quality data reviewer jobs in Phoenix

TEEMA seeks an RN for a remote quality/utilization review role. The position requires alignment to AZ hours and strong documentation skills to assess medical records for quality and utilization.Ideal candidates have 3+ years in med/surg or behavioral health, experience with health plans or large healthcare systems, and familiarity with clinical criteria...

TEEMA is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues, identify PQIs, and support QA initiatives in collaboration with Medical Directors.Must hold an active RN license, have 3+ years of clinical experience in med/surg or behavioral health, and be...

Compensation: $85,000 – $92,000Hourly Equivalent: ~$41–$44/hrLocation: RemoteSchedule: Must work AZ hours (typically 1st shift)CLIENT NOTES / EXPECTATIONSCandidates must meet required AND preferred qualificationsAPPROVED WORK STATES (RECRUITING GUIDELINES)AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD,...

Compensation: $85,000 – $92,000Hourly Equivalent: ~$41–$44/hrLocation: RemoteSchedule: Must work AZ hours (typically 1st shift)CLIENT NOTES / EXPECTATIONSCandidates must meet required AND preferred qualificationsAPPROVED WORK STATES (RECRUITING GUIDELINES)AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD,...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS • Candidates must meet required AND preferred qualifications APPROVED WORK STATES (RECRUITING GUIDELINES) AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM,...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS • Candidates must meet required AND preferred qualifications APPROVED WORK STATES (RECRUITING GUIDELINES) AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM,...

Local Phoenix Candidates Only Candidates should apply with the ability and willingness to work in-office up to five days per week as business needs necessitateData Quality Assurance Analyst POSITION SUMMARYThe Data Quality Assurance Analyst candidate will work closely with product owners, developers and project managers to define and prioritize testing data...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS - Candidates must meet required AND preferred qualifications APPROVED WORK STATES (RECRUITING GUIDELINES) AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD,...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS - Candidates must meet required AND preferred qualifications APPROVED WORK STATES (RECRUITING GUIDELINES) AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD,...

DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona.DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of...

  tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.   We...

Job Title: Clinical Review Clinician - AppealsDuration: 06 months (Possibility for extension or conversion)Shift Schedule: 8-5 EST or CST time zone-weekend rotation required.Location:Remote- Nationally sourced. However, would like 1 candidate in AZResponsibilities:Staff will work when there are members of the supervisor/leadership on.Cases are assigned in...

About the Role:Reviews, approvals, declines, or recommends new credit requests, as well as modifications, renewals, and term loan reviews while maintaining risk exposure consistent with bank loan quality guidelines. Responsible for oversight of workflow management for a credit underwriting and loan portfolio management team within the Commercial division and...

Title:Quality EngineerBELONG. CONNECT. GROW. with KBR.Around here, we define the future. We are a company of innovators, thinkers, creators, explorers, volunteers, and dreamers. But we all share one goal: to improve the world responsibly and safely.KBR is seeking Quality Engineers to support NASA programs. We are looking for both full time & part time. These...

Quality Control ChemistThe Quality Control Chemist is responsible for the review, approval, and maintenance of analytical chemistry documentation and quality records to ensure compliance with regulatory and accreditation requirements. This role supports Eagle Analytical's Quality Management System by reviewing analytical methods, validation documentation,...

About the Role Under the guidance of the Credit Risk Review Director manages the departments Credit Risk Review Examiners in completing the independent loan review activities. Provides an independent review and risk assessment of non-Homogeneous loans, including some of the bank's largest and most complex loans, ensuring adherence to Bank credit policies,...

Call Quality Analyst Overview Job Summary We are seeking a detail-oriented Call Quality Analyst to support quality, compliance, and patient experience initiatives within a healthcare support environment. This role is responsible for monitoring customer interactions, conducting audits, ensuring adherence to operational procedures, supporting adverse event...

Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure...

German Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable Experience & Qualifications: Fluency in Hebrew Familiarity with document review workflows (e.g., Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review) Experience with electronic document review technology (e.g., Relativity,...

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 inclusion, talented peers,...