Quality Assurance and Utilization Review Officer Jobs | Glassdoor

Quality Assurance and Utilization Review Officer Jobs

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  • 3.8
    Whitney, Bradley and Brown – Washington, DC
    Est. Salary $45k-$73k
    5 days ago 5d
    Perform quality assurance activities to ensure that NGEN transition questions and issues are resolved. Provide quality assurance… JOB TITLE: Quality Assurance Specialist PROJECT OVERVIEW: This position is contingent upon contract award This person…
  • 3.5
    First Republic Bank – San Francisco, CA
    13 days ago 13d
    Overview: This is a for a Quality Assurance (QA) Automation Tester role that will be responsible for providing domain… 4) identifying and reporting suspicious activity to the AML Officer, and 5) knowing and verifying the identity of any customer(…
  • 3.1
    Nebraska Heart Institute – London, KY
    1 days ago 12hr
    Division to review and monitor members' utilization of health care services with the goal of maintaining high quality cost effective… processes that result from the clinical utilization reviews with the facilities. * Reviews any service denials and gathers necessary…
  • 2.6
    Genesis Healthcare – Walkersville, MD
    Est. Salary $53k-$71k
    Today 3hr
    and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. NRN1 SPECIFIC… non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline. 4. Cooperates with monitoring and…
  • 3.4
    Wyndham Worldwide – Bend, OR
    1 days ago 12hr
    seeking a Quality Assurance Officer for it's award winning 7th Mountain Bend location. The Quality Assurance Officer (QAO) follows… including observation reviews, ride-along and other activities. * Serve as QAO according to Sales Quality Assurance Best Practices…
  • 3.5
    First Republic Bank – San Francisco, CA
    Est. Salary $77k-$107k
    7 days ago 7d
    proven analytical and problem-solving skills to provide quality assurance procedures to validate various core and online banking… 4) identifying and reporting suspicious activity to the AML Officer, and 5) knowing and verifying the identity of any customer(…
  • 3.9
    Guardant Health – Redwood City, CA
    Est. Salary $62k-$95k
    8 days ago 8d
    maintain quality metrics required for management review and/or to report to senior management Provide Quality Assurance (QA) oversight… and document all concerns of test quality and/or safety to the Supervisor or Safety Officer, as applicable. ABOUT YOU…
  • 3.1
    KentuckyOne Health – London, KY
    4 days ago 4d
    Division to review and monitor members’ utilization of health care services with the goal of maintaining high quality cost effective… processes that result from the clinical utilization reviews with the facilities. · Reviews any service denials and gathers necessary…
  • 2.6
    DentaQuest – New York, NY
    10 days ago 10d
    compliance or ethical issues to manager or DQ’s Compliance Officer. **DentaQuest’s Affirmative Action Program affirms our commitment… Provide Project Management to cross functional teams to assure successful implementations of new business as related to outreach…
  • 2.5
    Catholic Health Initiatives – London, KY
    4 days ago 4d
    Division to review and monitor members utilization of health care services with the goal of maintaining high quality cost effective… result from the clinical utilization reviews with the facilities. * Reviews any service denials and…
  • 3.5
    First Republic Bank – San Francisco, CA
    22 days ago 22d
    Overview: The "Contractor – Lead, Quality Assurance" role will be responsible for providing QA and UAT coordination for… apply analytical and problem-solving skills to provide quality assurance procedures to validate various core and online banking…
  • 3.8
    Aurora Health Care – Milwaukee, WI
    5 days ago 5d
    Provides review and guidance on the presentation and promotion of quality care through audits, assurance of peer review and quality… performance reviews, peer review, privileging and credentialing. Facilitates the implementation and evaluation of quality and care…
  • 3.3
    Wyndham Vacation Ownership – Shawnee on Delaware, PA
    26 days ago 26d
    evaluating program success The Quality Assurance Officer reports directly to the Quality Assurance Manager or Site Leader.… The Quality Assurance Officer (QAO) follows Best Practices to include completing sales documents for WVO owners, supports sales…
  • 3.8
    Massachusetts General Hospital(MGH) – Boston, MA
    Est. Salary $62k-$119k
    6 days ago 6d
    The Quality Assurance Compliance Officer will perform chemical analysis and synthesis support of radiopharmaceuticals for Positron… analytical and manufacturing issues. The Quality Assurance Compliance Officer is primarily responsible for promoting compliance…
  • PEAR Core Solutions, Inc. – Salinas, CA
    EASY APPLY
    25 days ago 25d
    looking for that right fit to join our compliance and quality assurance team. CCS is seeking top talent that is a team player… company policies and procedures, conducts and documents quality assurance audits, and reports findings to CEO, VP, and Collection…
  • 3.3
    Wyndham Vacation Ownership – Bend, OR
    3 days ago 3d
    seeking a Quality Assurance Officer for it's award winning 7th Mountain Bend location. The Quality Assurance Officer (QAO)… including observation reviews, ride-along and other activities. •Serve as QAO according to Sales Quality Assurance Best Practices •Complete…
  • 3.0
    Realty ONE Group – Irvine, CA
    Est. Salary $36k-$72k
    Today 2hr
    such as photocopying, faxing and filing Maintain Branch Quality Assurance Standards Assist agents and office manager with balancing… WOW moments. Job Description Job Purpose: The Compliance Officer is responsible for ensuring all policies and procedures for…
  • 2.3
    Brown & Toland Physicians – Oakland, CA
    Est. Salary $205k-$327k
    19 days ago 19d
    Medical Officer in the event of his/her absence. Reviews data and trends to identify opportunities for utilization improvement… supports the Chief medical Officer of Brown & Toland Physicians in ensuring the delivery of high-quality, efficient and comprehensive…
  • 3.4
    Wyndham Worldwide – Las Vegas, NV
    6 days ago 6d
    Description Quality Assurance Representative - Description Description The Quality Assurance Officer (QAO) follows… evaluating program success The Quality Assurance Officer reports directly to the Quality Assurance Manager & / or QA Program Manager…
  • 3.2
    MemorialCare Health System – Long Beach, CA
    Est. Salary $53k-$85k
    11 days ago 11d
    maintain a system that utilizes structured, comprehensive review of the quality, safety and appropriateness of services delivered… compliance management system that utilizes a structured, comprehensive review of the quality, safety and appropriateness of care…
  • First Republic – San Francisco, CA
    13 days ago 13d
    This is a for a Quality Assurance (QA) Automation Tester role that will be responsible for providing domain technical expertise… 4) identifying and reporting suspicious activity to the AML Officer, and 5) knowing and verifying the identity of any customer(…
  • 2.9
    Munson Medical Center – Cadillac, MI
    Est. Salary $35k-$59k
    1 days ago 17hr
    Cadillac, MI Department Quality Assurance Schedule Part-Time… and follow-up has occurred for nurse sensitive quality care issues. Assures confidentiality and integrity of all nursing department…
  • 2.6
    Genesis Healthcare – New Braunfels, TX
    Est. Salary $53k-$72k
    12 days ago 12d
    and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. NRN1 SPECIFIC… non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline. 4. Cooperates with monitoring and…
  • Skookum Contract Services – Whidbey Island Naval Air, WA
    Est. Salary $43k-$77k
    Today 3hr
    the quality systems in the division. CRITICAL DUTIES: The QCM shall have full authority and responsibility for assuring performance… they relate to the quality data gathering and report planning, with the ability to manage some safety reviews and ISO process building…
  • 3.8
    PacificSource Health Plans – Eugene, OR
    Est. Salary $122k-$197k
    25 days ago 25d
    medical systems and procedures. Expertise in quality assurance and utilization review. Basic computer skills preferred. Competencies… reimbursement, provider credentialing, and quality management. Assist the Chief Medical Officer or Senior Medical Director as requested…
  • First Republic – San Francisco, CA
    Est. Salary $70k-$98k
    8 days ago 8d
    proven analytical and problem-solving skills to provide quality assurance procedures to validate various core and online banking… 4) identifying and reporting suspicious activity to the AML Officer, and 5) knowing and verifying the identity of any customer(…
  • United States
    Today 25min
    peer review, and quality review. The CMO is directly responsible for credentialing, medical education, quality assurance and… improve care. • Monitors quality and safety, patient satisfaction, risk management, and utilization review, and develops performance…
  • 4.0
    Scientific Research – North Charleston, SC
    Est. Salary $65k-$111k
    4 days ago 4d
    requirements of projects Provides Quality Assurance for ongoing construction project Reviews contractor submittals Prepares… methods providing quality assurance inspections and field verification of all aspects of the contractor's quality control program…
  • 2.6
    Genesis Healthcare – Riverdale, GA
    Est. Salary $40k-$56k
    6 days ago 6d
    implementing quality assurance and performance improvement processes, as required. Completes performance reviews and determines… implementation and evaluation of the staffing model to assure high quality, cost-effective care; 4. Implements, evaluates and develops…
  • 2.8
    Community Health Systems – United States
    Today 3hr
    peer review, and quality review. The CMO is directly responsible for credentialing, medical education, quality assurance and… improve care. • Monitors quality and safety, patient satisfaction, risk management, and utilization review, and develops performance…
  • Wuesthoff Medical Center - Rockledge – Rockledge, FL
    Today 3hr
    peer review, and quality review. The CMO is directly responsible for credentialing, medical education, quality assurance and… improve care. • Monitors quality and safety, patient satisfaction, risk management, and utilization review, and develops performance…
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