55 quality assurance jobs found in New York, NY

If you're looking for more than a job and want to make an impact in the healthcare industry, then this is the position for you. We're hiring a Bilingual QA Coordinator for the Quality Assurance department in New York City. Candidates must read, write and speak fluently in English and Chinese (Cantonese/Mandarin). This is a full-time temporarily remote office-based position. About New York Medicaid Choice: New York Medicaid Choice (NYMC) has served the State of New York and New York residents since 1998 by providing education, outreach and enrollment services to help residents with Medicaid select and enroll in a health plan of their choice. We're proud that over the past twenty years NYMC has grown and expanded across the state. To date, we have helped millions of New Yorkers access the health services that best fit their needs. We're proud to meet our mission of Helping Government Serve the People through this program.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.   Our team provides Analytic Application development and support for Optum Payment Integrity.  We provide data analytic development services that identify overpayments or recoveries for Fraud Waste Abuse and Error (FWAE), and Provider Education.  This position will develop new analytics, enhance existing analytics, and maintain and improve the applications that support these analytics using...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Our team provides Analytic Application development and support, Business Intelligence Solutions, Custom Reporting, and Consulting for Optum Payment Integrity.  We provide data analytic development services that identify overpayments or recoveries for Data Mining, Coordination of Benefits (COB), Fraud Waste Abuse and Error (FWAE), and Subrogation.  This position will primarily develop,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  The Senior Healthcare Economics Consultant is responsible for researching and investigating key business problems through quantitative and statistical analyses of utilization and healthcare cost data. The key areas of focus for this role include the identification of potential medical cost saving opportunities and the effectiveness of health management initiatives.               You’ll...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Information is the lifeblood of the healthcare industry-everything depends on it. At Optum Insight Technology , you’ll help us work on streamlining the flow of information between payers, healthcare providers and various other stakeholders to deliver the right insights to the right places at the right times, driving better outcomes for patients, reducing friction in the health system and...

Careers at Landmark , part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm) The Nurse Care Manager (NCM), is an integral part of the Interdisciplinary care team (IDT), and is responsible for the overall care management process for high acuity engaged patients. The NCM has oversight for developing, managing, and coordinating...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Design, code, test, document, and maintain high-quality and scalable Big Data, Cloud solutions Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable...

A health services network in New York is looking to add a licensed Registered Nurse (RN) to their staff in a Remote capacity as an Enrollment Nurse. In this role, the Enrollment Nurse will be responsible for coordinating intake functions with the clinical program for members who are requesting LTSS program enrollment. Responsibilities: The Enrollment Nurse (RN) will: Conduct quality assurance review of completed UAS assessments in care management database for managed LTSS members Coordinate the Independent Review Panel (IRP) process for members who task 12+ hours of care, reconciles and processes determinations received back from the (IRP) in relation to scope/type and durations of services Collaborate with member, caregiver, Maximus, and the plan to ensure three-way calls are completed within six days of request for initial assessments and expedited assessments Submit completed forms timely; complete member and provider correspondence including verbal outreach in...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities:  Design, code, test, document, and maintain high-quality and scalable Big Data, Cloud solutions Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable Big...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.    As a team member of our Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.   We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)  Do you want to make a difference in healthcare? Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community.  Our medical group provides home-based medical care to chronically ill...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  The Stars Data Analytics - Data Strategy team is building a core capability around data management, governance and use to support Optum Home & Community STARs business objectives and performance. Stars Data Analytics focuses on Optum at Home (OAH), Senior Community Care (SCC), House Calls, and Post-Acute programs for internal team members and external business partners.   The Senior Data Analyst function will work across the enterprise and build systems/processes to curate key data sources to populate a data warehouse or utilize as a near real-time data asset.  You will help shape the development of reliable, documented, governed data assets that best suites current and future data needs of the Stars team and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Primary Responsibilities: Developing complex business intelligence solutions and supporting data strategy leveraging acquired subject matter expertise to identify/inform opportunities/risks Developing and maintaining complex SQL queries and scripts to create data marts in Teradata and running ad hoc complex SQL/reports using claims, beneficiary, and provider data Develop complex...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Ensuring and supporting organization adherence to quality system processes and procedures in line with the medical device regulations and industry standards Supporting senior team member in establishment of quality system processes and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Positions in this function is responsible for transforming new clients to Optum’s Global Operating Model (OGOM) by serving as a change agent for the middle revenue cycle Transformation team.  This role will lead key initiatives in transformation to deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are implemented and stabilized....

If you are located within 50-mile radius from office location in Brewer, Maine, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. This position is part of the Patient Financial Services Patient Support Team and is responsible for functions related to post-service patient balances. The critical tasks of this position...

Duties: REMOTE United States- Substation design Levels 3, 4 and 5 needed   Functions as a technical specialist or in a lead substation design role encompassing distribution, subtransmission and transmission level voltage classes. Under general direction, develops and applies advanced engineering techniques, concepts and approaches to complex engineering problems. Will provide technical guidance over a group or supervise engineering staff on substation design projects. May be responsible for developing, validating, and presenting specialist/technical output.  Will lead other engineers and interface directly with clients.  Responsible for the overall execution and quality of substation projects as a leader within a team environment.  Utilize Bluebeam to QA check and design high voltage substation drawings (such as schematic, wiring, one line, three line, plan view, section cut, conduit, grounding and material drawings). Develop and maintain budgets and schedules for multiple...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  The Senior Technical Reporting Analyst will partner with stakeholders to understand data requirements and develop tools and models such as segmentation, dashboards, data visualizations, decision aids and business case analysis to support Optum Care.   The analyst will also serve as a liaison between business users and IT report developers to understand reporting needs, develop requirements, and ensure data architecture is implemented to support alignment with business requirements.  The analyst may serve in a project manager capacity for smaller work efforts.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities:...

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)  The health solutions marketplace is hungry for new ideas, innovative products and software that drives elevated performance for the business and the customer. The UnitedHealth Group family of businesses is feeding incredible solutions to that marketplace every day by bringing out the best in our software engineering teams. We serve customers across the health system. Not only do we have more of them every day, we also have more technology, greater data resources and far broader expertise than any competitor anywhere. We're out to change the way our businesses and consumers engage with technology. If you're in, you'll be challenged like never before. It's time to join this history making. You’ll enjoy the flexibility to work remotely * from anywhere within the...

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 the chosen candidate, you will perform clinical quality assurance of psychological evaluations for Juvenile Probation and Child Welfare Services and psychotherapy treatment plans for Child Welfare Services clients to ensure that professional standards are met, protective and risk issues are addressed and treatment is clinically appropriate. ***This position will allow for some telecommute opportunity.  Some in-office hours will be required based on business need in our San Diego office location.*** Primary Responsibilities:...

myCigna's Digital Pharmacy Product team is responsible for providing innovative digital products and solution that help millions of Cigna pharmacy customers to manage their healthcare needs. The Product Management Advisor will be working alongside the Product Manager, to achieve the product vision that meet the changing market demands and customer needs. This position will collaborate with other digital leaders, product owners, architects, content authors, designers, engineers, QA/QE and scrum masters throughout the product lifecycle to ensure that Cigna's digital features are identified, prioritized, documented, and successfully delivered. Responsibilities: Responsible for articulating and translating the Product vision into high-quality epics/features. Helps define feature-level key performance indicators (KPIs). Collaborates with user experience design experts, content authors, business leads, and research analysts to design the best-in-class digital experience....