with Product Managers, Quality Assurance and representatives from Leadership for solutions being ... Supervisory Duties/Responsibilities: + To assist Product Managers, Product Leadership and Quality Assurance in orchestrating and Product Lifecycle Management… more
- LA Care Health Plan (Los Angeles, CA)
- …care measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. ... are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing.… more
- CVS Health (Irving, TX)
- …for analyzing client requests and performing the necessary benefits testing and quality assurance . You'll work alongside BRMs, Benefits Coders and Testers, ... personal, convenient and affordable. **Position Summary** As a Senior Analyst , Benefits Test, you will be part of an...detail is important for this role. Your testing and quality assurance activities will impact not only… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …documentation. Maintains relationship with assigned business unit stakeholders. . Conducts quality assurance and monitors compliance of business procedures and ... provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured… more
- Medical Mutual of Ohio (OH)
- …that are needed to support EZ Info reporting . Analyzes output and conducts quality assurance on EZ Info reports to identify opportunities for improvements . ... to be onsite 1 day/week)** **Responsibilities** **Value-Based Contracting Data Analyst ** **JOB SUMMARY:** Working under general supervision, supports the operational… more
- New York State Civil Service (Albany, NY)
- …and build dashboards for tracking Employment First information and performance.- Test for quality assurance on established data mining processes and document any ... People With Developmental Disabilities, Office for Title Employment First Data Analyst Occupational Category Administrative or General Management Salary Grade NS… more
- Signature Healthcare (Louisville, KY)
- …cognitive care, and telemedicine. A growing number of our centers are earning quality assurance accreditation and pioneering person - directed care. Many of ... facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great… more
- Molina Healthcare (Columbus, OH)
- …protocols.** + **Experience with User Acceptance Testing (UAT) and familiarity with quality assurance (QA) processes to ensure product reliability and ... experience, + **Must have worked in US Healthcare government programs such as Medicare , Medicaid, the Affordable Care Act, or similar, with experience in one or… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center Business Analyst to track, trend, and analyze results of Quality Assurance (QA) scorecards for training and quality improvement. Perform ... Medicare and Medicaid Services(CMS), LACC - CalHers, and National Committee for Quality Assurance (NCQA) along with review and analysis of regulatory… more
- City and County of San Francisco (San Francisco, CA)
- …experience + Engaging staff and improving their experience + Participating in quality assurance activities Once submitted, applicant responses on the Required ... reapply. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in… more
- City and County of San Francisco (San Francisco, CA)
- …methods, and procedures within the specialty area; including but not limited to Quality Assurance activities; prepares or reviews detailed and complex medical ... reapply. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in… more
- Banner Health (AZ)
- …patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for ... accurate code assignment. 3. Provides coding quality assurance for medical records. For all...prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High school diploma/GED… more
- Banner Health (AZ)
- …patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for ... accurate code assignment. 3. Provides coding quality assurance for medical records. For all...prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High school diploma/GED… more
- City of New York (New York, NY)
- …the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE...and acquire the analytical, data mining, data matching, data quality , and data sharing methods and/or tools that drive… more
- Corewell Health (Grand Rapids, MI)
- …process by researching systemic issues to determine course corrections. + Perform quality assurance reviews for case files, decision forms, documentation and ... compliance to all state, federal and accrediting organization requirements. The Grievance Analyst makes decisions on moderately complex issues and work is performed… more
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