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,...

Medical Reviewer/Safety Reviewer III - Scientific Content and Medical Affairs ReviewLocation: 100% remote. Candidates must be located in the US and able to work without visa sponsorship.Length of Assignment: Through December 31, 2027Pay Rate: $45-50/hr (depending on candidate location and benefits preference)Schedule: Part-time, Monday-Friday; flexible...

Medical Reviewer/Safety Reviewer III - Scientific Content and Medical Affairs ReviewLocation: 100% remote. Candidates must be located in the US and able to work without visa sponsorship.Length of Assignment: Through December 31, 2027Pay Rate: $45-50/hr (depending on candidate location and benefits preference)Schedule: Part-time, Monday-Friday; flexible...

  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...

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...

Job Title: Clinical Review Clinician - Appeals Duration: 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 AZResponsibilitiesStaff will work when there are members of the supervisor/leadership on.Cases are assigned in...

Quality EngineerPhoenix, AZWe are seeking a Quality Engineer to support quality and compliance activities within pharmaceutical, biotechnology, and medical device manufacturing environments. The Quality Engineer will work with cross-functional teams to identify quality issues, investigate root causes, implement corrective actions, and support continuous...

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...

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...

Position: Director of Quality Location: United States* Department: Quality Team Reports To: CTO Company: Foxx Development Inc. About FOXX Foxx Development Inc. is a rapidly expanding global technology company focused on consumer electronics and AIoT innovation. Our portfolio includes smartphones, tablets, smart wearables, and next-generation...

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...

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...