Quality Analyst jobs in the Medical & Health category and Healthcare Services industry

Description: The Quality Analyst Nurse/Clinical Educator performs quality audits to ensure compliance with ICD-9 CM guidelines and CMS Risk Adjustment Data Validation. Enjoy research and solving problems? Want a balanced life? No weekends! No Evenings! No On Call! Work 8am to 5pm Monday to Friday Essential Job Functions Audits work of Clinical Coding Nurses, Medical Coding Analysts, and Processing...
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Our OhioHealth family of associates is a collaborative group that discovers and succeeds together. Our culture is defined by our mission and OhioHealth values of excellence, compassion, integrity and stewardship. What is it like to work at OhioHealth? We have an unwavering commitment to put our patients at the center of everything we do, providing quality care and an exceptional patient experience...
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The Lead Quality Analyst reports to the Quality and Patient Safety Manager and is responsible for oversight of assigned performance improvement projects, serving as the quality advisor, develops and implements improvement strategies in collaboration with clinical leaders. The position provides project management / leadership, analysis, solution development, identification, and implementation of pr...
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The Palo Alto Medical Foundation (PAMF) is a not-for-profit, community-based multispecialty group practice of medicine. PAMF patients are cared for by the more than 1,000 physicians from the four historic medical groups affiliated with PAMF: Camino, Palo Alto, Santa Cruz and Mills-Peninsula. PAMF provides care to patients at its clinics and medical centers throughout Alameda, San Mateo, Santa Clar...
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Description The Quality Analyst- Clinical Outcomes works under the direction of the Director of Clinical Quality Improvement to coordinate core measure and registry abstraction, analysis, improvement and data submission. Ensures compliance with CMS/The Joint Commission and other regulatory bodies data abstraction specifications and submission requirements. Acts as a resource for updates and change...
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"Why choose Penn Medicine? As a professional, you are seeking to join one of the nation's leading academic medical centers, servicing patients from all over the world. Penn Medicine believes that the best care for our patients starts with the best care for our employees! Our campus' offer tobacco free environments and our employee benefits programs help our employees get healthy and stay healthy. ...
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GENERAL SUMMARY: The Senior Electronic Data Interchange Technical Analyst designs and develops EDI applications, files, reports and other deliverables in support of the organization’s health care business processes. The Senior Technical Analyst also works interactively with the main company processing system application for interfacing EDI transactions and reporting functionality. This position wo...
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Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. The Senior Clinical Analyst for Accountable Care Programs provides clinical data support to the program overall, including managi...
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Somnia is seeking a proficient, outcomes oriented healthcare data analyst to provide direct support for a variety of clinical QA/PI related initiatives, processes, systems, and functions within the Somnia Quality Assurance Department. Reporting to Somnia’s Director of Quality Assurance, the Quality Assurance Analyst will contribute to efficiently and effectively providing the daily support, planni...
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Description: The Senior Clinical Analyst will be based in Westerville, OH. Work directly with the Ohio Quality Management and Performance group and support other departments with projects, financials, etc. Candidate will be responsible for preparing and presenting detailed reports on Ohio Pay for Performance, Sanctions, State measures and HEDIS, NCQA reports Analyze all Performance Improvement Pro...
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NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals - Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one ...
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MedImpact Healthcare Systems, Inc. is a nationally recognized, privately-held pharmacy benefit management (PBM) company headquartered in San Diego, California. Currently serving more than 32 million members nationwide; MedImpact is the PBM for eight of the top ten HMOs in the country, as rated by Consumer Reports. MedImpact clients include corporations and employers, unions, managed care organizat...
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This is a Sr. Analyst position within the Testing Center of Excellence department. This individual will analyze plan benefit data, provided via written requirements and/or automated tools, to identify the best approaches and strategies for ensuring the client’s plan benefit intent is tested thoroughly. Primarily responsible for Test Strategy, Test Plan, Test Design for Client Implementations and b...
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Make a Difference in the Lives of Montana Seniors. Be part of a company that promotes personal growth, rewards excellence and makes Medicare Simple. New West Medicare is Montana’s not-for-profit health plan offering Medicare Advantage and Medicare Supplement plans. We believe in improving the quality of health care for Montana Seniors and we need your help to do it! Joining the New West Team offer...
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Overview: Job Title: Revenue Integrity Auditor Job Code: 1509 Department Name: Patient Financial Services Department Number: 40-9030 Departmental Approval Date: May 2013 HR Approval Date: May 2013 JOB SUMMARY: Under the direction of Patient Financial Services and the Revenue Cycle Division the Revenue Integrity Compliance Auditor will perform Compliance Audits for charging and documentation approp...
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Description: We are seeking a Research Analyst (RA) in OptumInsight, Health Economics and Outcomes Research (HEOR), to provide analytic support for the research staff within HEOR. Research Analysts are involved in all aspects of pharmacoeconomic evaluations, including developing study protocols, conducting pharmacoeconomic evaluations, programming pharmacoeconomic models and preparing project deli...
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Clinical Investigator (Operations Analyst II) CALLING ALL RN’S The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is currently seeking candidates for the position of Operations Analyst II at Georgia Regional Hospital - Atlanta, located in Decatur, GA. Job Description: Performs data analysis on current operations of a project, program, agency or function. Conducts or...
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CAREER OPPORTUNITIES Great Falls Clinic, Medical Center, and Surgery Center are seeking team players who will embrace our commitment to provide patients with the highest quality, patient centered health care in our region. Clinical Manager C.M.A. or L.P.N. Clinical Informatics Analyst FT/PT & Registry Registered Nurses for: Operating Room Inpatient SACU The Great Falls Clinic offers: • competitive...
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Be a part of history in the making! The San Francisco Health Plan (SFHP) is ramping up to support additional benefits eligible members will receive as a result of the Affordable Care Act. We are looking for career minded, customer focused, professionals who are passionate about making a positive impact on peoples’ lives through continuous improvement efforts in building and/or supporting efficient...
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Description: We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work. Join us to conduct and manage outcomes of various studies that include analyzing...
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PRIMARY CARE INFORMATION PROJECT CRM Business Analyst The NYC Department of Health and Mental Hygiene (DOHMH) Primary Care Information Project (PCIP) is devoted to improving population health in underserved neighborhoods through health information technology. PCIP was awarded funding to become the Regional Extension Center in New York City - the NYC Regional Electronic Adoption Center for Health (...
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Description: Position Description: High-profile client; independent role. We're looking for a hardworking individual with data analysis and quality assurance skills to join our close-knit Hamilton team. As a Senior Healthcare Data Analyst, you will work closely with our client (New Jersey Department of Human Services) on one of the largest Human Service data warehouses in the country. You will per...
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Responsibilities Reports to the Director of Strategy and Decision Support, the Planning Analyst shall have responsibility for providing analytic and project management support in the areas of strategic planning and marketing to NSMC's administrative and clinical leaders, in the interest of advancing the organization's mission and operational, clinical/quality and financial performance. The Planni...
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About Emerging Health Information Technology: Emerging Health Information Technology is a wholly owned subsidiary of Montefiore Medical Center. Emerging Health IT is a dynamic company that provides hospitals and medical centers with world-class healthcare information solutions. We provide an exciting, fast-paced environment in which dedication and innovation are rewarded and where individuals can ...
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Every person needs the support of others, but we look for very special people to support developmentally disabled - individuals with disabilities; children with emotional, behavioral or medical complexities; children and adults with brain injury). As a Behavioral Analyst with Florida Mentor you’ll be one of those special people. For Florida Mentor and The MENTOR Network, a Behavioral Analyst is cr...
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