Senior Clinical Quality Analyst jobs
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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...
| Company | Elevance Health |
|---|---|
| Address | New York, United States |
| Category | Manufacturing |
| Job type | Full-Time |
| Date Posted | 5 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...
5 days ago seen See more...
- View all Elevance Health jobs - jobs in New York State
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...
2 months ago seen See more...
- View all Highmark Health jobs - jobs in Delaware State
Senior Analyst, Healthcare Quality Management - Must live near San Antonio, TX
Cvs Health
Austin, TX
3-5 years managed care and/or quality improvement experience. 3-5 years project management experience. 1+ years HEDIS experience. 1+ years NCQA or accreditation experience. Must live near San Antonio TX, and be willing to travel u...
4 days ago seen See more...
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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...
5 days ago seen See more...
Clinical Information Systems Analyst, Senior - IS Inpatient Apps
Keck Medical Center Of Usc
Los Angeles, CA
Bachelors degree Computer Science, Information Systems, Computer Engineering, or related field. 5 years Experience to include implementation, testing, and on-going support. Experience in a healthcare setting. Must have a maturing...
3 days ago seen See more...
Senior Systems Quality Assurance Analyst
Wells Fargo
Chandler, AZ
4+ years of Systems Quality Assurance experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, educatio Agile or Scrum Master Certification Knowledge and...
3 days ago seen See more...
- View all Wells Fargo jobs - jobs in Chandler, AZ
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...
7 days ago seen See more...
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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...
7 days 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 weeks ago seen See more...
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...
2 weeks ago seen See more...
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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 weeks ago seen See more...
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Electronic Medical Record Clinical Systems Analyst Senior
Mclaren
Grand Blanc, MI
Responsible for documenting clinical and business processes/procedures and making recommendations for upgrades/improvements. Responsible for the on-going maintenance, testing, development of workflows, workflow analysis, technical...
2 weeks ago seen See more...
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Senior Analyst - Flight Operations Quality Control
United Airlines
Denver, CO
Collaborate with Flight Training and Operational teams to analyze, identify, predict, and improve areas of concern regarding operational performance degradation, as identified by Quality Control evaluations of Flight Instructors,...
3 weeks ago seen See more...
- View all United Airlines jobs - jobs in Denver, CO
Senior Analyst, Quality Documentation
Johnson & Johnson
Santa Rosa, CA
Responsible for the document change management process, ensuring that company documents are routed, reviewed, approved, controlled, and implemented in accordance with established procedures. . Process Document Change Requests (DC...
3 weeks ago seen See more...
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Senior Financial Analyst, Clinical Trials
Vitalief
New Brunswick, NJ
You can actively contribute to our clients mission of advancing scientific discoveries that have the potential to change patients' lives for the better. Our PEOPLE FIRST culture prioritizes personal and professional growth for al...
3 weeks ago seen See more...
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Senior Director, Clinical Quality Assurance
Biospace
South San Francisco, CA
Design and implement the GCP QA strategy and policies. Lead the development of Clinical Development SOPs and ensure that SOPs are up to date and in accordance with internal policies and current external regulatory requirements. De...
3 weeks ago seen See more...
- View all Biospace jobs - jobs in South San Francisco, CA
Senior Quality Analyst
Takeda Pharmaceutical
Los Angeles, CA
Partner up with Manufacturing for Quality on the Shop Floor collaboration to ensure sound Quality decisions are made with compliance to standards and procedures.. Review and release batch records and associated documents against S...
a month ago seen See more...
RN- Clinical Quality Analyst
General Health System
Baton Rouge, LA
JOB PURPOSE OR MISSION: Performs accurate analysis and effective diagnosis of BRGMC and System clinical and operational issues. Job is performed appropriately for the age population served, as defined in the department's scope of...
a month ago seen See more...
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...
a month ago seen See more...
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Senior Quality Analyst: Salesforce HealthCloud
Expleo
Minneapolis, MN
$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...
a month ago seen See more...
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Senior Quality Data Informatics Analyst
Hartford Healthcare
Hartford, CT
Responsibilities include but, are not limited to: Work across functional areas to assess oncology reporting requirements, determine the optimal visualization strategies, and then collect, analyze and present quality...
a month ago seen See more...
- View all Hartford Healthcare jobs - jobs in Hartford, CT
Senior Quality Data Informatics Analyst
Hartford Healthcare Corp.
Hartford, CT
$70.2K - $88.8K a year
Work across functional areas to assess oncology reporting requirements, determine the optimal visualization strategies, and then collect, analyze and present quality improvement data for purposes of Institute-wide program evaluati...
a month ago seen See more...
Senior Quality Assurance Analyst
Equivant
Canton, OH
Test, analyze for defects, and support equivant browser-based products. Deliver production quality software on time and within budget. Design detailed, comprehensive test approaches and produce test plans, test scripts, and high-q...
a month ago seen See more...
- View all Equivant jobs - jobs in Canton, OH
Senior Analyst, Quality Control
Vor Bio
Cambridge, MA
Environmental Monitoring sampling, testing, data review and data trending. Ensuring stability program is current and aligned with industry requirements and internal SOPs. Raw Material program support through interface with externa...
a month ago seen See more...
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Senior Quality Assurance Analyst
Saic Motor
COLORADO SPRINGS, CO
Executes and manages the workflow of the quality management system and associated aspects of ongoing projects and serves in an IPT/Agile Framework Engages with IPT Leads and Functional Managers to interject and capture quality rec...
a month ago seen See more...
- View all Saic Motor jobs - jobs in COLORADO SPRINGS, CO
Senior Quality Assurance Analyst
Advanced Image Inc.
Tallahassee, FL
$80,000 - $150,000 a year
5 years. 8 hour shift. Tallahassee, FL 32311: Relocate before starting work (Required)....
a month ago seen See more...
- View all Advanced Image Inc. jobs - jobs in Tallahassee, FL
Senior Quality Assurance Analyst
Parasol Systems Llc
New Jersey, United States
$83.5K - $106K a year
Shall test all software to ensure compliance with standards and requirements of our customers. The beneficiary shall create and maintain project test plans. Review the test output and document results including logging and followi...
a month ago seen See more...
- View all Parasol Systems Llc jobs - jobs in New Jersey State
Senior Quality Assurance Analyst (OnSite)
Advanced Image
Tallahassee, FL
$94.4K - $120K a year
Worklocation: Tallahassee , FloridaRemote options: OnSiteMin. 5 years of experience performing root cause analysis and troubleshootingResponsibilities:1 Review application modifications on a daily basis and develop manual test scr...
a month ago seen See more...
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Senior Quality Assurance Analyst
George Mason University
Fairfax, VA
$92.3K - $117K a year
Requirements Analysis:Performs requirements analyses by reviewing business requirements and technical specifications related to Salesforce implementations; and.Collaborates with business analysts, developers, and other stakeholder...
a month ago seen See more...
- View all George Mason University jobs - jobs in Fairfax, VA
Behavioral Health Clinical Quality Audit Analyst, Sr.
Elevance Health
LOUISVILLE, KY
Provides recommendations for quality improvement studies including selection of valid and reliable indicators and coordinates monitoring and evaluation activities upon select implementation. . Analyzes data and prepares concise, a...
a month ago seen See more...
- View all Elevance Health jobs - jobs in LOUISVILLE, KY
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