Work from Home Quality Assurance Jobs

TTF is recruiting for Coding Quality Specialists to work remotely for a company based out of the Southwest. This is a full-time, direct-hire role, where you can work anywhere in the United States. The starting salary is $30-$38/hour and comes with full benefits.Qualified candidates must have:* at least 2 years of medical auditing experience* ED/OBS and injection/infusion experience* a certification for coding* a track record of successFor consideration, please send resumes to Athena at ...@ttfrecruit.comTTF is a healthcare search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division partners with healthcare organizations nationwide to match top talent in the Coding and HIM industry with organizations that want to hire the best talent. We place Remote Coders,...

Description: Providence St. Joseph Health is calling a Senior Coding Quality Auditor to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA. We are seeking a Senior Coding Quality Auditor to perform quality analysis of ICD and CPT codes as well as MS-DRG and APC assignment to all patient account types according to American Hospital Association (AHA), Uniform Hospital Discharge Set (UHDDS), and American Medical Association guidelines. This individual will evaluate codes on a pre-set audit cycle, assign scores according based on predetermined audit criteria, and provide feedback to coding management and staff. In addition, the Quality Auditor is responsible for trending coding related issues, identifying training needs, and completing training delivery as necessary. In this position you will have the following responsibilities: Conduct monthly audit reviews on inpatient and outpatient records to validate ICD and CPT coding, MS-DRG/APC...

OverviewYou're driven, resourceful, and above all else - remarkably smart.You love a good challenge. You are the first to roll up your sleeves and work with relentless energy until you solve the unsolvable, beat the unbeatable and you always come out on top. Passable doesn't cut it - you've got fire in your belly to learn more, do more and be more. For you, the sweetest success is shared success and you're known for your good nature. You'll fit right in at Syneos Health where we surround ourselves with the most talented and agile professionals in the industry, but we check our egos at the door.Why Syneos Health? Join a game-changing global company that is reinventing the way therapies are developed and commercialized. Created through the merger of two industry leading companies - INC Research and inVentiv Health - we bring together more than 21,000 clinical and commercial minds to create better, smarter, faster ways to get biopharmaceutical therapies to patients. Teaming with some...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)As part of Optum, DocASAP is a patient access platform that matches the patient with the right provider, at the right time and right setting. The Engineering team plays a key role in defining and growing DocASAP's intelligent, market leading platform. You will play a significant part in supporting the transformation and scalability of our platform to meet the market needs. You will be supporting and driving the DocASAP SaaS capabilities, responsible for building and managing our APIs.We are looking for an exceptional Quality Engineer. This...

The Office of Human Research Protections (OHRP) at West Virginia University is currently accepting applications for a Continuous Quality Improvement and Education Manager. As Continuous Quality Improvement and Education Manager, you will lead and maintain quality improvement/assurance efforts, in addition to training and education and process improvement functions. In addition, you will serve as senior administrator for process improvement initiatives and project manager for campus-wide initiatives in support of WVU's Human Research Protections Program. You will report to the OHRP Assistant Director. We strongly believe in work-life balance and keeping time for things we love outside our work. WVU offers generous benefits, including: * 37.5-hour work week * 13 paid holidays (staff holiday calendar) * 24 annual leave (vacation) days per year * 18 sick days per year (for when you're ill, for when you need time to care for sick family, for your own, or your family's, regularly...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) This position is responsible for managing the end to end SDS/PSV team to process supplemental data and Chart Chase data. This position will play a key role in successfully implementing best practices for SDS/PSV, Overread and IRR processes. Through in-depth training, support, interpretation, reporting, analysis, and evaluation, the regulatory submission of WellMed's clinical quality data is completed to ensure the highest possible annual HEDIS/Star rating. The manger will manage a large team of quality coordinators, and/or quality data analysts who process supplemental data and complete PSV audits and Overreads to support WellMed business sponsors and Insurance Payer representatives. Identifies risks and areas for improvement with department and processes, and communicates...

Title: Director of Quality (Head of Quality) Location: Seattle, WA Competitive Salary: Bonus & Equity Opportunity & 100% paid company benefits My pre-IPO pharmaceutical start-up is seeking a Director of Quality. This opportunity boasts great growth potential and an incredible benefits package and a flexible work from home & on-site schedule to accommodate a healthy work/life balance. This is an excellent opportunity for anyone seeking a leadership role within a company that is making a difference in our world while also valuing the individual contributors making this happen! The following are the most vital pieces we are seeking: Responsibilities : Building QMS/Quality Manual Manage and develop CDMOs relationships/partnerships- vendor and supplier management GAP assessment (QSRs) Assist with mapping out bringing manufacturing in-house and set up quality system for best practices Must Have Skills: 10-12 years'...

LEAD QUALITY TECHNOLOGY LEADER - Infrastructure (Work at Home/Fully Remote) Description If you run toward knowledge and problem-solving, join us! The Quality Engineering team within Humana is a trusted, high performance technology partner that provides innovative and transformational capabilities and operational excellence. This in an exciting opportunity to be an innovator, leader, and technologist in this quickly growing business unit for a huge impact in an extremely interconnected and complex technology heavy organization. Responsibilities Our ideal candidate , (A Quality Technical Leader), provides technical leadership in domain strategy, design, and architecture in the maturation of Humana's infrastructure towards excellence. This person should be a master in applying quality to infrastructure and site reliability engineering, honed from extensive hands-on experience designing, implementing, and managing infrastructure. This highly motivated person will be...

EDUCATIONAL, CERTIFICATE and LICENSE REQUIREMENTS: - BA/BS degree in Computer Science, Mathematics, Engineering or 12+ years of progressive technology experience EXPERIENCE, SKILL and ABILITY REQUIREMENTS: - 8+ years of experience in software quality assurance, quality engineering, or testing role - 4+ years of experience in leading high performing teams - Knowledge of open source frameworks, languages and technologies used for test automation - Demonstrated a history of successfully delivering multiple projects with high quality, on time and on budget - Experience executing Functional, Non-Functional, Integration, System, Regression, Load, and End to End testing - Strong risk management skills and a knack for recognizing and anticipating things that would eventually turn into problems (proactive vs reactive) - Ability to develop a testing strategy that is customized and optimized for the situation at hand and communicate it effectively to stakeholders (Risk Based Testing...

About this job Description Humana is seeking a Senior - Quality Engineer tools support, who is technically skilled with excellent interpersonal skills for the Quality Engineering tools technical support, includes troubleshoot technical issues, connecting with tools technical support team and provide timely resolution, feedback, and support for technical issues. The responsibilities include assisting IT teams with technical issues or questions relating to QE tools, mobile devices or software devices. The duties include responding to tool outages, providing access, technical queries from teams and communicating with them through messaging platforms, helping teams diagnose technical issues over the phone and speaking with them about installing hardware or software on their systems, the rollout of new tools,DescriptionHumana is seeking a Senior - Quality Engineer tools support, who is technically skilled with excellent interpersonal skills for the Quality Engineering tools technical...

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Will review provider's documentation to identify query opportunities. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Assists with execution of the daily activities of the Enterprise Quality Assurance program * Performs first level quality audits on vendor...

Cepheid is seeking a Quality System Training Program Administrator responsible for providing technical leadership in the support of Cepheid's electronic learning management system. This position will work with the Quality System Training Program Manager and Quality Systems Manager to assess and recommend modifications to established quality system role-based curricula to drive consistency, uniformity, and appropriate training assignments. This position will assist in user inquiries, process new hire additions to the organization, generate status reports, and implement procedural changes, as appropriate. *In this role, you will have the opportunity to:* * Functions as a subject matter expert in the implementation and utilization of the ComplianceWire Learning Management System. Develops and implements a strategy for reviewing role-base curricula to improve consistency and uniformity of training assignments across the organization while ensuring compliance to regulatory requirements....

Overview: This position is perfect for a Registered Nurse who is looking to continue utilizing their clinical skills off the floor and away from the bedside. MES Solutions is looking for a RN to join the team as a Clinical Quality Assurance Coordinator. The Clinical Quality Assurance Coordinator is responsible to ensure Peer Review case reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to handle quality assurance questions and provide overall support to the Quality Assurance Department. Responsibilities: Performs quality assurance review of peer review reports, correspondences, addendums or supplemental review Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations Ensures that all client instructions and specifications have been followed...

In QuEST, we are striving to make health care operations more efficient and effective, enabling consumers to focus on their health care rather than on its administration. We are committed to ensuring consistent and accurate quality practices across UnitedHealth Group. We serve as an advocate for the constituent experience, identifying process improvement opportunities and assisting with the development of remediation strategies that will enable the business to provide the best experience to their constituents. This position is part of the QuEST (Quality Every. Single. Time) Special Operations Team, which is responsible for leading a quality transformation as well as day to day execution of our quality operating model, systems strategy, implementing statistical process control on critical to quality metrics, and leading various quality initiatives which align with the new mission and vision of QuEST. The Quality Process Improvement Engineer will be a core contributor in the...

Job Introduction: About Maximus Maximus is a global organization that partners with national, state and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About the Conflict-Free Evaluation and Enrollment Center (CFEEC) The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state! About the Position We are hiring for Quality Assurance Specialists! As a member of the CFEEC QA team, you'll bring robust qualifications and a strong desire...

Job Introduction: About Maximus Maximus is a global organization that partners with national, state and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is known for strengthening communities and improving the lives of the people we serve. About the Position Maximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State. We are hiring a team of Quality Assurance Analysts. Candidates will bring robust qualifications and a strong desire to contribute related knowledge and expertise to a meaningful program. The team will be composed of Analysts responsible for reviewing assessments to ensure...

Clinical Quality Manager Are you an experienced Clinical Manager looking for a new challenge? Do you value care management and quality improvement ? Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: The Clinical Quality Manager is responsible for overseeing day-to-day operations of Quality Management. Responsible for the development and monitoring of quality monitoring activities. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise. We do this through our people. At Kepro, you can do meaningful work that makes a real difference for the lives of...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You'll enjoy the flexibility to telecommute* from within the U.S. as you take on some tough challenges. Responsibilities of the Quality Data Analyst will include: Work with large disparate data sources to research and evaluate trends, new ideas, programs or concepts and provide actionable feedback to leadership and business partners. Monitor and advise the business on how changes to quality programs or regulatory changes will impact value-base care programs Demonstrate adaptability in a changing environment, quickly shifting focus as priorities change Communicate and present findings, orally and visually in a way that can be easily...

Maximus is currently hiring for Quality Assurance Specialists to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The Quality Assurance Specialist will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors. About the Conflict-Free Evaluation and Enrollment Center (CFEEC) The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities...

Veeva [NYSE: VEEV] is the leader in cloud-based software for the global life sciences industry. Committed to innovation, product excellence, and customer success, our customers range from the world's largest pharmaceutical companies to emerging biotechs. Veeva's software helps our customers bring medicines and therapies to patients faster. We are the first public company to become a Public Benefit Corporation . As a PBC, we are committed to making the industries we serve more productive, and we are committed to creating high-quality employment opportunities. Veeva is a Work Anywhere company which means that you can choose to work in the environment that works best for you - on any given day. Whether you choose to work remotely from home or work in an office - it's up to you. The Role Veeva is looking for an experienced R&D IT program leader to manage Vault Quality implementation programs at Veeva's largest customers globally. This role will guide the transformation of...