Clinical Quality jobs in West Virginia

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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 7 days ago See detail

BH Clinical Quality Analyst SR

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...

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...

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...

Clinical Quality Management Consultant

Highmark Health

Remote - Pennsylvania, United States

Develop, oversee and manage large projects targeting members and/or network providers to improve clinical care provided to health plan members, including data analysis; visualizing and resolving complex issues and developing and i...

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...

Vice President, Clinical Quality

Neumora

Remote

$276,194 - $306,552 a year

Oversee the development, implementation, and management of GCP-related QMS SOPs and policies in compliance with all applicable laws and regulations. Ensure clinical trials are performed in accordance with applicable study protocol...

Quality Improvement Specialist, Clinical

Vns Health

New York, United States

Referral bonus opportunities. Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability....