QUALITY AUDITOR

**Why Join DHCS?** **About this Role**: The role on the Auditor I in the Audits & Investigations (A&I), Financial Review Inpatient Division (FRID) is to assist with compliance, financial and/or management audits. These audits are a combination of in-house desk audits and field audits, generally in the acute care or long term care program areas, but they may...

About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...

Quality Technician Location: Milwaukee, WI, 53223 Company Overview: We are an innovative company that is dedicated to delivering excellence in every aspect of our products. We are seeking a passionate and experienced Quality Technician to spearhead the development and management of our new quality lab. Job Description: The Quality Technician will be...

Your Role The Delegation Oversight Utilization Management  team is responsible for the organization, tracking and data entry of IPA Utilization Management audits, issues, complaints and monitoring. Identifies root cause of the problem and maintains monthly reporting that track and compare patters of delegated entities. The Delegation Operations Nurse...

Your Role The Delegation Oversight Utilization Management  team is responsible for the organization, tracking and data entry of IPA Utilization Management audits, issues, complaints and monitoring. Identifies root cause of the problem and maintains monthly reporting that track and compare patters of delegated entities. The Delegation Operations Nurse...

General Summary of PositionThe Clinical Documentation Integrity (CDI) Auditor is responsible for providing expert second level review to ensure the quality and integrity of medical records. Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation of clinical findings, care rendered, and the assignment of present on...

General Summary of PositionThe Clinical Documentation Integrity (CDI) Auditor is responsible for providing expert second level review to ensure the quality and integrity of medical records. Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation of clinical findings, care rendered, and the assignment of present on...

We are seeking a highly skilled Director Quality to join our dynamic team. As a Director Quality, you will play a crucial role in ensuring the highest standards of quality across our organization. This role involves strategic planning, implementation of quality programs, and continuous improvement initiatives to enhance overall operational efficiency. It...

ChristianaCare is searching for a Corporate Compliance & Privacy Auditor to join the team.This position will execute moderate-to-complex level audits and participate in the evaluation of the adequacy, effectiveness, and efficiency of internal controls and identify weaknesses, along with providing recommendations to mitigate those weaknesses. This position is...

Description The EW Division of Leidos is looking for a ISO9001 auditor and property controller to join our cross-functional team to manage the site’s ISO9001:2015 quality management system and property.  Primary ResponsibilitiesManage and audit the site’s ISO9001 quality management system.Prepare for and facilitate ISO9001 surveillance and...

Your Role The Delegation Oversight Utilization Management team is responsible for the organization, tracking and data entry of IPA Utilization Management audits, issues, complaints and monitoring. Identifies root cause of the problem and maintains monthly reporting that track and compare patters of delegated entities. The Delegation Operations Nurse...

Process Quality EngineerHungry, Humble, Honest, with Heart.The OpportunityAre you a highly motivated and detail-oriented process quality engineer? If so, join our team at Nutanix and be a part of a dynamic company that values ownership, customer obsession, long-term thinking and team work.Information Technology at NutanixAs a Process Quality Engineer at...

Description The National Security Sector of Leidos has a career opportunity for a talented Quality Assurance Manager for a high performing program supporting the Cyber & Analytics Business Area in the sector. This position serves as the member of a team with the responsibility to ensure the highest quality service is provided to our customer through the...

Career Area:ManufacturingJob Description:Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar, you're joining a global team who cares not just about the work we do – but also about each other.  We are the makers, problem solvers, and future world builders who are creating stronger, more sustainable communities. We don't just talk...

JOB DESCRIPTION Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement...

We have a current opportunity for a Fund Compliance Specialist on a permanent basis. The position will be based in Concord, CA. For further information about this position please apply. Responsibilities: Assist in the development and execution of the compliance program for the Funds, collaborating with various departments, as well as vendors, outside...

Quality Assurance and Improvement Program (QAIP) Group The QAIP Group is appropriately positioned to effectively and independently execute its mission by: Supporting the delivery of high-quality, consistent, and risk-focused assurance work through the execution of quality assurance (QA) reviews Improving processes to optimize the efficiency and...

**About this Role**: The role of the Health Program Audit Manager I is to supervise a team of professional auditing staff. The Health Program Audit Manager I in the Audits & Investigations (A&I), Financial Review Outpatient and Behavioral Health** **Division** **provides direction and training to auditing staff, assigns audit assignments, monitors and tracks...

Are you a leader?A medical professional who leads by proactive example?Pay Range: $44 -$51 with stipend!Work Schedule: Mon-Sat, 8:00a - 4:30pWe are seeking a medical professional for the role of Supervisor of Utilization Management. You will be taking on the role of utilization management Department and Prior Authorization (PA) teams, including hiring,...

**Additional Information** Part time, 11PM-7AM **Job Number** 23223607 **Job Category** Finance & Accounting **Location** Courtyard Lebanon, 300 Corporate Drive, Lebanon, New Jersey, United States **Schedule** Part-Time **Located Remotely?** N **Relocation?** N **Position Type** Non-Management **POSITION SUMMARY** Check figures, postings,...