The Quality Control Analyst is responsible for claims auditing and identifying examiner and system errors. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Quality...
Fintech bank looking to bring on a new “Financial Crimes Quality Control Analyst” to join their team. Assist in developing and delivering training programs on quality assurance and compliance standards. ...
Direct Client RequirementPosition Title: Ops Support Quality Control AnalystLocation: RemoteDuration: 2-3 months The Ops Support Quality Control Analyst will be responsible for helping improve the overall client experience through establishing and expanding standards of quality related to accountabi...
Work with staff in facilitating client engagement in activities that have an impact on effective reporting for quality payment programs, including:Working with administrators, managers, and medical staff to analyze baseline data from internal quality performance processes and outcomes. Promoting qua...
The Configuration Quality Specialist will work closely with the System Configuration Specialists, Claims Department, and other applicable staff while conducting the quality review health plans to ensure that all scenarios are tested and validated, and that applicable corrections to the plan are inco...
Directs quality assurance operations. Conducts quality assurance training for employees. Develops and controls quality programs. Determines the resources required for quality control. ...
As a website quality assurance specialist, you will play a pivotal role in ensuring the quality, reliability, and usability of web applications and websites, contributing to a positive user experience and the overall success of web development projects. We’re looking for a website quality assurance ...
Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Long Term Disability (LTD). As a Clinical (RN) QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy ...
Conduct quality assurance phone calls with former/existing clients to ensure quality and continuity of services;. This position reports to the Senior Quality Assurance Manager. Provide administrative support to the HS/PRS Quality Assurance team, including but not limited to, data entry, reporting, r...
The Data Governance and Data Quality Analyst will collaborate with cross-functional teams to implement and enforce data governance standards, perform data quality assessments, and contribute to the overall success of the CDM program. Data Governance and Data Quality AnalystJob Category: Engineering ...
Define KPIs, measure their performance, and design the data models that support reporting them; partner with the data engineering team to scope data pipelines and define data governance processes. Experience developing data management and analytics scripts in Python and SQL. Familiarity with Databri...
Act as the primary relationship manager for third-party vendors, overseeing all aspects of vendor management, including contract negotiation, performance evaluation, and issue resolution, to ensure optimal service delivery and value for the organization. Collaborate cross-functionally with analytica...
Perform thorough peer review of any content developed by the Content Development team to ensure adherence to quality standards as defined by department leadership. Oversee metrics and trends related to quality performance KPIs and communicate any change in trend to department leadership for continuo...
Handle complex data projects and acts as a lead for other Data Analysts. Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis. Assist with training and mentoring other Data Analysts. Assist with determining work load and related a...
Monitor internal controls as they pertain to the administration of Title IV Federal Student Assistance and R2T4.Perform comprehensive internal reviews of University controls to assess compliance with internal guidelines and external regulations.Identify error trends during internal audits, synthesiz...
The Claims Quality Inspector is responsible for the thorough and accurate review of adjudicated claims and Enrollment entry against established corporate guidelines and protocols specific to claim adjudication and Enrollment entry. Conduct accurate and timely quality reviews of claim adjudication ac...
Monitors, inspects, and assesses the quality of interactions, systems, and processes to achieve established quality standards. Actively participate in quality calibration sessions with quality team. Assesses the quality of departmental interactions, systems, and relevant processes through a variety ...
The Quality Assurance Analyst/Tester will be responsible for supporting the Ordnance Information System - Marine Corps system, solving technical issues that arise on a day-to-day basis will form an important part of the responsibilities. As a Quality Assurance Analyst /Tester on this project, you wi...
Adaptive Data merges together strengths of Data Science, Machine Learning, and Anti-Abuse Engineering to keep users safe. Adaptive Data Analytics is a dynamic team responsible for protecting users from Scaled Abuse on Discord including spam, account compromise, and payments fraud. This highly analyt...
The role demands hands-on experience with Informatica Data Catalog and Informatica Enterprise Data Catalog, proficiency in metadata management and data governance, and familiarity with GCP data services like BigQuery. The ideal candidate will have experience with Google Dataplex for data transformat...
As a Senior Data Analyst on our team, you will own and drive projects that create meaningful business impact. Depending on your location, the General Data Protection Regulation (GDPR) and California Consumer Privacy Act (CCPA) may regulate the way we manage the data of job applicants. You’ll have th...
Work in a dynamic environment in which you’ll use your passion, quality manufacturing technical experience, and strong problem solving skills to continuously improve Virtual Quality Control inspection processes within Quality Assurance. The successful candidate will interact with DFM Engineering, Ma...
The Data Labeling Analyst (DLA) will contribute to large projects and leverage analytical skills to help deliver lasting impact on Client products. Help vendors unblock obstacles by sharing data and escalating bugs and tooling issues to correct engineering teams with necessary documentation. Tech: E...
Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Integrates, conforms, profiles and maps complex data, and pro...
The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Contin...