Quality Assurance Jobs - Page 52

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HEDIS Coordinator

Operations Administration - Tempe, AZ

Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas. Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results Establish and maintain an action plan to ...

Manager, Quality Improvement

Health Systems Group - Clayton, MO

Position Purpose: Oversee and manage the functions of the quality improvement program. Providing support to staff and communicate with departments and staff to facilitate daily quality improvement (QI) functions. Review and analyze reports, records and directives. Confer with staff to obtain data such as new projects, status of work in progress, and problems encoun...

Manager, Quality Improvement

California Health & Wellness - Sacramento, CA

Position Purpose: Oversee and manage the functions of the quality improvement program. Providing support to staff and communicate with departments and staff to facilitate daily quality improvement (QI) functions. Review and analyze reports, records and directives. Confer with staff to obtain data such as new projects, status of work in progress, and problems encoun...

Director, Quality Improvement

Nebraska Total Care - NE

Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow. Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance Responsible for quality improvement aspects of risk a...

Operations Auditor

Absolute Total Care - Columbia, SC

Position Purpose: Responsible for the auditing of systems entry, performance metrics and work processes for assigned function Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedures Ensure defined goals are implemented and relevant analytics are available to measure goal perform...

Quality Improvement Specialist I

Granite State Health Plan - Bedford, NH

Position Purpose: Support the data management and quality improvement initiatives for assigned functional areas Assist with the development and coordination of all core health services data reports Support the development of quality improvement performance audit function processes and tools Assist in designing, running, managing, and data review proces...

Manager, Provider Network Performance

Network Development - Clayton, MO

Position Purpose: Manage and support provider network performance improvements, including analytics, reporting, training and education. Leverage various tools and solutions to support effective provider engagement activities. Collaborate with health plan leaders and providers to review network performance, including quality, cost, care gaps, and risk adjustment gaps, and develop...

Quality Improvement Coordinator I

Superior Health Plan - Austin, TX

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to state requirements. Support Quality Assurance Performance Improvement work plan/initiatives. Schedule and assist with committee and sub-committee preparation...

Medical Management Auditor

Managed Health Services IN - Indianapolis, IN

Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem ...

Quality Improvement Coordinator II

Sunshine State Health Plan - Sunrise, FL

Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers. Perform quality on site reviews of delegated entities, physician office/clinics, reso...

Mgr III, Regulatory Affs

Varian Medical Systems - Tokyo, Japan

Manage all Varian Oncology Systems (VOS) RA QA activities for compliance to Japan Pharmaceutical Medical Device Law (PMDL). Manage and coach the regulatory team to: 1)Develops and implements strategies for pre-market product approval and renewal to meet business needs. 2)Preparation of accurate submission that meets requirements to gain registration approval within the business target...

Quality Technician

Niagara Bottling - Missouri City, TX

At Niagara, were looking for Team Members who want to be part of achieving our mission to provide our customers the highest quality most affordable bottled water. Consider applying here, if you want to: Work in an entrepreneurial and dynamic environment with a chance to make an impact. Develop lasting relationships with great people. Have the opport...

Batching Operator

Niagara Bottling - Missouri City, TX

At Niagara, were looking for Team Members who want to be part of achieving our mission to provide our customers the highest quality most affordable bottled water. Consider applying here, if you want to: Work in an entrepreneurial and dynamic environment with a chance to make an impact. Develop lasting relationships with great people. Have the opport...

Plant QA Supervisor

Niagara Bottling - Mooresville, NC

At Niagara, were looking for Team Members who want to be part of achieving our mission to provide our customers the highest quality most affordable bottled water. Consider applying here, if you want to: Work in an entrepreneurial and dynamic environment with a chance to make an impact. Develop lasting relationships with great people. Have the opport...

Quality Technician

Niagara Bottling - Ontario, CA

At Niagara, were looking for Team Members who want to be part of achieving our mission to provide our customers the highest quality most affordable bottled water. Consider applying here, if you want to: Work in an entrepreneurial and dynamic environment with a chance to make an impact. Develop lasting relationships with great people. Have the opport...

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