Quality Review Operations

1 week ago


Minneapolis, United States Robert Half Full time
Job DescriptionJob Description

As a Quality Review Operations, you will be working on HEDIS data collection efforts, managing data within Excel spreadsheets, and conducting provider outreach.


Responsibilities

• Conduct provider outreach, both by telephone and in writing, to confirm medical record requests and maintain accurate documentation.

• Manage and update data organized within Excel spreadsheets, using filtering, sorting, and VLOOKUP functions as needed.

• Request and follow up on medical records within database tools.

• Conduct research through internal electronic systems and reports to determine bulk conversion instructions.

• Adhere to HIPAA standards and maintain the confidentiality of protected health information, reporting any critical incidents immediately.

• Perform tasks assigned by supervisors for market-specific annual data collection efforts.

• Successfully complete two weeks of training, gaining proficiency in multiple electronic platforms.


This role will require a strong understanding of Microsoft Office, excellent communication skills, and the ability to work independently. Proficiency in research, time management, and problem-solving is also crucial.

• Proficiency in Microsoft Office Suites, including Excel, Word, and Outlook
• Experience in conducting both inbound and outbound calls
• Strong knowledge of database management
• Excellent training skills to educate team members and stakeholders
• Ability to perform in-depth research and review of data
• Familiarity with internet usage and online tools like HealthCare.gov
• Experience working with vendors and claim administration
• Proficiency in using spreadsheets for data analysis and reporting
• Excellent communication skills, both written and oral
• Strong time management and prioritization skills
• Knowledge of consumer electronics
• Understanding of the importance of confidentiality in a healthcare setting
• Proficiency in managing medical records
• Familiarity with HIPAA-regulated environments
• General computer skills
• Operational skills and understanding of healthcare operations.

  • minneapolis, United States Advanced Operations Partners Full time

    We have an opportunity for a full-time VP of Operations for a private equity-owned food produce company in Minneapolis, MN. The company processes fruits and vegetables for retail and food service customers. The facility has about 450 employees. The plant uses a combination of manual (hand cutting and packing fruits and vegetables) and automated...


  • minneapolis, United States Advanced Operations Partners Full time

    We have an opportunity for a full-time VP of Operations for a private equity-owned food produce company in Minneapolis, MN. The company processes fruits and vegetables for retail and food service customers. The facility has about 450 employees. The plant uses a combination of manual (hand cutting and packing fruits and vegetables) and automated...


  • Minneapolis, United States Advanced Operations Partners Full time

    We have an opportunity for a full-time VP of Operations for a private equity-owned food produce company in Minneapolis, MN. The company processes fruits and vegetables for retail and food service customers. The facility has about 450 employees. The plant uses a combination of manual (hand cutting and packing fruits and vegetables) and automated...

  • Bill Review Supervisor

    4 months ago


    Minneapolis, United States CorVel Corporation Full time

    The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill...


  • Minneapolis, Minnesota, United States U.S. Bank Full time

    At U.S. Bank, we're committed to fostering a culture of excellence and innovation. As a key member of our team, you'll have the opportunity to contribute to the development and implementation of our Operational Risk Review and Assessment program. This program is designed to ensure the effective management of operational risks across the organization, and...

  • Quality Inspector

    2 months ago


    Minneapolis, United States Randstad USA Full time

    Job DescriptionJob DescriptionTHIS IS A DIRECT HIRE POSITION - NO MEDICAL INSPECTION CANDIDATES PLEASE! **Applicants with automotive manufacturing experience are highly encouraged to apply!**We are seeking a Quality Inspector to join our team! You will conduct tests to determine the quality of materials and finished products as well as identify areas of...

  • Quality Auditor

    2 weeks ago


    Minneapolis, United States Barrington James Full time

    We are seeking a meticulous and experienced GMP Auditor to ensure compliance with Good Manufacturing Practices (GMP) within our medical device operations. This role is integral to maintaining the highest standards of quality, safety, and regulatory compliance for our products. The GMP Auditor will assess manufacturing processes, perform audits, and provide...

  • Quality Auditor

    2 weeks ago


    minneapolis, United States Barrington James Full time

    We are seeking a meticulous and experienced GMP Auditor to ensure compliance with Good Manufacturing Practices (GMP) within our medical device operations. This role is integral to maintaining the highest standards of quality, safety, and regulatory compliance for our products. The GMP Auditor will assess manufacturing processes, perform audits, and provide...

  • Quality Auditor

    2 weeks ago


    minneapolis, United States Barrington James Full time

    We are seeking a meticulous and experienced GMP Auditor to ensure compliance with Good Manufacturing Practices (GMP) within our medical device operations. This role is integral to maintaining the highest standards of quality, safety, and regulatory compliance for our products. The GMP Auditor will assess manufacturing processes, perform audits, and provide...


  • Minneapolis, United States Onto Full time

    Onto Innovation is a leader in process control, combining global scale with an expanded portfolio of leading-edge technologies that include: 3D metrology spanning the chip from nanometer-scale transistors to micron-level die-interconnects; macro defect inspection of wafers and packages; metal interconnect composition; factory analytics; and lithography for...


  • Minneapolis, United States Redbock - an NES Fircroft company Full time

    **CANDIDATES CURRNETLY WORKING UNDER F1 OPT/F1 OPT STEM/H1-B WILL NOT BE CONSIDERED. W2 CANDIDATES ONLY**Sr. Supplier Quality Engineer (12 month contract // Mounds View, MN):Candidate will be required to be on site in Mounds View, MN but will have some hybrid flexibility 1-2 days per week depending on project demandsTop Skills:1) Supplier Management and...

  • Quality Inspector

    1 month ago


    Minneapolis, United States Aerotek Full time

    Job DescriptionJob DescriptionQuality Inspector Clean and Climate Controlled EnvironmentJob DescriptionThis position seeks a candidate who can read blueprints, understand measurements, and interpret all necessary details. The role involves daily use of mechanical inspection tools such as calipers, micrometers, bore gauges, and height gauges. While operating...

  • Quality Inspector

    2 weeks ago


    Minneapolis, United States Aerotek Full time

    Job DescriptionJob DescriptionQuality Inspector 1st and 2nd shiftClean and Climate Controlled EnvironmentJob DescriptionThis position seeks a candidate who can read blueprints, understand measurements, and interpret all necessary details. The role involves daily use of mechanical inspection tools such as calipers, micrometers, bore gauges, and height gauges....

  • Manager Operations

    3 weeks ago


    Minneapolis, United States Lakeshore Recycling Systems Full time

    The Operations Manager leads and drives operational efficiencies and deliver expected results in the areas of safety, quality, delivery, cost, and cash. This role builds operational talent, addresses key operational performance challenges, and implements sustainable standard practices. The Operations Manager should be comfortable multitasking and working...

  • Manager Operations

    4 weeks ago


    Minneapolis, United States Lakeshore Recycling Systems Full time

    The Operations Manager leads and drives operational efficiencies and deliver expected results in the areas of safety, quality, delivery, cost, and cash. This role builds operational talent, addresses key operational performance challenges, and implements sustainable standard practices. The Operations Manager should be comfortable multitasking and working...

  • Manager Operations

    4 weeks ago


    Minneapolis, United States Lakeshore Recycling Systems Full time

    The Operations Manager leads and drives operational efficiencies and deliver expected results in the areas of safety, quality, delivery, cost, and cash. This role builds operational talent, addresses key operational performance challenges, and implements sustainable standard practices. The Operations Manager should be comfortable multitasking and working...

  • Quality Inspector

    2 weeks ago


    Minneapolis, United States Aerotek Full time

    Job DescriptionJob DescriptionJob Title: Quality InspectorJob DescriptionThis position requires a candidate who can read and understand blueprints, identify necessary measurements, and interpret specifications. The candidate will utilize mechanical inspection tools daily, such as calipers, micrometers, bore gauges, and height gauges. Operating a CMM is a...


  • Minneapolis, United States VITS Consulting Corp Full time

    Job description: We are looking for a Quality Assurance Principal to uphold and continually improve Client’s IT Quality Assurance and Testing standards and processes. This position focuses on implementing and improving the test automation framework/blueprint to be able to validate applications and systems in support of Client’s business operations. The...


  • Minneapolis, United States DCM Services Full time

    In this role, this individual will serve as the primary back-up for various Operations Support tasks assisting the Client Services, Support Services and Mail Processes teams. This position will report to the Senior Mail Processes Manager with a dotted line to the Senior Client Services Manager. In this role, this individual must be able to demonstrate the...


  • Minneapolis, United States MESSERLI KRAMER P.A. Full time

    Job DescriptionJob DescriptionGeneral PurposeThis role provides support for the internal Compliance Department by conducting professional operations reviews, audits, or investigations to determine compliance with Firm and client requirements. This includes preparing audit reports and supporting documents.Essential FunctionsHandling various client...