Collecting information
Organizing data
Deep clinical domain knowledge including understanding of clinical workflows, medical terminology, and healthcare delivery processes. Data Quality Experience: Proven track record developing and implementing data validation frameworks and quality assurance processes. Clinical Concept Mapping: Transla
Specific review types may include case management, program payment appropriateness, program and policy compliance, billing, coding and medical record documentation reviews, as well as research and analysis of industry trends. The Medicaid Audit and Compliance Specialist will perform audits as assign
Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. Our performance management program is designed
Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred. Medicaid MCO billing experience. Medical Billing Specialist with demonstrated.
Clinical Operations, Clinical Development, Biostats, Data Management, Clinical Pharmacology, and Regulatory Affairs) to ensure compliance and continuous process improvement. Lead or contribute to Quality and Clinical Governance forums through the development and maintenance of key Clinical Quality M
Lead and execute the endâtoâend Quality Assurance strategy aligned to the Product Delivery Lifecycle (PDLC), embedding quality from discovery through release and operations, including AIâassisted delivery workflows. The ideal candidate brings 10+ years of experience in Quality Assuran
Develop, review and accept Quality Assurance Plans (SQAP/HPAP) to ensure certification compliance. Compliance & Quality Assurance Engineer. Understand, update, and maintain QMS systems in compliance with ISO9001, AS91000, and other equivalent industry standards in addition to ensuring compliance to
Under general supervision, the Clinical Pharmacy Specialist participates as an integral member of the multidisciplinary healthcare team, working closely with physicians, residents, fellows, and nurses to ensure safe, effective, and evidence-based therapeutic recommendations in inpatient and/or outpa
Promotes clinical effectiveness, efficient use of resources, and quality care in practice setting. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart
Proven track record in clinical/patient safety, risk financing, legal and regulatory compliance, healthcare operations, and claims/litigation management. We are seeking a dedicated Risk Management and Compliance Specialist with extensive prior experience working in hospital systems in Texas. Certifi
Under general supervision of a licensed practitioner and/or department leader, the Clin-Med Assist II independently provides and documents clinical care and associated tasks as assigned and as per standardized clinical protocols. Knowledge of healthcare operations and workflows. Advanced knowledge o
California Registered Nurse (RN) - CA Board of Registered Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED. Promotes clinical e
Quality AssuranceConsistently prioritizes and accomplishes assigned workload in a timely manner that promotes smooth pharmacy operations. Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board; California Pharmacy Technician License (TCH) - CA State Board of Pharmacy. Medicat
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED. NIH Stroke Scale (NIHSS) - Various-Employee provides certificate; Pediatric Advanced Life Support (PALS) - American Heart Association; California Registered Nurse (RN) - CA Board of Regist
Advanced knowledge of medical terminology; experience with data entry and clinical computer systems. Under general supervision of a licensed practitioner and/or department leader, the Clin-Med Assist I independently provides and documents clinical care and associated tasks as assigned and as per sta
Participates in providing didactic and experiential training in Clinical Pharmacy for clinical pharmacy residents. Participate in the development of medication use management programs within Sharp Healthcare including clinical guidelines, critical pathways, disease management, and drug use programs.
The Quality Improvement Coordinator (QIC), functions as a resource to staff and facilitates the achievement of departmental and organizational goals in the area of quality management, patient safety, and accreditation/regulatory compliance through developing effective working relationships and partn
AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED. Promotes clinical e
California Registered Nurse (RN) - CA Board of Registered Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED. Anticipates problem
The Quality Improvement Coordinator (QIC), functions as a resource to staff and facilitates the achievement of departmental and organizational goals in the area of quality management, patient safety, and accreditation/regulatory compliance through developing effective working relationships and partn