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DRG QA/Training Manager
Machinify
Provide internal and external partners with evidence and references supporting industry standards, auditing guidelines, and review stances
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Senior Clinical/Operations Internal Monitoring Manager
Clover Health
You have active, unencumbered Registered Nurse (RN) license required
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Sr. Health Plan Operations Analyst
Aledade PBC
Source, clean, and organize data from multiple streams (payer portals, Rx claims files, SFTP sites, and internal databases).
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Quality Assurance Manager - Cell & Gene Therapy
DVA DaVita Inc.
Compliance & Cross-Functional Oversight: Act as the primary liaison with regulatory bodies and internal QMS leadership to ensure compliance to regulatory standards, risk management, and the…
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Manager, Complex Clinical Review
Machinify
…and other audit roles, performing clinical review audits. The Manager will leverage first-hand experience and knowledge of claims auditing for supporting management with strategy activities…
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Director, Insurance and Enterprise Risk Management
TerraPower LLC.
…TerraPower responsibly manages business risk through effective claims prevention and…
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