Clinical Quality Analyst jobs in Sioux Falls, SD

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BH CLINICAL QUALITY ANALYST SR

Performs monthly audits of UM denials, UM approvals, and case management files against contractual and regulatory requirements. Prepares cases for customer review. Defines opportunities for improvement through trend analysis and c...

CompanyElevance Health
AddressNew York, United States
CategoryManufacturing
Job typeFull-Time
Date Posted just now See detail

BH Clinical Quality Analyst SR New

Elevance Health

New York, United States

Performs monthly audits of UM denials, UM approvals, and case management files against contractual and regulatory requirements. Prepares cases for customer review. Defines opportunities for improvement through trend analysis and c...

Sr. Product Quality Analyst (Remote Work) New

Sts Line Maintenance

Remote - Wisconsin, United States

Effectively analyze and distill data into patterns, trends, and insights.Identify clear lines of questioning.Extract, wrangle, and structure data from multiple sources.Dive deep with appropriate methods and tools to uncover new in...

Clinical Quality Analyst

Inbound Health

Remote

$77.4K - $98K a year

Monitor and analyze data including patient engagement, readmission rates, escalation rates, and other relevant metrics to identify areas for improvement and develop actionable recommendations. Resource and participate in quality i...

Senior Clinical Data Analyst

Johnson & Johnson

United States

Collaborate with Data Management leadership (including Programming and Biostatistics) to define and document data and process standards;. Provide in-house project support for creation, routing and approval of all system deliverab...

Senior Clinical Quality Management Analyst - (Remote, Delaware) Performance Improvement Project Leader

Highmark Health

Remote - Delaware, United States

Develop and manage process improvement initiatives from the Organization for member and providers to include detailed data analysis, process analysis, report generation, medical record documentation, and HCC Coding.. Conduct, c...

Quality Control Analyst-12 Month Term

Bausch Health

California, United States

Participating in various testing on raw materials, in-process and finished products using established analytical procedures and compendia methods.. Provide support on equipment cleaning verification in manufacturing area.. Operati...

Senior Clinical Data Analyst

Modern Health

United States

Identify which metrics matter and how to measure them, align those definitions across the company, implement them in our database, and report on them via Looker. Own outcomes, ROI, and client reporting and simplify our data to all...

Quality Business Analyst

University Of California - Santa Cruz

California, United States

remote work

How to Apply. Troubleshooting. Tips for Applicants. FAQ's. Full-time, Fixed. Percentage of Time: 100%, 40 Hours per Week. Days of the Week: Mon-Fri. Shift Includes: Day. Establishes and maintains quality assurance and control requ...

Data Quality Analyst (TS/SCI with polygraph)

Saic Motor

CHANTILLY, VA

Evaluate the quality of data received from data sources to assess changes/updates existing data flows Evaluate conditioned data to ensure data is properly mapped and ready for UAT Work with necessary technical support teams and bu...

Quality Control Analyst I

Biospace

Minnesota, United States

Demonstrate a functional understanding of a laboratory setting and Standard Operating Procedures (SOP's). Work within laboratory environment for extended periods of time, conducting facility monitoring (i.e., Environmental Monitor...

Apprenticeship - Operational Risk & Data Quality Analyst (M/F) - September 2024

Axa

Delaware, United States

Operational risk identification and assessment through workshops with first lines Operational risk scenarios definition, modelling and quantification in line with Group Risk Management Standards Monitoring Operational Risk Appetit...

Sr. Clinical Business Analyst

Maxor National Pharmacy Services, Llc

Remote - Oregon, United States

Ad-hoc SQL Analytics and Clinical Model Development. Strategic Client Analytics. Quarterly Clinical Analytics and Reporting. Forecast and Cost Avoidance & Outcomes reporting. Trend Management and Cost Driver Deep Dive Analytics. D...

Software Quality/Test Analyst

Bcforward

Georgia, United States

Responsible for Functional, Regression Testing, Integration Testing of software Applications. Responsible for designing Test plans, Test Scenario, Creation, and execution of test cases and obtain approval from Deloitte Manager. De...

PROGRAM MANAGER QUALITY IMPROVMNT - HOAG CLINIC QUALITY IMPROVEMEN

Hoag Memorial Hospital Presbyterian

Irvine, CA

Bachelor's degree in Industrial Engineering, Business/Healthcare Administration, Life Sciences or equivalent Medical Foundation, Physician Practice or Health Plan related experience. Advanced training or experience in performing s...

Director/Sr. Director, Clinical Quality

Telix Pharmaceuticals

Remote

$167K - $211K a year

Lead and provide Quality strategy and oversight to ensure compliance with Good Clinical Practices (GCPs) Good Pharmacovigilance Practices (GPV), and Good Clinical Laboratory Practices (GLPs). Assure appropriate oversight of the Ve...

Alternance- Data Quality Analyst F/H

Axa

Delaware, United States

valuation de la qualit des donnes : Il doit valuer la qualit des donnes disponibles dans l'entreprise, en identifiant les incohrences, les erreurs et les lacunes. Dveloppement et mise en place de processus de contrle : Il...

Data Quality Analyst – Italian (Remote)

Stage 4 Solutions Inc

United States

$28.00 - $32.15 an hour

Conduct manual model quality evaluation with large datasets. Data creation and recasting. Data integrity check. Results analysis, consolidation, and reporting. Native/Bilingual Italian and English (Read, Speak, Write). Self-motiva...

Quality Analyst - 1st Shift

Gxo Logistics

Lithia Springs, GA

$80K - $101K a year

Work creatively with customers transportation and leadership teams to ensure needs are met and any issues are resolved Define quality and operating requirements. Ensure that new strategies and process implementations meet or exce...

Quality Analyst

Horizontal Digital

Indiana, United States

$84.2K - $107K a year

Understand the scope of projects based on the requirements shared and create test detailed and comprehensive test plans. Identify the test scenarios based on features and modules and create detailed test cases for the same. Segreg...

Clinical Quality Specialist

Payor Solutions

Remote

$66.4K - $84.1K a year

Bachelor's degree in healthcare administration, nursing, or a related field. Minimum of 3 years of experience in healthcare quality management, clinical auditing, or a similar role. Strong knowledge of clinical documentation stand...

Clinical Quality Program Manager II (CAHPS)

L.a. Care Health Plan

California, United States

$88,854 - $115,509 a year

Paid Time Off (PTO). Tuition Reimbursement. Retirement Plans. Medical, Dental and Vision. Wellness Program. Volunteer Time Off (VTO). 401(k). 401(k) matching. Dental insurance. Employee discount. Flexible spending account. Health...

Bilingual Sales Call Quality Analyst (Remote)

Consumer Safety Technology

Remote

$50,000 a year

401(k). 401(k) matching. Dental insurance. Employee assistance program. Employee discount. Flexible spending account. Health insurance. Health savings account. Life insurance. Paid time off. Paid training. Parental leave. Professi...

Quality Analyst

Cotiviti

Remote

$75,000 - $105,000 a year

Develops, publishes and executes test plan and other functional documents. Investigates problems, identifies their root cause, and clearly documents findings. Collaborate on the authority of test plan development and test cases &...

Senior Quality Analyst: Salesforce HealthCloud

Trissential

Remote

$50 - $57 an hour

We are seeking a highly skilled and detail-oriented Automation Engineer to join our team working on a Salesforce project. As an automation engineer, you will play a crucial role in ensuring the quality and reliability of the Sales...

Quality Analyst

Tenneco

Arkansas, United States

Participar del anlisis y resolucin de eventos de Calidad. Participar del anlisis de reclamos de materia prima y de la comunicacin con los proveedores. Participar del anlisis y resolucin de reclamos de clientes. Dar soporte p...

Claims Quality Analyst

Versant Health

Remote

$57.1K - $72.3K a year

Responsible for conducting a quality review of functions performed in Client Billing, Enrollment, and Claims. Recommend corrections/changes to the systems, policies, and procedures, as needed, to ensure the highest quality of work...

Quality Analyst - Wilmington, United States - beBee Professionals

Bebee Professionals

United States

Perform quality inspections and audits to ensure products meet specified quality standards and regulatory requirements. Analyze production processes and identify opportunities for improvement to enhance product quality and effici...

Quality Analyst - Dallas, United States - beBee Professionals

Bebee Professionals

United States

Perform quality inspections and audits to ensure products meet specified quality standards and regulatory requirements. Analyze production processes and identify opportunities for improvement to enhance product quality and effici...

Quality Analyst - Denver, United States - beBee Professionals

Bebee Professionals

United States

Perform quality inspections and audits to ensure products meet specified quality standards and regulatory requirements. Analyze production processes and identify opportunities for improvement to enhance product quality and effici...

Quality Analyst - Houston, United States - beBee Professionals

Bebee Professionals

United States

Perform quality inspections and audits to ensure products meet specified quality standards and regulatory requirements. Analyze production processes and identify opportunities for improvement to enhance product quality and effici...