- State of Colorado (Denver, CO)
- Health Professional II- Quality Assurance Policy Specialist /Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4713263) Apply ... Health Professional II- Quality Assurance Policy Specialist /Auditor Salary $57,564.00 - $80,592.00 Annually Location Denver, CO Job Type Full Time Job Number… more
- State of Nevada (NV)
- QUALITY ASSURANCE SPECIALIST 2 - Part Time APPROXIMATE ANNUAL SALARY - $64,414.80 to $95,630.40 PAY GRADE: 35 For more information on benefit and retirement ... Services Division (ADSD) is currently recruiting for a part-time Quality Assurance Specialist 2 in...Outcome Measures, Medicaid guidelines and/or Centers for Medicaid and Medicare Services regulations in a health care setting or… more
- Cleveland Clinic (Mayfield Heights, OH)
- …resource for staff to facilitate overall operations of programs. + Develop meaningful quality assurance activities with clinical leadership to establish when a ... can receive for professional nursing practice. The Safety and Quality Patient Experience Specialist II (SQPE) leads...regulations and standards of care. + Support medical staff quality assurance activities such as peer review,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …up with developments, trends, and best practices. Plays a key role in maintaining quality assurance standards, both for manual and automated testing in web and ... larger, complex testing initiatives. Provide mentorship and coaching to other quality assurance professionals while handling additional assigned duties.… more
- UCLA Health (Los Angeles, CA)
- …cases, ensuring compliance with regulatory requirements for both utilization management and quality assurance processes + Ensuring that all cases are processed ... Description As the Utilization Management & Quality Review Specialist , you will be...years of experience in healthcare operations, managed care, or Medicare Advantage, preferably handling utilization management and PQI (potential… more
- ChenMed (Miami, FL)
- …operations to ensure production standards are met. + Monitors and aids with quality assurance and compliance functions. + Performs other duties as assigned ... need great people to join our team. The Referral Quality and Training Specialist is responsible for...for multiple payors preferred. + Healthcare experience within the Medicare We're ChenMed and we're transforming healthcare for seniors… more
- Louisiana Department of State Civil Service (LA)
- …established state and federal guidelines and timelines, participates in an ongoing quality assurance program to ensure program integrity. 40% Conducts special ... Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level...for healthcare providers and staff Participates in an ongoing quality assurance program to ensure program integrity.… 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 ... Public Health continuously accepts applications for all Senior Physician Specialist positions. + ✅Start with this Required Questionnaire https://forms.office.com/g/2a7KLdZBTz… more
- Health First (Rockledge, FL)
- …policies and regulatory agencies including the National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS) ... for quality improvement evaluation, the National Committee for Quality Assurance , meeting standards to the Centers for Medicare & Medicaid Services… more
- Johns Hopkins University (Middle River, MD)
- … II_** who will be responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines for the ... management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. **Specific Duties… more
- Penn Medicine (Philadelphia, PA)
- …Science and other students. + **Regulatory Compliance** : Works with the Division's Quality Assurance manager in functioning as liaison to accrediting / ... at the Hospital of the University of Pennsylvania is seeking a Technical Specialist in Electron Microscopy to join their team:** **Summary:** The incumbent's primary… more
- Actalent (Orlando, FL)
- …that support the clinical, financial, and compliance operations teams. + Contribute to quality control and assurance functions to ensure that research projects ... Clinical Trials Applications Specialist II Job Description The Clinical Trials Application...in the areas of clinical trial budgets and protocols, Medicare coverage analysis, clinical trial financial processes including invoicing… more
- Trinity Health (Des Moines, IA)
- …Supports the work of quality and safety related to the quality assurance and performance improvement plan, local/region/system strategies, regulatory and ... organization (PSO) collaboration with risk management that ensures high quality and safe care. The specialist reports...accrediting body requirements (ie, Centers for Medicare and Medicaid Services (CMS), Iowa Department of Inspections… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- GENERAL SUMMARY The Patient Access Quality Assurance & Training Specialist will drive improvements, maintain accuracy, and decrease denials within the ... in need of further education to department leaders. + Quality Assurance Audits: Perform quality ...and train team members on the registration process, including Medicare , Medicaid, Tricare, Commercial Insurance, and self-pay. + Protected… more
- LA Care Health Plan (Los Angeles, CA)
- …Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) regulatory requirements. This position reviews pre-service ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- Robert Half Office Team (Santa Rosa, CA)
- …to ensure efficient operations. * Ensure correct and complete information is gathered for Medicare patients. * Conduct Quality Assurance to maintain data ... Description We are in search of a Patient Services Specialist to contribute to our healthcare team based in...pressure * Background in Public Relations * Understanding of Quality Assurance processes * Knowledge of Authorizations… more
- Lancaster General Health (Lancaster, PA)
- …but not limited to, registration or scheduling polices or processes. + Completes quality assurance checks for staff and department as directed by ... time keeping and completing and preparing reporting documents. Performs quality and assurance data checks to support...+ One (1) year experience as a Customer Service Specialist . + One (1) year experience in Revenue Cycle… more
- Louisiana Department of State Civil Service (Bossier City, LA)
- …the person-centered goals identified in their comprehensive plan of care. Conducts quality assurance of case management agencies and service providers relative ... Medical Certification Specialist 2 (Waiver Services) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4715865) Apply ... 1 by the possession of the Centers for Medicare and Medicaid Services certification and by the level… more
- New York State Civil Service (Buffalo, NY)
- …also monitors the quality of the contractor's performance by conducting quality assurance reviews designed to identify trends and provide recommendations for ... NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 (NY HELPS) - 79962, 79963 Occupational Category Other Professional Careers Salary… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …for staff to facilitate overall operations of programs. + Develop meaningful quality assurance activities with executive and clinical leadership to establish ... Senior SQPE Specialist Directs safety, quality , and experience...regulations and standards of care. + Supports medical staff quality assurance activities such as peer review,… more