Manager QA and ReportingWashington Staffing • Renton, WA, US
[error_messages.no_longer_accepting]
Manager QA and Reporting
Washington Staffing • Renton, WA, US
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Bachelor's degree in Business, Accounting, Health Care, Management or related field Five years of experience in claims, membership, or customer service activities is desired Minimum three years experience in a leadership or supervisory position Ability to communicate effectively, verbally and in writing with all levels of Cambia personnel. Ability to lead and participate in a team environment to achieve department goals and objectives consistent with corporate vision and strategies. Ability to interpret regulations and external reporting requirements, plan for and successfully implement changes in LOS, LDLA, performance guarantee, and staff performance audit requirements, including appropriate sampling methodology, audit oversight, and concise and accurate reporting. Knowledge of audit techniques and statistical sampling methods and procedures including sample sizes, variances, confidence levels, random and stratified sampling, and precision levels. Knowledge of generally accepted auditing procedures and practices, obtained through an auditing course or prior work experience. Knowledge of quality tools and quality improvement methodologies. Demonstrated effective and diplomatic interpersonal skills with all levels of staff and management Demonstrated analytical ability in identifying problems, developing solutions and implementing effective courses of action. Ability to think clearly under pressure and project a professional image at all times. Strong proficiency with personal computer applications including Microsoft Excel, Word, and PowerPoint.
Manager Qa & Reporting (Healthcare)
Hybrid (In office 3 days / week) within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For :
Every day, Cambia's Operations and Compliance Team is living our mission to make health care easier and lives better. The Manager of Quality Assurance And Reporting directs, develops and leads the staff accountable for providing Health Plan Operation Quality Assurance Auditing and Reporting. Accountable for the timely and accurate external corporate reporting for the Blue Cross Blue Shield Association (BCBSA) Local Operations Scorecard (LOS) and Licensee Desk Level Audit (LDLA), as well as Performance Guarantee performance measures. Responsible for the interpretation of LOS, LDLA, and PG policies and regulations and for the implementation of the necessary statistically valid audit procedures to assess these performance measures. May also be responsible for internal high dollar prepay, staff performance auditing activities, external audit support, or compliance audits. Responsible for writing audit programs, evaluating audit results, and reporting to internal Senior Management any quality issues and areas where quality improvement is needed. Primary business contacts include BlueCross BlueShield Association, affiliate Plan LOS or LDLA peers, Member and Provider Experience, Claims, Group and Member Administration, DTS, and Provider Services Division management - all in service of making our members' health journeys easier.
If you're a motivated and experienced QA & Reporting Leader looking to make a difference in the healthcare industry, apply for this exciting opportunity today!
What You Bring to Cambia :
Preferred Key Experience :
- Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
Qualifications and Certifications :
Skills and Attributes (Not limited to) :
[job_alerts.create_a_job]
Qa Manager • Renton, WA, US
[internal_linking.related_jobs]
AlliedTravelCareers is working with Infojini Healthcare to find a qualified Speech Language Pathologist (SLP) in Orting, Washington, 98360!.
Speech Language Pathologist (SLP),06 : 00 : 00-14 : 00 : 00.Self...[show_more]
Peraton is seeking a Quality Assurance (QA) Analyst.This position develops and executes test cases, identifying and reporting defects, and ensuring software meets quality standards.Key responsibili...[show_more]
Audit Manager (Quality Review).Boulay is currently looking for an Audit Manager (Quality Review) who will be responsible for managing technical accounting and auditing research to ensure audits and...[show_more]
Compensation : $85,000 - $115,000 / year + bonus.Comprehensive Benefits Package.We are food travel experts, and we are passionate about bringing cool, authentic restaurants to airports that reflect ...[show_more]
Manager, Engineering to drive the development, maintenance, and enhancement of a digital fraud detection platform.Collaborate with cross-functional teams to help deliver engineering products to ide...[show_more]
We know these are some of the things people look for in a job.If you're the kind of person who believes that honoring and empowering our nation's veterans is more than just a cause - that it's a ca...[show_more]
Engineering Manager For Search And Knowledge Quality Team.Are you passionate about search technologies and building knowledge experiences? The Answers, Knowledge, and Information team is at the for...[show_more]
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...[show_more]
RN ED - Emergency Department for a travel nursing job in Parkland, Washington.Job Description & Requirements.Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) w...[show_more]
Senior Manager – Labor & Delivery.Department : Women & Children’s Services -.Labor & Delivery Reports to : Senior Director, Women’s and Children’s Services.We are ...[show_more]
In this strategic role you will set the vision for field quality drive enterprise-level improvements and ensure alignment with regulatory customer and Boeing quality standards across multiple teams...[show_more] Manager QA & Reporting (Healthcare).Hybrid (In office 3 days / week) within Oregon, Washington, Idaho or Utah.Join our Cause to create a person-focused and economically sustainable health care system...[show_more] 
Position : Quality Assurance (FACETS).Local candidate based out of Seattle is a must.Business Analysis and Quality Assurance.
Strong domain knowledge in healthcare : payer provider EHR / EMR systems c...[show_more]
Project manager -(eCommerce Testing & Delivery) Contract ; Long-term contract Overview We’re hiring Tactical PMTs to drive eCommerce testing and delivery execution.These...[show_more]
BS in Engineering or Engineering Technology / or relevant engineering experience.Experience with AS9100 & NADCAP.Compiling and reviewing source data packages for part delivery.Compiling and prepari...[show_more]
Kirby Bates Associates, a nationally recognized healthcare leadership firm, is currently seeking an Interim Nurse Manager of Labor and Delivery for an exciting engagement in Washington State.This h...[show_more]
Hands-on experience with performance testing tools (e.Strong knowledge of system architecture (web, cloud, microservices, databases).
Proficiency in monitoring and APM tools (e.Dynatrace, AppDynamic...[show_more]
Ready to be pushed beyond what you think you’re capable of?.At Coinbase, our mission is to increase economic freedom in the world.
It’s a massive, ambitious opportunity that demands the best of us, ...[show_more]
Travel Speech Language Pathologist (SLP) in Orting, WA
AlliedTravelCareers • Orting, WA, US
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
DHA - Quality Assurance Analyst
Peraton • Tacoma, WA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Audit Manager (Quality Review)
Boulay • Seattle, WA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Food Safety and Quality Assurance Manager
SSP America • Seattle, WA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Manager, Engineering
Remitly, Inc. • Seattle, WA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Digital Warrior Experience Manager
Wounded Warrior Project • Tacoma, WA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
AIML - Engineering Manager, Search and Knowledge Quality
Seattle Staffing • Seattle, WA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Dashers - Sign Up and Start Earning
DoorDash • Parkland, WA, United States
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Travel Nurse RN - ED - Emergency Department - $2,535 per week
Travel Nurses, Inc. • Parkland, WA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Labor and Delivery Nursing Manager
Curehire • Kent, WA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Senior Quality Manager
Boeing • Seattle, Oregon, USA
[job_card.full_time] +1
[last_updated.last_updated_variable_days] • [promoted]
Manager QA and Reporting
Washington Staffing • Bellevue, WA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
QA Facets
Apptad Inc • Seattle, Oregon, USA
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
QA Lead / Manager (eCommerce Testing )
Inabia Software & Consulting Inc. • Seattle, WA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Quality Engineer
Butler Aerospace and Defense • Kent, WA, US
[job_card.temporary]
[last_updated.last_updated_variable_days] • [promoted]
Interim Nurse Manager Labor and Delivery
Kirby Bates Associates • Tacoma, WA, US
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Quality Manager
Diverse Lynx • Bellevue, WA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Senior Manager, FP&A
Coinbase • Seattle, Washington, United States
[filters.remote]
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]