Healthcare Qa Analyst Jobs in Arizona

Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..

Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..

Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..

Position Summary This position is responsible for the management of institutional clinical databases and registries including the Society of Thoracic Surgeons Congenital Heart Surgery Database, Pediatric Cardiac Critical Care Consortium, American ..

Job Information Centerwell RN Clinical Manager Home Health Full Time in Phoenix Arizona The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..

Job Information Kindred at Home RN Clinical Manager in Peoria Arizona The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..

Job Information Centerwell RN Clinical Manager Home Health Full Time in Peoria Arizona The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..

Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..

Job Information Humana Supervising Pharmacist, Mail Operations (FL, AZ, OH or TX) in Glendale Arizona Description The Supervising Mail Operations Pharmacist registered Pharmacist who is responsible for the accurate and timely ..

Description The Staff Mail Operations Pharmacist VSP is a registered Pharmacist who is responsible for the accurate and timely dispensing of prescribed medication to patients. This position may require the pharmacist ..

Job Information Humana UM Medical Director - Conviva in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Technical Product Manager - Remote in Phoenix Arizona Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..

... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..

Job Information Centerwell RN Clinical Manager in Tucson Arizona The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Phoenix Arizona Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..

Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Phoenix Arizona Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..

Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, understanding clinical suspects and appropriate ..

Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and ..

Description The Staff Mail Operations Pharmacist VSP is a registered Pharmacist who is responsible for the accurate and timely dispensing of prescribed medication to patients. This position may require the pharmacist ..

Description The Staff Mail Operations Pharmacist registered Pharmacist who is responsible for the accurate and timely dispensing of prescribed medication to patients. The Staff Mail Operations Pharmacist work assignments involve moderately ..

Job ID 21000N4TAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Job Description · This position is the overall business lead for NCQA Accreditation and creates the roadmap, project governance, and strategies for the continuous improvement of all department areas. · The ..

Posted: 28-Feb-22 Location: Phoenix, Arizona Salary: Open Categories: Operations Internal Number: R67394 Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Primary Location Salary Range: ..