DRG Quality Analyst IV - Healthcare
$85k - $110kEXL Service
This is a remote office opportunity. The DRG Quality Analyst oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical DRG audits. A brief coding/auditing assessment may be included as part of the interview process Salary Range is: $85k - $110k For more information on benefits and what we offer please visit us at #J-18808-Ljbffr EXL Service
$70k - $110k
EXL Health, is seeking an experienced Clinical Diagnosis-Related Group (DRG) Quality Analyst. This is a remote office opportunity. The Quality Analyst IV oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst...SuggestedWork at officeRemote work$70k - $110k
EXL Health seeks an experienced Clinical DRG Quality Analyst IV for a remote role. The analyst will oversee DRG auditors to ensure accuracy and will perform quality reviews on random and targeted clinical DRG audits. A coding/auditing assessment may be included during...SuggestedRemote job- EXL is seeking a remote Quality Analyst to supervise the Clinical CVA auditing process, ensuring accuracy and consistency across audits. The... ...role includes mentoring auditors, applying clinical judgment to DRG reviews, and driving quality improvements. The position...SuggestedRemote job
- Public Consulting Group is seeking a Title IV-E Quality Assurance Analyst I to work remotely across Pennsylvania. You will review case files, Title IV-E materials, and invoices to ensure proper eligibility determinations and regulatory compliance. Expect statewide travel...SuggestedRemote job
- Public Consulting Group LLC (PCG) seeks a Title IV-E Quality Assurance Analyst I to support Pennsylvania's public child welfare programs remotely. You will review case files, analyze eligibility, and ensure compliance with federal and state rules. The role covers county...SuggestedRemote job
$60.1k - $98.7k
...Apply clinical judgment for DRG audits to ensure accuracy of... ...Recommend process changes to improve quality and performance Communicate... ...including insurance, healthcare, banking and financial services... ...why clients, employees, and analysts think we’re some of the best...- ...transformation-driven BPM services with decades of healthcare domain expertise to help clients draw... ...this role is to promote excellent call quality, contact handling and documentation by... ...measurement. Job title: Quality Analyst Job Description: Education: High School...Immediate startRemote workWork from home
$85k - $92k
This is a remote opportunity. The Quality Analyst oversees work performed by the Outpatient audit program to ensure that EXL’s standard of accuracy is met. Audits are performed by validating the accuracy of the coding billed in relation to the medical documentation. The...Remote work- Highmark Inc. is seeking a healthcare quality and compliance professional to lead process improvement, medical record review and coding support across product lines. This role partners with compliance, process improvement, and clinical teams to enhance documentation, ICD...Remote job
- ...Market Risk- Data Quality Analyst Company Overview Business Integration Partners (BIP) is Europe’s fastest growing digital consulting... ...results for our clients. With a strong presence across Healthcare, Life Sciences, Pharmaceutical, and MedTech industries, we partner...Full timeTemporary workRemote workWorldwide
- Dunhill Government Solutions is seeking a Quality Assurance Analyst for a fully remote, U.S.-based role focused on a federal healthcare program and marketplace oversight. You will join a data and testing team skilled in Microsoft technologies (SharePoint, Power Apps, Power...Remote job
- ...AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and... ...the seniority of the role. Role As a QA Analyst on the Mind team, you won't just... ...and personalized care experiences, making quality, safety and usability essential. We're looking...Shift work
- Sword Health is hiring a QA Analyst on the Mind team to validate what’s built and help shape what gets built. You’ll collaborate with... ...contributing to QA processes and automation to deliver safe, effective AI-powered healthcare experiences. #J-18808-Ljbffr Sword Health
$27 per hour
GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations... ...healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a...Hourly payPart timeWork at officeRemote workMonday to Friday- ...plans across mobile, backend, APIs, and AI features, ensuring quality and safety in clinical workflows. You’ll collaborate early in... ...defect management with engineers, contributing to scalable, reliable healthcare software used by enterprise clients. #J-18808-Ljbffr Sword
$45k - $70k
...Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently... ...to optimize healthcare delivery, control costs, and maintain quality care. \3 Key Responsibilities Conduct assessments of medical services...Temporary workWork at officeRemote workWork from home- The Auctus Group is hiring a Senior Reporting Quality Assurance & Data Validation Analyst to ensure the accuracy and consistency of reports across healthcare practice management systems, EHRs, billing platforms, and internal dashboards. This role partners with the Reporting...
- ...re big on accountability. About The Role The Senior Reporting Quality Assurance & Data Validation Analyst is responsible for ensuring the accuracy, completeness, and consistency of reports across healthcare practice management systems, electronic health records (EHRs),...Remote workWork from home
- ...data into third-party platforms. Review data for completeness, quality, and integrity, resolving queries and escalating issues as... ...solution provider with 20+ sites and over 2,000 research-experienced healthcare professionals across the U.S. By embedding high-quality...Remote jobLocal area
- Duly Health and Care is seeking a Quality Performance Analyst to drive clinical quality through advanced analytics, value-based contract optimization, and provider engagement. You will forecast performance, validate data accuracy, and support operational teams in improving...Remote jobContract work
$60.1k - $98.7k
Thisisaremoteofficeopportunity.TheQualityAnalystoverseesworkperformedbytheClinicalCVAauditorstoensurethatEXL’sstandardofaccuracyismet.TheanalystundertakesaqualityreviewofrandomandtargetedclinicalCVAaudits. Abriefcoding/auditingassessmentmaybeincludedaspartoftheinterviewprocess...- Highmark Inc. seeks a healthcare quality professional to collaborate with compliance, process improvement, medical record review, and coding teams across product lines to enhance documentation and ICD-10-CM coding for members. The role supports STARS and value-based care...
- Job Overview BNY Mellon is seeking a highly skilled Senior Developer with strong expertise in Java, Spring Boot, Microservices, Kafka, and AngularJS. This role involves building scalable, high‐performance web applications and collaborating with cross-functional teams to...
- ...Eligibility Test Scenarios Defect Reports Position Title: Healthcare QA Analyst (Membership & Claims) Location: Remote (USA) Duration: 6... ...planning, stand‑ups, and retrospectives. Ensure delivery of high-quality healthcare software solutions within established timelines....Contract workRemote work
$62.7k - $97.2k
...and implements process improvements related to the potential of quality medical care and service to members and to improve... ...Required Current state RN or LPN license or Bachelor’s degree in a Healthcare-related field Substitutions 6 years of experience with HEDIS...For contractorsWork at officeLocal area$84.34k
Remote Health Insurance QA Analyst Introduction Join a forward-thinking health insurance... ...ensuring our systems align with evolving healthcare regulations. This is a unique... ...analytical skills meaningfully, where each quality assurance effort contributes directly to...Remote jobWork from homeHome officeFlexible hours$68.9k - $99.62k
The Configuration Analyst of Office365 is responsible for managing... ...underpayments, overpayments, quality gaps, and operational control... ...party administrator, or other healthcare operations environment... ...reimbursement methodologies such as DRG, APC, APG, per diem, percent...Daily paidContract workTemporary workWork experience placementWork at office$57k - $75k
...wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie... ...of lives in a profound way, apply today. The Clinical Quality Analyst is responsible for ensuring quality medical and clinical processes...Full timeWork at officeLocal areaRemote work- Boutique Recruiting is seeking a Cardiovascular Quality & Performance Consultant for a fully remote role focused on analyzing healthcare data and driving quality improvement in cardiovascular programs. You will translate findings into actionable recommendations for hospital...Remote job
$61.2k - $65k
...Technology Outsourcing and Operations Strategy Project and Grants Management Assessments and Feasibility Studies The Title IV-E Quality Assurance Analyst I is required to work remotely throughout state of Pennsylvania. He/she is responsible for reviewing case files and...Work experience placementH1bWork at officeLocal areaRemote work
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