Clinical Quality Improvement RN Analyst
Highmark Health Company
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 initiatives, conducts audits, site visits, and training for providers, and coordinates credentialing-related activities to ensure quality outcomes across programs. #J-18808-Ljbffr Highmark Health Company
- Highmark Inc. is seeking a healthcare quality and compliance professional to lead process improvement, medical record review and... ...compliance, process improvement, and clinical teams to enhance documentation,... ...The ideal candidate has current RN/LPN license or a healthcare-...QualityRemote job
$62.7k - $97.2k
...areas of compliance, process improvement, medical record review and coding... ...related to the potential of quality medical care and service to... ...Required Current state RN or LPN license or Bachelor’s... ...to understand and interpret clinical data Language (Other than English...QualityFor contractorsWork at officeLocal area- RN/LPN Nursing Admin Clinical Analyst (FT) - Reidsville, GA If you are unable to complete this application due... ...nursing leadership, clinical departments, quality and compliance teams, information technology, and other stakeholders to improve clinical outcomes, operational...QualityFull timeWork at office
- Capital Health seeks a Clinical Documentation Specialist to improve the quality and completeness of clinical documentation across patient records, ensuring accurate DRG assignments and quality reporting. Strong communication with physicians and care teams is essential....Quality
$58k - $63k
...this position is to provide clinical system support for Athena Health... ...Work with clinical staff to improve, build and maintain Athena... ...clinical data. Clinical system analyst must attend training, system... ...to ensure maximum uptime and quality support. As well as identifies...QualityWork at officeDay shift- EXL Service is seeking a Clinical Readmission Quality Analyst to oversee auditing staff and ensure accuracy, consistency, and documentation quality... ...identify quality trends, and support calibration and process improvements to strengthen overall audit quality and performance....QualityRemote job
- EXL is seeking a remote Quality Analyst to supervise the Clinical CVA auditing process, ensuring accuracy and consistency across audits.... ...clinical judgment to DRG reviews, and driving quality improvements. The position requires RN licensure and 5+ years of clinical validation...QualityRemote job
$60.1k - $98.7k
The Clinical Readmission Review Quality Analyst oversees work performed by Clinical Readmission Review Auditors to ensure EXL’s standard of accuracy,... ...auditors, supports calibration, and recommends process improvements to strengthen overall audit quality and performance....QualityRemote work$92.07k - $112.53k
Quality Improvement Analyst II The Quality Improvement Analyst II is responsible for performing comprehensive data analysis and visualization to... ...stakeholders, serve as a subject matter expert on clinical quality measures, and ensure compliance with analytic components...QualityWork at officeLocal areaWork from homeFlexible hours- ...Clinical Data AnalystThe Clinical Data Analyst supports Healthix's data strategy by ensuring the collection, quality, accuracy, accessibility, and effective use of healthcare data. This... ...Analyst is responsible for maintaining, improving, cleansing, and analyzing data...Quality
- ...Clinical Data AnalystUnder the direction of the Director of the MSCH NICU Data Committee, the NICU Clinical Data Abstractor works... ...Electronic Medical Record (EMR) system used for data reporting, quality improvement initiatives, and clinical research.This position identifies,...QualityLocal areaImmediate startFlexible hours
- ...) Job Summary As the IT Epic Analyst II, you are responsible for the... ...support of your assigned non-clinical Epic software applications.... ...systems ensuring adequate testing, quality assurance and documentation... ...Committed to its mission of improving health and well-being,...QualityFull timeRemote workFlexible hoursShift work
$72.7k - $116.6k
...lower per capita health care costs, improved outcomes from and quality of care received, and optimal member... ...dissemination and interpretation of clinical and population health analyses, metrics... .... Supports Senior and Lead level analysts with consultative, technical, subject...QualityFor contractorsWork experience placementWork at officeLocal areaRemote workShift work$60.1k - $98.7k
...Formoreinformationonbenefitsandwhatweofferpleasevisitusat Responsibilities Apply clinical judgment for DRG audits to ensure... ...auditors Recommend process changes to improve quality and performance Communicate with peers... ...yourself why clients, employees, and analysts think we’re some of the best in the...Quality$114k
...health systems and medical groups improve financial performance,... ...workflow orchestration. As our Clinical Documentation Improvement (CDI... ...opportunities for improving the quality of medical record documentation... ...care hospital Have an active RN license with experience in:...QualityWork experience placementLocal area- Position Summary The Data Analyst Quality Review Nurse is a Bachelor-prepared Registered Nurse who specializes in data collection, trend... ...and therapy practices alongside patient data to promote improved clinical outcomes, maintain compliance, and strengthen patient safety...Quality
- ...role focuses on assembling and interpreting clinical, financial, and administrative data to improve health outcomes and care quality. The incumbent collaborates with clinical,... ...leadership and mentorship while supporting senior analysts in complex analytic projects across the...QualityRemote job
$40 - $47 per hour
Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity...QualityRemote jobHourly pay- ...Clinical Quality Improvement Specialist Location: New York, NY area Employer type: Acute care What the work involves: Knowledgeable of Performance Improvement methodology used within the organization. Maintains up-to-date knowledge of trends and advances...QualityWork at office
- ...AI-powered physician enablement platform, is seeking a Data Analyst to own clinical data completeness and effectiveness. Work across data sources (claims, CCDAs, ADT, EHRs) to identify gaps, improve data quality, and drive actionable insights that inform vendor strategy...QualityRemote job
- Job Title: Clinical Business Analyst Location: Canada (Remote) Fixed-Term Contract Overview We are... ..., delivery dates, and exceptional quality standards. You will act as a critical... ...seeking input on future direction and improvements. Directly interface with business users...QualityFixed term contractWork experience placementRemote work
$78.42k - $129.36k
SUMMARY: The Clinical Trials Data and Technology Analyst plays a pivotal role specializing in the development and... ...advancements to drive continuous improvement. Maintains a repository of application... ...to assess data completeness, quality, and acceptability, contributing to...QualityTraineeshipRemote workShift work- ...Metropolitan delivers high quality health services with compassion... ...of system-wide clinical systems. Specifically, collect... ...for junior clinical business analysts and/or other appropriate project... ...Identify opportunities for process improvements and provide analysis and...QualityContract workWork experience placement
$68.4k - $171k
...assigned system or process.• Contribute and implement ideas to improve overall quality and efficiency of systems and processes. Act as a change... ...informed decisionsIQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence...QualityFull timePart timeImmediate startWorldwide$77k - $100k
Clover Health# Data Analyst, Clinical Data EffectivenessReview the role, location requirements... ...and the ability to turn complex data-quality findings into cross-functional technical... ...Health) to assess viability, quality improvements, and strategic fit.* Systematically determine...QualityWork experience placementWork at officeRemote workFlexible hours- ...Participates in interdisciplinary and process improvement teams to identify potential future uses... ...committee meeting; reports to Hospital Quality Management for external benchmarking as... ..., required. One-three (1-3) years clinical experience including general knowledge of...QualityHourly payWork at office
- ...Resource Planning and Forecasting Analyst to join our team. In this... ...services and ensuring that clinical resources are optimally planned... ..., and attendance patterns to improve forecast accuracy. Build and... ...data sources, conduct data quality checks, and ensure trust in reporting...QualityTemporary workRemote workRotating shift
- ...Management at SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Clinical Documentation Improvement (CDI) Specialist. Job Summary Reporting to the CDI Manager and Director of Health...QualityFull timeWork at office
- A pediatric multispecialty group in Georgia is seeking a dedicated Registered Nurse (RN) - Clinical Lead to oversee daily operations and ensure high-quality patient care. The ideal candidate will have a Bachelor's degree in Nursing, an active RN license, and at least 3...Quality
$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...QualityRemote job
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