Appeals Clinical Services Operations Quality Assurance Specialist I
By Cambia Health Solutions At , Burlington, 98233, Wa $21.85 - $36.85 an hour
Generates reports as requested by management (i.e., accuracy, quality).
Intermediate computer skills (e.g. Microsoft Office, Outlook, Internet search) and experience with health care systems and documentation (EMR, billing and claims).
Strong analytical and problem-solving skills.
Demonstrated experience with writing, documentation, and editing.
One-time furniture and equipment allowance for employees working from home
Remote within WA, ID, OR, and UT
Clinical Effectiveness Consultant Ii, Quality Management
By Sutter Health At , Los Altos, Ca $37.86 - $56.79 an hour
Equivalent experience will be accepted in lieu of the required degree or diploma.
This position is work from home eligible.
*This position requires on-site in the office on occasion.*
Pay Range: $37.86 - $56.79 / hour
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Healthcare Quality Assurance Specialist-Consultant
By PCG INTERNATIONAL INC At , Remote
Experience in quality assurance, quality improvement, or risk management within a healthcare setting.
Strong knowledge of healthcare regulations, standards, and best practices (e.g., HIPAA, CMS Conditions of Participation).
Excellent analytical skills, with the ability to collect and interpret data, identify trends, and make evidence-based recommendations.
Effective communication and interpersonal skills to collaborate with diverse stakeholders and present information clearly and concisely.
Problem-solving and critical thinking abilities to identify issues, root causes, and innovative solutions.
Ability to manage multiple priorities, projects, and deadlines effectively.
Associate Director, Clinical Quality Assurance (Remote)
By Takeda Pharmaceutical At , Boston, Ma $143,500 - $200,000 a year
Strong judgment, project management and decision-making skills; able to manage multiple projects and demanding timelines
Escalate systemic and/or critical problems and recommend appropriate solutions to senior management for immediate and long-term resolution
Participate in due diligence activities and process improvement initiatives, as requested by management
Mentor and provide support to Manager level CQA personnel, as needed
Minimum of 10 years of experience in the pharmaceutical, biotechnology or related health care industry.
Minimum 7 years of GCP-related Quality Assurance or relevant clinical trial and medical device experience.
Associate Director, Clinical Quality Assurance (Remote)
By Takeda At United States
Strong judgment, project management and decision-making skills; able to manage multiple projects and demanding timelines
Escalate systemic and/or critical problems and recommend appropriate solutions to senior management for immediate and long-term resolution
Participate in due diligence activities and process improvement initiatives, as requested by management
Mentor and provide support to Manager level CQA personnel, as needed
Minimum of 10 years of experience in the pharmaceutical, biotechnology or related health care industry.
Minimum 7 years of GCP-related Quality Assurance or relevant clinical trial and medical device experience.
Program Manager, Clinical Quality Assurance
By ABBVIE At , , Il
Leverage knowledge of clinical development to maintain program oversight and influence proactive quality management through quality related activities;
Identify and implement balanced fit-for-purpose quality management; Develop and recommend strategies and tactics for success
Identify and remove barriers that could impact program objectives, priorities, timelines, and quality. Communicate risks and mitigations to management
Bachelor’s degree in a physical science, life science, nursing, pharmacy or equivalent experience required
5+ years of pharmaceutical industry experience in GCP quality assurance or regulatory affairs or clinical development or clinical operations.
1+ years of GCP QA auditing experience
Clinical Quality Assurance Specialist
By Skagit Regional Health At , , Wa $39.86 - $59.79 an hour
Skagit Regional Health - Main Campus
Nursing degree required. BSN preferred.
Current Washington State RN License required. CPHQ preferred.
Provider Quality Consultant Jobs
By BlueCross BlueShield of Tennessee At Chattanooga, TN, United States
3 years - Clinical experience or prior experience in public health, healthcare administration, or community health / outreach required.
Demonstrated presentation and team facilitation skills
Excellent oral and written communication skills
Be organized, reliable, and able to manage multiple tasks with exceptional work ethic.
Knowledge of Provider quality strategies, programs, and services
Prior experience with provider contracting is strongly desired.
Clinical Quality Assurance Specialist (Remote)
By Bracane Company, Inc. At Plano, TX, United States
Advanced knowledge of Microsoft Word, Microsoft Excel, and PowerPoint.
5-8 years of Pharmaceutical Clinical Research and Trial experience.
Previous Pharmaceutical Clinical Research and Trial audit and/or monitoring experience is required.
Strong communication skills (verbal & written).
Prior Pharmaceutical and medical device industry experience.
Reviewing, revising, organizing, planning, summarizing, editing, and proofreading Clinical and Clinical Quality procedures, work instructions, forms, and templates.
Clinical Consultant - Ksa
By Business Umbrella - Management Consulting, Recruitment & Advisory At United States
1- Qualified candidates will have previous strong clinical experience in surgery or other medical specialties
2- Fluent in both Arabic and English.
4- Willing to relocate to KSA
Monthly salaries starting from 35,000 SR.
Clinical Quality – Risk Team Consultant
By ClinTech Health At United States
• Experience with process management, reporting and data analysis.
• Bachelor's Degree with fields of study in Compliance, Project Management, and/or Data Analysis and Reporting.
• 2 years of relevant experience may be substituted for education.
• Skills and knowledge of Quality Assurance process and procedures.
• Knowledge in developing and writing policy and procedures. Technical writing skills a plus.
• Knowledge and skills in process mapping and charting including the use Visio and/or Easy Flow.
Kyc Quality Assurance Consultant
By Madison-Davis, LLC - Executive Recruiting At New York City Metropolitan Area, United States
Assist with the preparation of quarterly reports detailing the KYC reviews for senior management.
Perform Quality Assurance reviews of customer KYC files for new account openings, periodic-refresh of existing customers, off-boarded customers, and trigger-based events.
Be responsible for documenting file reviews and maintaining an internal tracking log for items requiring remediation.
Identify trends, areas of improvement and potential training opportunities for the KYC team.
This analyst will also be utilized for special projects as needed especially with the new TOM implementation.
Clinical Quality Assurance Program Lead
By GSK At , Durham, 27701, Nc
Demonstrated project management skills, prioritisation and management of cross-functional activities
Provide support in the co-ordination and management of Regulatory Inspection activities for applicable clinical programmes.
Extensive knowledge of global, regional and national GCP regulatory requirements and regulations
Implement and manage Quality Assurance Plans for all programmes where audit activities are performed.
A broad scientific/pharmaceutical industry background with relevant experience in pharmaceutical research and/or pharmacovigilance.
Previous experience of Good Clinical Practice and/or Clinical Quality Assurance
Behavioral Health Clinical And Quality Assurance Strategist (Operations & Policy Analyst 4)
By Oregon Health Authority At , Salem, Or $6,480 - $9,541 a month
Specific knowledge of Medicaid Title XIX and XXI regulations and program requirements.
Specific knowledge of health services delivery systems; government health benefit programs, particularly Medicaid; and client rights related to those programs.
Experience working with behavioral health systems and/or the justice system and/or multi-system work.
Demonstrates skills in the following areas:
Please only attach documents that are related to the position. Additional documents that are attached will not be reviewed.
Applicant Help and Support webpage
Quality Consultant Jobs
By Trinzo At United States
Maintain a thorough knowledge of appropriate standard operating procedures and applicable regulatory requirements and guidance documents.
· A minimum of 5 years’ experience in Medical Device industry.
· Prior experience with companies dealing with 483 warning letters.
· Excellent Verbal and written communication skills.
· Analytical skills and focus on detail.
Closing of urgent CAPA’s in line with standards while maintaining a high level of quality throughout
Quality Assurance Lead Consultant
By WSP At , Dallas, Tx
Lead and manage construction administration deliverables on complex projects and tasks
Ensure quality of products and deliverables meet project and client requirements
Coordinate and manage project teams and small to mid-size projects
Bachelor’s degree or equivalent years of experience
7 to 10 years of experience
Experience with using required technical software and applications
Senior Manager, Clinical Quality Assurance
By BridgeBio At , $155,000 - $170,000 a year
Education, Experience & Skills Requirements
Support the management, maintenance, and evaluation of QED's Quality Management System and processes for continuous improvement
Attention to detail and proper use of tools for information processing and electronic quality management systems
Bachelor's degree in a scientific discipline or equivalent experience
Minimum of 5 years of experience in a GCP practice area; Clinical Quality Assurance or similar role preferred
Knowledge of applicable GCP guidelines (e.g., CFRs and ICH)
Clinical Quality Assurance Specialist (Remote)
By The American College of Radiology At , Philadelphia, 19103, Pa
Experience with Electronic Documentation Management System (EDMS) and Electronic Master File system (eTMF);
Participate in continuously improving and maintaining our quality management system and assist with compliance activities;
Participate in vendor qualification audits as assigned. Including production of audit plans, reports, collection of responses, and follow-up;
2+ years of Good Clinical Practices (GCP) related experience required; auditing experience is preferred;
Certification as a Quality Auditor or related certificate is a plus;
Exceptional technical writing, review, and analytical abilities;
Clinical Quality Assurance Director
By IQVIA At , Remote
5 years of Line Management Experience
Senior Management experience in Quality Assurance.
Required Knowledge, Skills and Abilities:
Provide actionable insights to customer counterparts, QA Leadership and Senior Management
Conduct trend analysis of audit results and provide QA management with initial root cause analysis
May present trend analysis results and QA metrics and insights to IQVIA Senior management
Senior Clinical Quality Consultant Rn, Optum Co
By UnitedHealth Group At , Denver, 80221, Co $67,800 - $133,100 a year
4+ years of healthcare experience, including experience in a managed care setting
2+ years of experience in provider facing interactions, including provider education
2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role
Billing and CPT coding experience
Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets. Must be proficient in Excel
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups

Are you looking for an exciting opportunity to make a difference in the healthcare industry? We are looking for a Clinical Quality Assurance Consultant to join our team and help ensure the highest quality of care for our patients. As a Clinical Quality Assurance Consultant, you will be responsible for developing and implementing quality assurance processes and procedures, monitoring compliance with regulatory requirements, and providing feedback and recommendations for improvement. If you are a highly motivated individual with a passion for quality assurance, then this is the perfect job for you!

Overview:

A Clinical Quality Assurance Consultant is responsible for ensuring the quality of clinical services provided by healthcare organizations. They are responsible for developing and implementing quality assurance programs, conducting audits, and providing feedback to healthcare organizations on their performance.

Detailed Job Description:

Clinical Quality Assurance Consultants are responsible for developing and implementing quality assurance programs to ensure the quality of clinical services provided by healthcare organizations. They are responsible for conducting audits of healthcare organizations to evaluate their performance and compliance with regulations and standards. They also provide feedback to healthcare organizations on their performance and suggest areas for improvement. In addition, they may also provide training and education to healthcare staff on quality assurance topics.

What is Clinical Quality Assurance Consultant Job Skills Required?

• Knowledge of healthcare regulations and standards
• Excellent communication and interpersonal skills
• Analytical and problem-solving skills
• Attention to detail
• Ability to work independently
• Ability to work in a team environment

What is Clinical Quality Assurance Consultant Job Qualifications?

• Bachelor’s degree in healthcare administration, public health, or a related field
• Certification in quality assurance or related field
• Previous experience in quality assurance or related field

What is Clinical Quality Assurance Consultant Job Knowledge?

• Knowledge of healthcare regulations and standards
• Knowledge of quality assurance principles and practices
• Knowledge of data analysis and reporting techniques

What is Clinical Quality Assurance Consultant Job Experience?

• Previous experience in quality assurance or related field
• Experience conducting audits and providing feedback
• Experience developing and implementing quality assurance programs

What is Clinical Quality Assurance Consultant Job Responsibilities?

• Develop and implement quality assurance programs
• Conduct audits of healthcare organizations
• Provide feedback to healthcare organizations on their performance
• Provide training and education to healthcare staff on quality assurance topics
• Monitor compliance with regulations and standards
• Analyze data and generate reports