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Remote Clinical Quality Analyst jobs

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CLAIMS SYSTEM CONFIGURATION QUALITY REVIEW SENIOR ANALYST - EVICORE - REMOTE

Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes Collaborate with internal and...

CompanyThe Cigna Group
AddressFranklin, TN
CategoryInformation Technology
Job typeFull-time
Date Posted 22 hours ago See detail

Claims System Configuration Quality Review Senior Analyst - eviCore - Remote New

The Cigna Group

Franklin, TN

Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes Collaborate with internal and...

22 hours ago seen See more...

Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)

Vesta Healthcare

Remote

$145,000 - $165,000 a year

Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...

2 weeks ago seen

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...

a month ago seen See more...

RN Clinical Quality Analyst

Procare Hospice Of Nevada

Las Vegas, NV

Maintains up to date knowledge of Federal and State hospice rules and regulations, LCD Guidelines, CHAP Standards of Excellence, Nevada Medicaid rules and regulations and CMS Conditions of Participation. Implements systems and pol...

2 months ago seen See more...

CLINICAL QUALITY MANAGEMENT (Remote)

North Shore Surgi-Center

Los Angeles, CA

Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...

a month ago seen See more...

CLINICAL QUALITY MANAGEMENT (Remote) - Now Hiring

North Shore Surgi-Center

San Antonio, TX

Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...

a month ago seen See more...

Remote Clinical Supervisor Board Certified Behavior Analyst (LBA, BCBA)

Highlights Healthcare

Mooresville, NC

Monday through Friday schedule No weekends. Competitive compensation starting at $75 per billable hour, commensurate with experience. Professional development opportunities. Company laptop. Train and supervise a team of Student An...

a month ago seen See more...

ETL Quality Analyst - Remote / Telecommute

Cynet Systems

Dallas, TX

Experience performing ETL testing for 5+ years, Power BI and strong knowledge on Test process. . ETL, Power BI, Testing. ....

a month ago seen See more...

Sr. Product Quality Analyst (Remote Work)

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...

a month ago seen See more...

Senior Data Quality Analyst (REMOTE)

Arch Capital Group Ltd

Jersey City, NJ

Analyze, query, and manage claims corrections according to defined business rules and procedures Research and determine scope and complexity of issue then identify steps to resolve all internal data exceptions within various syste...

a month ago seen See more...

Clinical Quality Assurance Manager - Remote

Olympus Corporation Of The Americas

Center Valley, PA

Maintain, and monitor Olympus GCP processes and procedures for compliance with applicable regulations and industry best practices, participate in clinical process improvement projects and initiatives for development, enhancement a...

a month ago seen See more...

Data Analyst - Clinical Quality

Kmg Medical Group

New York, NY

The base pay range for this position is $63,680 to $87,560 per year**. Competitive salary packages and career development opportunities. Robust and affordable Health, Dental, and Vision plan options. 401k with a match, commuter be...

2 months ago seen See more...

Quality Analyst - Medical Bill Review (Remote) 2023-1273

Managed Care Advisors

Orlando, FL

* Provides input to SGS managers and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols. Citizenship * Prior to hiring and training...

2 months ago seen See more...

Senior Clinical Trial Coverage Analyst, Remote

University Of Maryland Medical System

Baltimore, MD

Creates coverage analysis grids and analyzes the performance of the actual coverage analysis. Researches and applies policies, guidance and guidelines from various sources including federal, state, UMMS and the University of Mary...

a month ago seen See more...

Quality Assurance Analyst, Compliance (Remote or Glastonbury, CT)

Crum & Forster

Glastonbury, CT

Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles. Works with the Claim Review Lead to aggregate and a...

2 months ago seen See more...

Epic Clinical Bones Ambulatory Analyst - Remote

Unitedhealth Group

Eden Prairie, MN

Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to EpicCare Ambulatory. Collaborate with end users to design and build the Epic system in a timely and professiona...

2 months ago seen See more...

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