Healthcare Quality Analyst Jobs in North Carolina

SYSTEM EXECUTIVE DIRECTOR PHYSICIAN REVENUE CYCLE','EXE0015B','!*!This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that ..

RN CLINICAL QUALITY ASSURANCE SPECIALIST - ADULT TRAUMA ... SPECIALIST - ADULT TRAUMA PROGRAM','OTH01Q09','!*!CLINICAL QUALITY ASSURANCE SPECIALIST needed for Adult ... care is delivered. The Clinical Quality Assurance Specialist (also..

HEALTHCARE DATA ANALYST - HOSPITAL QUALITY AND INNOVATION','OTH01PXK','!*!This position may involve ... as well as meet our quality-related regulatory (CMS and The Joint ... (CMS and The Joint Commission), quality..

... Hospital is a dynamic, experienced healthcare administrator/operations leader passionate about transforming ... about transforming the future of healthcare. The RSS Manager will own ... and in-home service workflow and..

Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... factors. Responsibilities The Senior Medicaid Quality Data and Reporting Analyst will be responsible for the..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..

... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..

HCS EPIC INSTRUCTIONAL DESIGNER - IT TRAINING USER SUPPORT','INF003CE','!*!  This position may involve support of various hospitals and health care systems within the UNC Health Care System, but will be employed ..

REGIONAL ADMINISTRATOR I - VIRTUAL CARE','OTH01Q6K','!*!Job Summary: UNC Health Virtual Care Team is seeking a highly motivated leader who will support the planning, start-up, implementation and on-going operations of Virtual Care ..

Job ID 21000HOLAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

... the development and implementation of quality improvement interventions and audits and ... years of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral ... degree Advanced degree in a..

DIRECTOR PERFORMANCE IMPROVEMENT - PERFORMANCE IMPROVEMENT/PATIENT SAFETY','OTH01PLI','!*!Responsible for overseeing and directing the development, management, and implementation of the organization's quality improvement strategy in partnership with the senior leadership team. Ensures alignment ..

HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..

RN NURSING COORDINATOR - CHILDREN'S SUPPORT SERVICES','CLI00CF2','!*!RN Coordinator needed for UNCH Children's Rheumatology & Clinical Immunology clinics.   This is a 40 hours/week, STATE BENEFITED, Exempt status position located in the Children’s ..

... Member Plan (EFMP), auditing for quality and clinical compliance, and case ... compliance with ACD. Monitor for quality standards, claims accuracy, fraud, and ... Qualifications BCBA (Board Certified Behavior..

... Operational Project Manager, a Reimbursement Analyst, two Denials Specialists and two ... the pharmacy pre-certification team in quality improvement initiatives. - Develop and ... charges and denials. - Prepare..

... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..

Job ID 21000FJBAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

... Hospital is a dynamic, experienced healthcare administrator/operations leader passionate about transforming ... about transforming the future of healthcare. Seeking a dynamic, experienced nursing ... about transforming the future of..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..