Quality Assurance jobs

Nov 29, 2022

Bilingual Senior Billing Representative - Quality Control - National Remote

You ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Healthcare isn t just changing. It s growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that s what fueled these exciting new opportunities. Who are we? Optum360 . We re a dynamic new partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group , we ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It s an...

UnitedHealth Group Remote * (Minneapolis, MN, USA)

Nov 29, 2022

Bilingual Senior Billing Representative - Quality Control - National Remote

You ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Healthcare isn t just changing. It s growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that s what fueled these exciting new opportunities. Who are we? Optum360 . We re a dynamic new partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group , we ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It s an...

UnitedHealth Group Remote * (Phoenix, AZ, USA)

Nov 29, 2022

Customer Service Quality Audit Representative-Telecommute

Careers with MedExpress . At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients expectations. Our neighborhood medical centers are open every day from 8-8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what s really important. We provide a broad scope of services including urgent care, basic wellness and prevention, and employer health services. As part of the Optum and UnitedHealth Group family of businesses, we re working together to help people live healthier lives and to help the health system work better for everyone. You can become part of our elite team almost anywhere with 250 welm centers across the country and two administrative offices in Morgantown, WV and Pittsburgh, PA. Join us and start doing your life s best work.(sm) Positions in this function are responsible for all aspects of quality assurance within the Customer Service job family. Conducts...

UnitedHealth Group Remote * (Canonsburg, PA, USA)

Nov 29, 2022

Customer Service Quality Audit Representative-Telecommute

Careers with MedExpress . At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients expectations. Our neighborhood medical centers are open every day from 8-8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what s really important. We provide a broad scope of services including urgent care, basic wellness and prevention, and employer health services. As part of the Optum and UnitedHealth Group family of businesses, we re working together to help people live healthier lives and to help the health system work better for everyone. You can become part of our elite team almost anywhere with 250 welm centers across the country and two administrative offices in Morgantown, WV and Pittsburgh, PA. Join us and start doing your life s best work.(sm) Positions in this function are responsible for all aspects of quality assurance within the Customer Service job family. Conducts...

UnitedHealth Group Remote * (Phoenix, AZ, USA)

Nov 29, 2022

Customer Service Quality Audit Representative-Telecommute

Careers with MedExpress . At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients expectations. Our neighborhood medical centers are open every day from 8-8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what s really important. We provide a broad scope of services including urgent care, basic wellness and prevention, and employer health services. As part of the Optum and UnitedHealth Group family of businesses, we re working together to help people live healthier lives and to help the health system work better for everyone. You can become part of our elite team almost anywhere with 250 welm centers across the country and two administrative offices in Morgantown, WV and Pittsburgh, PA. Join us and start doing your life s best work.(sm) Positions in this function are responsible for all aspects of quality assurance within the Customer Service job family. Conducts...

UnitedHealth Group Remote * (Orlando, FL, USA)

Nov 29, 2022

Quality Care Coordinator - Medical Assistant - HYBRID WORK FROM HOME - Full Time - Days

Medical Assistant / MA- Quality Care Coordinator - Full Time - Days The Care Coordination Team is seeking an experienced Certified/Registered Medical Assistant who has working knowledge of physician practice protocols and procedures and is committed to the continuous improvement of the patient experience, patient safety, quality of care, and excellent service. The Care Coordinator will support the ongoing development of patient-centered, team-based care by serving as a professional liaison, advocate, and informational resource for patients and families, clinicians, and Care Teams to enhance patient-centered care coordination and continuity of care. Essential Job Functions Assess and meet the needs of patients, while helping them navigate effectively and efficiently across the health care continuum Provide episodic care coordination for patients discharged from the Emergency Room; coordinate follow-up care, assess SDOH needs, and communicate...

Promedica Remote * (Tontogany, OH, USA)

Nov 29, 2022

Quality Care Coordinator - Medical Assistant - HYBRID WORK FROM HOME - Full Time - Days

Medical Assistant / MA- Quality Care Coordinator - Full Time - Days The Care Coordination Team is seeking an experienced Certified/Registered Medical Assistant who has working knowledge of physician practice protocols and procedures and is committed to the continuous improvement of the patient experience, patient safety, quality of care, and excellent service. The Care Coordinator will support the ongoing development of patient-centered, team-based care by serving as a professional liaison, advocate, and informational resource for patients and families, clinicians, and Care Teams to enhance patient-centered care coordination and continuity of care. Essential Job Functions Assess and meet the needs of patients, while helping them navigate effectively and efficiently across the health care continuum Provide episodic care coordination for patients discharged from the Emergency Room; coordinate follow-up care, assess SDOH needs, and communicate...

Promedica Remote * (Petersburg, VA, USA)

Nov 29, 2022

Quality Care Coordinator - Medical Assistant - HYBRID WORK FROM HOME - Full Time - Days

Medical Assistant / MA- Quality Care Coordinator - Full Time - Days The Care Coordination Team is seeking an experienced Certified/Registered Medical Assistant who has working knowledge of physician practice protocols and procedures and is committed to the continuous improvement of the patient experience, patient safety, quality of care, and excellent service. The Care Coordinator will support the ongoing development of patient-centered, team-based care by serving as a professional liaison, advocate, and informational resource for patients and families, clinicians, and Care Teams to enhance patient-centered care coordination and continuity of care. Essential Job Functions Assess and meet the needs of patients, while helping them navigate effectively and efficiently across the health care continuum Provide episodic care coordination for patients discharged from the Emergency Room; coordinate follow-up care, assess SDOH needs, and communicate...

Promedica Remote * (Colton, CA, USA)

Nov 29, 2022

Quality Care Coordinator - Medical Assistant - HYBRID WORK FROM HOME - Full Time - Days

Medical Assistant / MA- Quality Care Coordinator - Full Time - Days The Care Coordination Team is seeking an experienced Certified/Registered Medical Assistant who has working knowledge of physician practice protocols and procedures and is committed to the continuous improvement of the patient experience, patient safety, quality of care, and excellent service. The Care Coordinator will support the ongoing development of patient-centered, team-based care by serving as a professional liaison, advocate, and informational resource for patients and families, clinicians, and Care Teams to enhance patient-centered care coordination and continuity of care. Essential Job Functions Assess and meet the needs of patients, while helping them navigate effectively and efficiently across the health care continuum Provide episodic care coordination for patients discharged from the Emergency Room; coordinate follow-up care, assess SDOH needs, and communicate...

Promedica Remote * (Toledo, OH, USA)

Nov 29, 2022

Clinical Quality Improvement Specialist - Remote Position Must Reside in Arkansas

Compensation: $60-$81K Seeking a team member with clinical knowledge, Quality Improvement, and Compliance experience for a full time remote position that resides in Arkansas General Purpose of Position: Qsource is seeking a Nurse that will facilitate activities such as Medicaid managed care compliance reviews, health plan performance improvement plan review, quality of care assessment and provide quality improvement recommendations. Position will assist in providing team-directed guidance and support to the contractor regarding various aspects of quality improvement including development, implementation, measurement, and evaluation. This Position reports to the AR EQR Program Manager. Major Duties and Responsibilities: Participate in annual compliance reviews including but not limited to the development of quality assessment tools, scheduling, pre-assessment policy and procedure review, onsite review activities and report preparation. Reference and interpret Centers for...

Qsource Remote * (Little Rock, AR, USA)

Nov 29, 2022

Quality Assurance Specialist- Mandarin (Temporarily Remote in New York City)

Job Introduction Maximus currently has an exciting opportunity for Bilingual (Mandarin) Quality Assurance Analysts to support the New York Independent Assessor (NYIA). This position will provide support to the NYIA Project in New York City. Candidates must speak, read and write in both Mandarin and English. This position is temporarily remote and you must reside in the state of New York. About the New York Independent Assessor (NYIA): The New York Independent Assessor (NYIA) 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! *The 6 month time/title requirement for internal employees has been waived for this position Education and Experience Requirements Primary Responsibilities:...

Maximus Remote * (NY, USA)

Nov 29, 2022

Director, Design - Quality Assurance (REMOTE)

Purpose of Job We are seeking a talented Director, Design - Quality Assurance for our Chief Design Office. As the Director, you will apply expert knowledge and experience in human-centered design to direct successful teams through the design lifecycle, orchestrating the work of cross-functional subject areas to deliver a unified design vision for sophisticated to highly complex Member and Employee experiences in a human-centered, data-informed, agile environment. Leads the performance of a multi-disciplinary team of design practitioners and producers, ensuring the conceptual integrity and quality of the work built by their team accomplishes strategic business goals and objectives. Creates a healthy, collaborative environment and removes barriers to efficiency, effectiveness, and well-being. Works daily to help direct reports grow in their careers and achieve their goals. Actively contributes to shaping the strategy and culture of USAA's design organization. Ensures key internal...

USAA Remote * (Helotes, TX, USA)

Nov 29, 2022

Director, Design - Quality Assurance (REMOTE)

Purpose of Job We are seeking a talented Director, Design - Quality Assurance for our Chief Design Office. As the Director, you will apply expert knowledge and experience in human-centered design to direct successful teams through the design lifecycle, orchestrating the work of cross-functional subject areas to deliver a unified design vision for sophisticated to highly complex Member and Employee experiences in a human-centered, data-informed, agile environment. Leads the performance of a multi-disciplinary team of design practitioners and producers, ensuring the conceptual integrity and quality of the work built by their team accomplishes strategic business goals and objectives. Creates a healthy, collaborative environment and removes barriers to efficiency, effectiveness, and well-being. Works daily to help direct reports grow in their careers and achieve their goals. Actively contributes to shaping the strategy and culture of USAA's design organization. Ensures key internal...

USAA Remote * (Von Ormy, TX, USA)

Nov 29, 2022

Director, Design - Quality Assurance (REMOTE)

Purpose of Job We are seeking a talented Director, Design - Quality Assurance for our Chief Design Office. As the Director, you will apply expert knowledge and experience in human-centered design to direct successful teams through the design lifecycle, orchestrating the work of cross-functional subject areas to deliver a unified design vision for sophisticated to highly complex Member and Employee experiences in a human-centered, data-informed, agile environment. Leads the performance of a multi-disciplinary team of design practitioners and producers, ensuring the conceptual integrity and quality of the work built by their team accomplishes strategic business goals and objectives. Creates a healthy, collaborative environment and removes barriers to efficiency, effectiveness, and well-being. Works daily to help direct reports grow in their careers and achieve their goals. Actively contributes to shaping the strategy and culture of USAA's design organization. Ensures key internal...

USAA Remote * (Leming, TX, USA)

Nov 29, 2022

Director, Design - Quality Assurance (REMOTE)

Purpose of Job We are seeking a talented Director, Design - Quality Assurance for our Chief Design Office. As the Director, you will apply expert knowledge and experience in human-centered design to direct successful teams through the design lifecycle, orchestrating the work of cross-functional subject areas to deliver a unified design vision for sophisticated to highly complex Member and Employee experiences in a human-centered, data-informed, agile environment. Leads the performance of a multi-disciplinary team of design practitioners and producers, ensuring the conceptual integrity and quality of the work built by their team accomplishes strategic business goals and objectives. Creates a healthy, collaborative environment and removes barriers to efficiency, effectiveness, and well-being. Works daily to help direct reports grow in their careers and achieve their goals. Actively contributes to shaping the strategy and culture of USAA's design organization. Ensures key internal...

USAA Remote * (San Antonio, TX, USA)

Nov 29, 2022

Data Quality Specialist, STAR Business Architecture and Operations - Telecommute

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) For this role, you will be part of the Operational Excellence and Issue Management team as a Data Quality Specialist within the Medicare Star Data Management and Reporting organization. You will be accountable for ensuring our business operations provide stellar, efficient, and scalable service, including but not limited to issue management, to internal customers while ensuring operational excellence and continuity. You ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Contribute as a Data Quality Specialist on a team that is...

UnitedHealth Group Remote * (Minnetonka, MN, USA)

Nov 29, 2022

Quality Assurance Auditor - Remote

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) This role will provide coding quality auditing services tensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. Youll enjoy the flexibility twork remotely* from anywhere within the U.S. as you take on some tough...

UnitedHealth Group Remote * (San Diego, CA, USA)

Nov 29, 2022

Quality Assurance Auditor - Remote

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) This role will provide coding quality auditing services tensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. Youll enjoy the flexibility twork remotely* from anywhere within the U.S. as you take on some tough...

UnitedHealth Group Remote * (Orlando, FL, USA)

Nov 29, 2022

Quality Assurance Auditor - Remote

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) This role will provide coding quality auditing services tensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. Youll enjoy the flexibility twork remotely* from anywhere within the U.S. as you take on some tough...

UnitedHealth Group Remote * (Dallas, TX, USA)

Nov 29, 2022

Quality Care Coordinator - Medical Assistant - HYBRID WORK FROM HOME - Full Time - Days

Medical Assistant / MA- Quality Care Coordinator - Full Time - Days The Care Coordination Team is seeking an experienced Certified/Registered Medical Assistant who has working knowledge of physician practice protocols and procedures and is committed to the continuous improvement of the patient experience, patient safety, quality of care, and excellent service. The Care Coordinator will support the ongoing development of patient-centered, team-based care by serving as a professional liaison, advocate, and informational resource for patients and families, clinicians, and Care Teams to enhance patient-centered care coordination and continuity of care. Essential Job Functions Assess and meet the needs of patients, while helping them navigate effectively and efficiently across the health care continuum Provide episodic care coordination for patients discharged from the Emergency Room; coordinate follow-up care, assess SDOH needs, and communicate with Care Team as appropriate...

CareerBuilder-US Remote * (Toledo, OH, USA)

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