communities and residents and to support the safety net required to achieve that purpose. Job Summary The Manager, Claims... Quality Assurance (QA) is responsible for managing and leading the operational quality program focused on preventative...
risk and recommends quality assurance protocols to ensure accuracy across the claims ecosystem. The Manager manages... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Manager, Claims...
value Preparing a monthly risk report for the Program Board Monitoring adherence to Quality Assurance/Quality Control Plan..., and other documents as required and promoting excellence on the project through the application of Quality Assurance processes Enforcing...
and manage an external quality assurance program to ensure compliance with best practices and promote proactive & optimal... you can be proud of. The Manager, Workers Compensation will lead the strategy and execution of GXO's workers compensation...
for engagement reviews and quality assurance procedures. Ensure project documents are complete, current, and stored appropriately... BNBuilders! JOB SUMMARY: The Project Manager manages all aspects of complex projects from inception to conclusion. SALARY...
on time and ensures implementation upon approval. Provide quality assurance across projects, ensuring work products meet... in healthcare analytics (claims, quality, risk adjustment, or provider performance). Experience integrating multiple data sources...
, Member Services, Provider Network Management, claims teams, and the Center of Quality & Excellence to support compliant..., timely, and high-quality case handling. The Senior Manager manages all aspects of running an efficient team, including...
and rework, and strengthen the end-to-end claims ecosystem. The Manager partners closely with cross-functional key stakeholders... or member outreach, case review, or data validation. Deep experience with data validation and operational Quality Assurance...
, and all mandatory reports required by state or county to ensure full program compliance. Coordinate with Quality Assurance staff...Position Title: SUD Program Manager Department: Substance Use Disorder Reports to: SUD Program Director Position...
. Strong verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA.... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...
caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance.... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...