Healthcare Qa Analyst Jobs in West Carson

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 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 ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

The Manager of Physician Services coordinates administrative delivery of physician workforce activities for medical group physicians. Also, the manager communicates directly with Hoag Physician Partner (IPA) practices for onboarding, training, education, ..

... the project team. The Application Analyst level I, II, or III ... patient information following HIPAA guidelines ANALYST II DUTIES AND RESPONSIBILITIES: In ... responsibilities for all levels, the..

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

JOB SUMMARY Lead all Medicare Advantage Risk Adjustment coding initiatives including prospective chart review and prep, retrospective chart review and audit, and provider education. Manager will coordinate with operations leaders and ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

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 ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

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

u003cpu003eu003cstrongu003eTelecareu0027s mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, hopes, and dreams.u0026nbsp;When you work at Telecare, you help to ..

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 ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

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

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