- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality Assurance Specialist III is an advanced-level auditor position performing in-depth system and procedural ... Level:** High School Diploma or GED. **Licenses/Certifications Preferred:** + ECA Certified Quality Assurance Manager **Experience:** + 5 years Auditing, … more
- Humana (Indianapolis, IN)
- …Humana and the Indiana Pathways Medicaid performance standards + Oversees quality assurance program, including audit and analyses of processes and/or ... they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service… more
- City of New York (New York, NY)
- …resolution for high priority actions such as Immediate Needs, Fair Hearing and Quality Assurance issues. Work Location: 470 Vanderbilt Avenue, Brooklyn, NY, ... Program (HCSP) is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid ...based on the unit review to reduce or eliminate Quality Control errors. - Review computer error reports, checks… more
- St. Catherine's Center for Children (Albany, NY)
- QUALITY ASSURANCE SPECIALIST Position : Quality Assurance Specialist Department: Quality Assurance Type: Full-time; non-exempt Pay Range: $27.00 ... lives of the children, families and adults we serve. Position Overview: The Quality Assurance Specialist ("QA Specialist") is responsible for various aspects of… more
- McLaren Health Care (Flint, MI)
- We are looking for a National Committee for Quality Assurance Specialist (NCQA Specialist), to join us in leading our organization forward. McLaren Integrated ... the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and...related field. + _Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation… more
- City of New York (New York, NY)
- …(HASA) is recruiting for one (1) Staff Analyst II to function as a Quality Assurance Auditor, who will: - Review contracts, budgets and case records ... Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE...assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides… more
- Lancaster General Health (Lancaster, PA)
- …effectiveness and efficiency of the care of rehabilitation patients + Participate in LRH's Quality assurance and Risk management programs in order to ensure ... **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director, Hospitalist Services is responsible for assisting the Medical Director,… more
- Conduent (KY)
- …transfers (valid as defined by the transfer reasons and departments in our knowledgebase), Quality Assurance (guidelines set forth by the client and reported on ... is noticed and valued every day. **Remote Call Center Customer Service Representative** ** Medicaid Member Support - Tier 1** **For The State of Kentucky** **( You… more
- City of New York (New York, NY)
- …all statutory, regulatory and contractual standards. Within the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC) ... accurate and complete error findings. OQA&FI is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer, who… more
- Staffing Solutions Organization (Albany, NY)
- …inquires. + Supervise and train subordinate staff in claims review and perform quality assurance reviews to maintain accuracy and consistency of claims reviews. ... our clients and the people they serve. **Healthcare Program Associate - Albany, NY** **DMDD - 1317** **Summary** The...fraud and abuse monitoring for the New York State Medicaid System. The Pended Claims Unit focuses on process… more
- Guidehouse (Mclean, VA)
- …program and project management with a keen focus on risk management, compliance, and quality assurance to drive impactful results **What You Will Need** **:** + ... relationships, and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of projects that aim to… 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 ... 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 Place to Work… 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 ... 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a...all with the objective of maintaining patient safety, enhancing quality care, and minimizing loss to protect the assets… more
- City of New York (New York, NY)
- …IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity (OQA & FI) ensures the integrity, ... & FI is recruiting for one (1) Principal Administrative Associate III to function as a Quality ...Reviewers assigned to conduct reviews for either the Enhanced Quality Assurance System (EQAS) or the State… more
- Gateway Hudson Valley (Kingston, NY)
- …the Chief Quality and Compliance Officer to develop, implement and maintain quality assurance and compliance processes to ensure the delivery of high- ... of the agency. RESPONSIBILITIES : + Auditing: Conduct monthly Medicaid and/or other quality audits to ensure...stay current with new laws, rules, and regulations affecting quality assurance and service delivery. + Documentation… more
- Humana (Louisville, KY)
- …in data quality and integration. Key responsibilities include: + **Data Quality and Integrity Assurance :** Ensure HEDIS data is captured and interpreted ... they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service… more
- City of New York (New York, NY)
- …THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and ... (FIA) programs such as Food Stamps, Cash Assistance and Medicaid operate with a high level of accuracy and...and foster uniform interpretation/application of policy. The Office of Quality Assurance & Fiscal Integrity (OQA&FI) /… more
- St. Catherine's Center for Children (Albany, NY)
- …Continuous Quality Improvement, ensures that training needs identified through the quality assurance program are addressed. + Seeks and maintains fluency of ... the Director, and oversight of the AED of Youth in Care, and the Associate Executive Director for Continuous Quality Improvement, the Specialist will carry out… more
- Banner Health (AZ)
- …leverage your abilities - you belong at Banner Health. In this Physician Coder Quality Associate position, you bring your 5 years of Ambulatory Physician coding ... documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes.… more
- Humana (Little Rock, AR)
- …The Medical Records Retrieval Representative (Risk Adjustment Representative 2) conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... team- provide services that connect people with lifelong well-being. Associate 's main focus is retrieving medical records from providers...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more