Quality Analyst jobs at Mercy Medical Center, Canton, Ohio - 684 jobs

A leading healthcare institution in New York, NY is seeking an Automation Director to lead the identification and implementation of automation solutions. This hybrid role requires expertise in RPA technologies, programming languages, and strong collaboration skills. The ideal candidate will have over 5 years' experience in automation across various environments. This role offers a competitive salary ranging from $128,500 to $196,375, along with additional benefits. Join a top-ranked hospital committed to excellence in healthcare. #J-18808-Ljbffr

A healthcare organization is seeking a Senior Data and Reporting Professional responsible for managing and transforming data from various sources. This role involves developing and maintaining ETL processes, creating report specifications, and influencing business strategies. The ideal candidate should possess strong analytical skills and experience in SQL and ETL processes, along with a passion for automation. This remote position may require occasional travel to the company's offices. #J-18808-Ljbffr

A leading healthcare organization is seeking a Senior Data and Reporting Professional in Honolulu, Hawaii. This role involves managing data integrations, developing SQL solutions, and ensuring data integrity for reporting and analytics. The ideal candidate will have at least 5 years of experience in data management and ETL processes, with strong analytical skills. This position supports a hybrid work model with some remote flexibility, and offers competitive compensation and benefits. #J-18808-Ljbffr

The Business Analyst's role will elicit, analyze, specify, and validate the business needs of stakeholders, be they customers or end users. This includes interviewing stakeholders and gathering and compiling user requirements to understand the technology solutions they need. The Business Analyst will apply proven communication, analytical, and problem-solving skills to help the business make good technology decisions. The Business Analyst will also be proactive at following emerging Technology trends, watching for new technologies to optimize business processes. The Business Analyst will play a pivotal role in ensuring IT's understanding of business requirements. What's in it for you? Compensation based on experience Faith and purposed-based career opportunity! Fully Paid Health Benefit Retirement and Life insurance 12 Paid Holidays PLUS Birthday Lunch is provided DAILY. Professional Certification Development Hybrid remote/on-site work arrangements available Responsibilities Position will dually report into the Project Management office and Functional Vertical VP, the duties and responsibilities of the Business Analyst role include: Strategy and Planning Collaborate with project sponsors to determine project scope and vision. Clearly identify project stakeholders and establish user classes, as well as their characteristics. Conduct interviews to gather user requirements via workshops, questionnaires, surveys, site visits, workflow storyboards, use cases, scenarios, and other methods. Identify and establish scope and parameters of requirements analysis on a project-by-project basis to define project impact, outcome criteria, and metrics. Work with stakeholders and project team to prioritize collected requirements. Research, review, and analyze the effectiveness and efficiency of existing requirements-gathering processes and develop strategies for enhancing or further leveraging these processes. Acquisition and Deployment Assist in conducting research on software and hardware products to meet agreed-upon requirements and to support purchasing efforts. Participate in the QA of purchased solutions to ensure features and functions have been enabled and optimized. Participate in the selection of any requirements documentation software solutions that the organization may opt to use. Operational Management Analyze and verify requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards. Develop and utilize standard templates to write requirements specifications accurately and concisely. Translate conceptual user requirements into functional requirements in a clear manner that is comprehensible to developers/project team. Where applicable, develop prototypes of interfaces and attributes based on user requirements. Create process models, specifications, diagrams, and charts to provide direction to developers and/or the project team. Develop and conduct peer reviews of business requirements to ensure that requirement specifications are correctly interpreted. Assist with the interpretation of user requirements into feasible options and communicate these back to the business stakeholders. Manage and track the status of requirements throughout the project lifecycle; enforce and redefine as necessary. Communicate changes, enhancements, and modifications of business requirements - verbally or through written documentation - to project managers, sponsors, and other stakeholders so that issues and solutions are understood. Act as the departmental Solution(s) configuration subject matter expert (SME). Requirements Functional process expertise in Finance and Accounting systems and processes. Proven experience with business and technical requirements analysis, elicitation, modeling, verification, and methodology development. Experience overseeing the design, development, and implementation of software and hardware solutions, systems, or products. Ability to create systematic and consistent requirements specifications in both technical and user-friendly language. Exceptional analytical and statistical skills with the ability to apply them to systems issues and products as required. Demonstrated project management skills and project management software skills, including planning, organizing, and managing resources. Understanding of application development and software development life cycle concepts Able to influence and drive individuals and teams to meet key milestones and overcome challenges. Ability to work in a team and/or be an effective individual contributor. Experience with the following is preferred Professional certifications with International Institute of Business Analysis Accounting Practitioner Healthcare Industry Microsoft Office Suite of Products Monday Project Management Platform Sage Intacct Accounting Software About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health cost sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.

At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. The Quality Analytics Analyst is responsible for assisting in administration of the quality analytics function to support the STERIS AST Quality and Operations analysis function globally. This position assists with the development and implementation of quality and operational analysis and reporting in various systems to support management review and decision-making. This position is active in supporting performance improvement initiatives and provides inputs for analysis that is presented to senior management and local site management across all AST facilities. The individual is responsible for completing assigned reporting and analytic requirements provided by internal and external Customers. The role is responsible for the reporting and analysis that supports the quality system to be compliant with, as appropriate, the following standards: ISO 9001, ISO 13485, FDA 21 CFR Part 820/211, EU GMPs, ISO 17025, ISO 11137 and/or ISO 11135 and other applicable regulatory standards. This role supports local site efforts focused on quality system improvement, supplier quality, process quality, new service/modality/technology development quality and quality system compliance. The Analyst, Quality Analytics supports and provides input to the preparation of the senior management review function and reporting to allow sites to meet all applicable regulatory standards. This role supports complaint/CAPA investigations, supplier quality improvement initiatives, continuous improvement initiatives and countermeasures with the use of statistical techniques and other accepted quality principles. This role also supports production and quality operations by coordinating and performing problem-solving investigations as assigned and reviews and analysisof quality system functions such as non-conformances, damages, calibration, dosimetry results, etc. This is a hybrid position. The schedule is Monday- Friday, 8 AM - 5 PM, with a requirement of working on-site on Mondays, Tuesdays, and Thursdays. What You'll Do as a Quality Analytics Analyst * Coordinate individual day-to-day tasks to complete recurring (Monthly/Quarterly/Annually) reporting requirements for Quality Analytics function. * Responsible for executing data refreshes and reporting updates at regular intervals to maintain accurate reporting for quality operations. * Responsible for providing reporting and analytics for non-conformance trending across all * Initiate and/or participate in corrective actions, problem-solving and continuous improvement activities. * Travel to AST facilities, domestically and/or globally, to support remediation activities, audits/inspections and/or continuous improvement initiatives. * Perform internal reviews of data trends among multiple systems, create reporting to illustrate data trending issues, and develop and execute actions to remediate any negative data trends as assigned by the Manager, Quality Analytics. * Create or amend process documentation for reporting within the Quality Analytics function and provide input to Quality Operations work instructions where applicable. * Review collected data to perform statistical analysis and recommend process changes to improve quality. * Monitor and report on performance metrics. * Instruct other STERIS employees in quality principles, effective corrective actions, and valid statistical techniques. * Collaborate with other departments and facilities within the company on quality related issues. * Support development of reports to enhance the STERIS quality system programs (i.e. calibration, maintenance, training, CAPA, complaints, non-conformances, supplier quality, management review, operational qualifications, document control, change control, risk management, etc). * Overall responsibilities include commitment to ensure the accuracy of reporting data and analytics to meet external and internal requirements according to documented policies, procedures, standards and regulations. * Perform other duties as assigned. Education Degree Bachelor's Degree The Experience, Abilities, and Skills Needed * 1-5 years of combined statistical analysis and/or data management and analytics experience. * 1-5 years of experience with medical device or other regulated industries preferred. * 1-5 years of experience working in an ISO certified environment required. * Working knowledge of FDA QSR/ EUGMP regulations strongly preferred. * Advanced knowledge of data analytics tools such as SQL, Tableau, Minitab, etc. is preferred. * This role requires on-site work in Mentor, Ohio on Mondays, Tuesdays, and Thursdays, with remote work available on Wednesdays and Fridays. Pay range for this opportunity is $72,000 - $90,000. Minimum pay rates offered will comply with county/city minimums, if higher than range listed. Pay rates are based on a number of factors, including but not limited to local labor market costs, years of relevant experience, education, professional certifications, foreign language fluency, etc. STERIS offers a comprehensive and competitive benefits portfolio. Click here for a complete list of benefits: STERIS Benefits Open until position is filled. STERIS is an Equal Opportunity Employer. We are committed to equal employment opportunity to ensure that persons are recruited, hired, trained, transferred and promoted in all job groups regardless of race, color, religion, age, disability, national origin, citizenship status, military or veteran status, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, genetic information, and any other category protected by federal, state or local law. We are not only committed to this policy by our status as a federal government contractor, but also we are strongly bound by the principle of equal employment opportunity.

At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. The Quality Analytics Analyst is responsible for assisting in administration of the quality analytics function to support the STERIS AST Quality and Operations analysis function globally. This position assists with the development and implementation of quality and operational analysis and reporting in various systems to support management review and decision-making. This position is active in supporting performance improvement initiatives and provides inputs for analysis that is presented to senior management and local site management across all AST facilities. The individual is responsible for completing assigned reporting and analytic requirements provided by internal and external Customers. The role is responsible for the reporting and analysis that supports the quality system to be compliant with, as appropriate, the following standards: ISO 9001, ISO 13485, FDA 21 CFR Part 820/211, EU GMPs, ISO 17025, ISO 11137 and/or ISO 11135 and other applicable regulatory standards. This role supports local site efforts focused on quality system improvement, supplier quality, process quality, new service/modality/technology development quality and quality system compliance. The Analyst, Quality Analytics supports and provides input to the preparation of the senior management review function and reporting to allow sites to meet all applicable regulatory standards. This role supports complaint/CAPA investigations, supplier quality improvement initiatives, continuous improvement initiatives and countermeasures with the use of statistical techniques and other accepted quality principles. This role also supports production and quality operations by coordinating and performing problem-solving investigations as assigned and reviews and analysisof quality system functions such as non-conformances, damages, calibration, dosimetry results, etc. This is a hybrid position. The schedule is Monday- Friday, 8 AM - 5 PM, with a requirement of working on-site on Mondays, Tuesdays, and Thursdays. What You'll Do as a Quality Analytics Analyst Coordinate individual day-to-day tasks to complete recurring (Monthly/Quarterly/Annually) reporting requirements for Quality Analytics function. Responsible for executing data refreshes and reporting updates at regular intervals to maintain accurate reporting for quality operations. Responsible for providing reporting and analytics for non-conformance trending across all Initiate and/or participate in corrective actions, problem-solving and continuous improvement activities. Travel to AST facilities, domestically and/or globally, to support remediation activities, audits/inspections and/or continuous improvement initiatives. Perform internal reviews of data trends among multiple systems, create reporting to illustrate data trending issues, and develop and execute actions to remediate any negative data trends as assigned by the Manager, Quality Analytics. Create or amend process documentation for reporting within the Quality Analytics function and provide input to Quality Operations work instructions where applicable. Review collected data to perform statistical analysis and recommend process changes to improve quality. Monitor and report on performance metrics. Instruct other STERIS employees in quality principles, effective corrective actions, and valid statistical techniques. Collaborate with other departments and facilities within the company on quality related issues. Support development of reports to enhance the STERIS quality system programs (i.e. calibration, maintenance, training, CAPA, complaints, non-conformances, supplier quality, management review, operational qualifications, document control, change control, risk management, etc). Overall responsibilities include commitment to ensure the accuracy of reporting data and analytics to meet external and internal requirements according to documented policies, procedures, standards and regulations. Perform other duties as assigned. Education Degree Bachelor's DegreeThe Experience, Abilities, and Skills Needed 1-5 years of combined statistical analysis and/or data management and analytics experience. 1-5 years of experience with medical device or other regulated industries preferred. 1-5 years of experience working in an ISO certified environment required. Working knowledge of FDA QSR/ EUGMP regulations strongly preferred. Advanced knowledge of data analytics tools such as SQL, Tableau, Minitab, etc. is preferred. This role requires on-site work in Mentor, Ohio on Mondays, Tuesdays, and Thursdays, with remote work available on Wednesdays and Fridays. Pay range for this opportunity is $72,000 - $90,000. Minimum pay rates offered will comply with county/city minimums, if higher than range listed. Pay rates are based on a number of factors, including but not limited to local labor market costs, years of relevant experience, education, professional certifications, foreign language fluency, etc. STERIS offers a comprehensive and competitive benefits portfolio. Click here for a complete list of benefits: STERIS Benefits Open until position is filled. STERIS is an Equal Opportunity Employer. We are committed to equal employment opportunity to ensure that persons are recruited, hired, trained, transferred and promoted in all job groups regardless of race, color, religion, age, disability, national origin, citizenship status, military or veteran status, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, genetic information, and any other category protected by federal, state or local law. We are not only committed to this policy by our status as a federal government contractor, but also we are strongly bound by the principle of equal employment opportunity.

The Revenue Cycle Clinician for the Appellate Solution is responsible for: a) Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review b) Preparing and documenting appeal based on industry accepted criteria. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review. Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization. Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process. Adheres to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines. Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual , VI, HPF, as well as competency in Microsoft Office. Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc. Additional responsibilities: Serves as a resource to non-clinical personnel. Provides CRC leadership with sound solutions related to process improvement Assist in development of policy and procedures as business needs dictate. Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Demonstrates proficiency in the application of medical necessity criteria, currently InterQual Possesses excellent written, verbal and professional letter writing skills Critical thinker, able to make decisions regarding medical necessity independently Ability to interact intelligently and professionally with other clinical and non-clinical partners Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms Ability to multi-task Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process. Ability to conduct research regarding off-label use of medications. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. Must possess a valid nursing license (Registered) Minimum of 3 years recent acute care experience in a facility environment Medical-surgical/critical care experience preferred Minimum of 2 years UR/Case Management experience preferred Managed care payor experience a plus either in Utilization Review, Case Management or Appeals Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred CERTIFICATES, LICENSES, REGISTRATIONS Current, valid RN licensure (Must) Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to lift 15-20lbs Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER May require travel - approximately 10% Interaction with facility Case Management, Physician Advisor is a requirement. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, and life insurance Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.

Department Name: Coding-Acute Care Compl & Educ Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $29.11 - $48.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). In this Inpatient Facility-based HIMS Coding Quality Associate position, you bring your 5 years of acute care inpatient coding background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding proficiency and recent Hospital Facility Coding experience. This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. Schedule: Full time, Monday-Friday 8am-5pm during training. Flexible scheduling after completion of training. Location: REMOTE, Banner provides equipment Ideal candidate: * 5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume); * DRG and PCS Coding, Auditing experience; * Bachelors degree or equivalent; * Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides guidance and expertise in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts encountered in Banner's Academic, Trauma, high acuity and critical access facilities, as well as specialized services such as behavioral health, oncology, pediatric. Acts as subject matter expert regarding experimental and newly developed procedure and diagnostic coding. CORE FUNCTIONS 1. Provides guidance on coding and billing, utilizing coding and billing guidelines. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers suggestions for improvement where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's condition, treatment and outcomes. Identifies training needs for coding staff. Serves as a team member for internal coding accuracy audits and documents findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams' initiatives to improve coding and clinical documentation. Assists with education and training of staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees to properly educate physicians, nursing, coders, CDM's, etc. with proper and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as a basis for development of coding education and audit plans. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding, coding reviews and health information management for the operational group. Identifies and collects data to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC, other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized software. 7. May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill. 8. Works independently under limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight for all Banner facilities and services they provide. Internal customers include but are not limited to medical staff, employees, and management at the local, regional, and corporate levels. External customers include but are not limited to, practicing physicians, vendors, and the community. MINIMUM QUALIFICATIONS Requires a level of education as normally demonstrated by a bachelor's degree in Health Information Management or experience equivalent to same. Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other qualified coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record. Extensive knowledge of all coding conventions and reimbursement guidelines across services lines, LCD/NCDs and MAC/FIs. Extensive critical and analytical thinking skills required. Ability to organize workload to meet deadlines and maintain confidentiality. Excellent written and oral communication skills are required, as well as effective human relations skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must consistently demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic medical records software. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Department Name: Coding-Acute Care Compl & Educ Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $29.11 - $48.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). In this Inpatient Facility-based HIMS Coding Quality Associate position, you bring your 5 years of acute care inpatient coding background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding proficiency and recent Hospital Facility Coding experience. This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. Schedule: Full time, Monday-Friday 8am-5pm during training. Flexible scheduling after completion of training. Location: REMOTE, Banner provides equipment Ideal candidate: 5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume); DRG and PCS Coding, Auditing experience; Bachelors degree or equivalent; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides guidance and expertise in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts encountered in Banner's Academic, Trauma, high acuity and critical access facilities, as well as specialized services such as behavioral health, oncology, pediatric. Acts as subject matter expert regarding experimental and newly developed procedure and diagnostic coding. CORE FUNCTIONS 1. Provides guidance on coding and billing, utilizing coding and billing guidelines. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers suggestions for improvement where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's condition, treatment and outcomes. Identifies training needs for coding staff. Serves as a team member for internal coding accuracy audits and documents findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams' initiatives to improve coding and clinical documentation. Assists with education and training of staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees to properly educate physicians, nursing, coders, CDM's, etc. with proper and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as a basis for development of coding education and audit plans. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding, coding reviews and health information management for the operational group. Identifies and collects data to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC, other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized software. 7. May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill. 8. Works independently under limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight for all Banner facilities and services they provide. Internal customers include but are not limited to medical staff, employees, and management at the local, regional, and corporate levels. External customers include but are not limited to, practicing physicians, vendors, and the community. MINIMUM QUALIFICATIONS Requires a level of education as normally demonstrated by a bachelor's degree in Health Information Management or experience equivalent to same. Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other qualified coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record. Extensive knowledge of all coding conventions and reimbursement guidelines across services lines, LCD/NCDs and MAC/FIs. Extensive critical and analytical thinking skills required. Ability to organize workload to meet deadlines and maintain confidentiality. Excellent written and oral communication skills are required, as well as effective human relations skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must consistently demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic medical records software. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

For 50 years, Brooks Rehabilitation , headquartered in Jacksonville, Fla., has been a comprehensive source for physical rehabilitation services. As a nonprofit organization, Brooks operates one of the nation's largest inpatient rehabilitation hospitals in the U.S. with 160 beds, one of the region's largest home healthcare agencies, over 50 outpatient therapy clinics, a Center for Inpatient Rehabilitation in partnership with Halifax Health in Daytona Beach, the Brooks Rehabilitation Medical Group, two skilled nursing facilities, assisted living and memory care. Brooks will treat more than 60,000 patients through its system of care each year. In addition, Brooks operates the Clinical Research Center, which specializes in research for stroke, brain injury, spinal cord injury and more to advance the science of rehabilitation. Brooks also provides many low or no cost community programs and services such as the Brooks Clubhouse, Brooks Aphasia Center and Brooks Adaptive Sports and Recreation to improve the quality of life for people living with physical disabilities. Brooks Rehabilitation proudly employs over 2,500 clinicians and staff across the state of Florida. We are looking for exceptional people to join our culture of caring and bring our mission to life. Position Summary: Under the direction of the System Director for Quality & Patient Safety, the Quality Analyst will monitor clinical documentation accuracy and apply performance improvement and quality principles to outcome and process measures within the assigned care setting. Must have RN license or RN experience a must. Job Responsibilities: Reviews and facilitates modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team. Promotes capture of clinical severity to coded data by HIM team that supports the inpatient rehabilitation, skilled nursing or home health levels of service and complexity to ensure appropriate reimbursement. Communicates with the interdisciplinary team either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarifies the information as warranted. Educates providers and clinical staff regarding identification of disease processes that reflect complexity and acuity in order to facilitate accurate application of code sets. Demonstrates an understanding of complications, comorbidities tiers, RICs, IGC, case mix groups and CMS specific patient assessment data on the billed record, as well as the ability to impart this knowledge to providers and other members of the healthcare team. Gathers and analyzes information pertinent to documentation findings and outcomes and uses this information to develop action plans for process improvements. Analyzes quality trends and collaboratively creates action plans for performance improvement surrounding acute care transfers/hospital readmissions with consideration at the hospital, unit and patient specific trend levels. Patient safety indicators including but not limited to, falls, healthcare associated with pressure injuries, infections Functional improvement outcomes Other quality measures as identified or regulated Provides analysis and guidance for improving and maintaining quality components for USNWR/Newsweek or other publicly reported metrics to achieve best in class rankings. Assists with the annual AHRQ Survey of Patient Safety Culture process and facilitates results review, reporting and action planning with leadership for improved performance. Identifies performance improvement opportunities and develops processes, procedures, and policy to support these initiatives. Evaluates workflow processes utilizing lean strategies, process mapping, and performance improvement principles to identify opportunities and efficiencies. Ensures SNF compliance with CMS VBP, QRP, and Medicaid quality metrics by coordinating accurate MDS assessments, monitoring key clinical outcomes, and supporting provider education to improve resident care and reimbursement accuracy. Collaborates with QAPI teams to develop targeted improvement goals aligned with Five-Star ratings and survey readiness, leveraging data-driven dashboards and audits to identify risks and guide clinical interventions. Job Qualifications: Must have, Bachelor's degree in nursing from an accredited college or university preferred; other clinical degree with experience may be considered. Must have, Florida RN license with a minimum of 5 years' acute care or post-acute clinical expertise required Quality certification (CPHQ, Lean, Six Sigma) preferred; or ability to acquire Proven analytical and problem-solving abilities Proven documentation skills Ability to effectively prioritize and execute tasks in a high-pressure environment Good written, oral, and interpersonal communication skills Highly motivated and self-directed Keen attention to detail Team-oriented and skilled in working within a collaborative environment Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: Competitive Pay Comprehensive Benefits package Vacation/Paid Time Off Retirement Plan and Match Employee Discount Program Educational Assistance Professional Development Programs Location: Remote/Hybrid - Daytona area

For 50 years, Brooks Rehabilitation , headquartered in Jacksonville, Fla., has been a comprehensive source for physical rehabilitation services. As a nonprofit organization, Brooks operates one of the nation's largest inpatient rehabilitation hospitals in the U.S. with 160 beds, one of the region's largest home healthcare agencies, over 50 outpatient therapy clinics, a Center for Inpatient Rehabilitation in partnership with Halifax Health in Daytona Beach, the Brooks Rehabilitation Medical Group, two skilled nursing facilities, assisted living and memory care. Brooks will treat more than 60,000 patients through its system of care each year. In addition, Brooks operates the Clinical Research Center, which specializes in research for stroke, brain injury, spinal cord injury and more to advance the science of rehabilitation. Brooks also provides many low or no cost community programs and services such as the Brooks Clubhouse, Brooks Aphasia Center and Brooks Adaptive Sports and Recreation to improve the quality of life for people living with physical disabilities. Brooks Rehabilitation proudly employs over 2,500 clinicians and staff across the state of Florida. We are looking for exceptional people to join our culture of caring and bring our mission to life. Position Summary: Under the direction of the System Director for Quality & Patient Safety, the Quality Analyst will monitor clinical documentation accuracy and apply performance improvement and quality principles to outcome and process measures within the assigned care setting. Job Responsibilities: Reviews and facilitates modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team. Promotes capture of clinical severity to coded data by HIM team that supports the inpatient rehabilitation, skilled nursing or home health levels of service and complexity to ensure appropriate reimbursement. Communicates with the interdisciplinary team either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarifies the information as warranted. Educates providers and clinical staff regarding identification of disease processes that reflect complexity and acuity in order to facilitate accurate application of code sets. Demonstrates an understanding of complications, comorbidities tiers, RICs, IGC, case mix groups and CMS specific patient assessment data on the billed record, as well as the ability to impart this knowledge to providers and other members of the healthcare team. Gathers and analyzes information pertinent to documentation findings and outcomes and uses this information to develop action plans for process improvements. Analyzes quality trends and collaboratively creates action plans for performance improvement surrounding acute care transfers/hospital readmissions with consideration at the hospital, unit and patient specific trend levels. Patient safety indicators including but not limited to, falls, healthcare associated with pressure injuries, infections Functional improvement outcomes Other quality measures as identified or regulated Provides analysis and guidance for improving and maintaining quality components for USNWR/Newsweek or other publicly reported metrics to achieve best in class rankings. Assists with the annual AHRQ Survey of Patient Safety Culture process and facilitates results review, reporting and action planning with leadership for improved performance. Identifies performance improvement opportunities and develops processes, procedures, and policy to support these initiatives. Evaluates workflow processes utilizing lean strategies, process mapping, and performance improvement principles to identify opportunities and efficiencies. Ensures SNF compliance with CMS VBP, QRP, and Medicaid quality metrics by coordinating accurate MDS assessments, monitoring key clinical outcomes, and supporting provider education to improve resident care and reimbursement accuracy. Collaborates with QAPI teams to develop targeted improvement goals aligned with Five-Star ratings and survey readiness, leveraging data-driven dashboards and audits to identify risks and guide clinical interventions. Job Qualifications: Bachelor's degree in nursing from an accredited college or university preferred; other clinical degree with experience may be considered. Florida RN license with a minimum of 5 years' acute care or post-acute clinical expertise required Quality certification (CPHQ, Lean, Six Sigma) preferred; or ability to acquire Proven analytical and problem-solving abilities Proven documentation skills Ability to effectively prioritize and execute tasks in a high-pressure environment Good written, oral, and interpersonal communication skills Highly motivated and self-directed Keen attention to detail Team-oriented and skilled in working within a collaborative environment Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: Competitive Pay Comprehensive Benefits package Vacation/Paid Time Off Retirement Plan and Match Employee Discount Program Educational Assistance Professional Development Programs Location: Remote/Hybrid - Daytona area

Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. * Position is contingent upon contract award* This position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English. This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: * Hardwired internet (ethernet) connection * Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** * Private work area and adequate power source Essential Duties and Responsibilities: * Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. * Collaborate in developing new procedures and update existing procedures when changes occur. * Analyze reports on operational performance and provide solutions to identified issues. * Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. * Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. * Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. * Assist with monitoring performance and meeting contractual requirements using system applications. * Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. * Assist with staff training for the purpose of achieving and maintaining quality program goals. * Analyze effectiveness of key initiatives and quality improvement efforts. * Perform other duties as assigned by management. * Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. * Collaborate in developing new procedures and update existing procedures when changes occur. * Analyze reports on operational performance and provide solutions to identified issues. * Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. * Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. * Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. * Assist with monitoring performance and meeting contractual requirements using system applications. * Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. * Assist with staff training for the purpose of achieving and maintaining quality program goals. * Analyze effectiveness of key initiatives and quality improvement efforts. * Perform other duties as assigned by management. * Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. * Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. * Assist the center with taking calls as needed to support operations and maintain service levels. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: * Hardwired internet (ethernet) connection * Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** * Private work area and adequate power source Minimum Requirements * Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. * Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. * Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. * Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. * Maintain strong organizational skills to effectively track monitors across different lines of business * Collaborate in the development and revision of procedures in response to operational changes. * Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. * Make recommendations based on data analysis to enhance performance and service delivery. * Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. * Assist in training initiatives aimed at improving agent performance and overall quality scores. * Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. * Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. * Take calls as needed to support center operations and maintain service levels. * Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. * Perform other duties as assigned by management. * Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.

Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. * Position is contingent upon contract award* This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: * Hardwired internet (ethernet) connection * Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** * Private work area and adequate power source Essential Duties and Responsibilities: * Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. * Collaborate in developing new procedures and update existing procedures when changes occur. * Analyze reports on operational performance and provide solutions to identified issues. * Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. * Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. * Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. * Assist with monitoring performance and meeting contractual requirements using system applications. * Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. * Assist with staff training for the purpose of achieving and maintaining quality program goals. * Analyze effectiveness of key initiatives and quality improvement efforts. * Perform other duties as assigned by management. * Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. * Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. * Assist the center with taking calls as needed to support operations and maintain service levels. Minimum Requirements * Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. * Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. * Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. * Maintain strong organizational skills to effectively track monitors across different lines of business * Collaborate in the development and revision of procedures in response to operational changes. * Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. * Make recommendations based on data analysis to enhance performance and service delivery. * Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. * Assist in training initiatives aimed at improving agent performance and overall quality scores. * Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. * Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. * Take calls as needed to support center operations and maintain service levels. * Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. * Perform other duties as assigned by management. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.

We're looking for a Quality Assurance Analyst who's passionate about both technology and fitness-someone who takes pride in ensuring every digital experience performs flawlessly for the athletes and fitness enthusiasts who rely on it. In this role, you'll be responsible for testing and validating our software products to guarantee quality, reliability, and top-tier performance. You'll work closely with developers, product owners, and designers to identify defects, improve testing processes, and ensure we deliver exceptional digital solutions that elevate the fitness experience for our customers. Responsibilities Develop, execute, and maintain test plans, test cases, and test scripts Perform manual and automated testing of applications, systems, and integrations Identify, document, track, and verify software defects and issues Collaborate with developers, product managers, and business stakeholders to understand requirements Participate in requirement reviews to ensure testability and quality standards Conduct regression, functional, integration, system, and user acceptance testing (UAT) Analyze test results and provide clear reports on quality metrics and risks Ensure compliance with quality standards, processes, and best practices Continuously improve QA processes, tools, and methodologies Required Qualifications Bachelor's degree in Computer Science, Information Technology, or a related field (or equivalent experience) Proven experience as a Quality Assurance Analyst or similar QA role Strong understanding of software development life cycle (SDLC) and testing methodologies Experience with test management and defect tracking tools (e.g., JIRA, TestRail, Azure DevOps) Ability to write clear and detailed test documentation Strong analytical and problem-solving skills Excellent communication and collaboration skills Preferred Qualifications Experience with automated testing tools (e.g., Selenium, Cypress, Playwright) Knowledge of API testing tools (e.g., Postman, SoapUI) Familiarity with Agile/Scrum methodologies Experience testing web, mobile, or enterprise applications By applying to Rogue, regardless of the platform you choose to use, you are agreeing to Rogue's preferred methods of communication (i.e. text message). Submitting an application, through whatever online forum is ultimately used, constitutes a knowing and voluntary agreement to send and receive text messages during the recruitment process.

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The CAPA / Quality Events Analyst primarily responsible for ensuring the integrity and effectiveness of Caris Life Sciences' CAPA and Quality Events programs. This role integrates investigation management, trending analysis, and effectiveness verification to ensure that product, process, and services issued are identified, resolved, and prevented in alignment with regulatory and internal Quality Systems requirements. The Analyst partners cross-functionally with internal stakeholders across laboratory, operational, and customer-facing functions to maintain compliance with FDA, ISO 13485, CAP, and CLIA standards while driving proactive identification of trends and continuous improvement opportunities. This position is a key contributor to Caris' enterprise Quality System, ensuring robust CAPA governance, effective Quality Event triage, and end-to-end documentation control. The Analyst supports internal audits, data-driven quality reviews, and CAPA verification to strengthen audit readiness and operational reliability across all business units. Job Responsibilities Manage CAPA and Quality Event records in alignment with Caris' Quality System procedures and applicable external requirements (FDA 21 CFR, ISO 13485, CAP/CLIA, PMDA, CMDCAS, and other global regulatory frameworks). Lead investigations for Quality Events, Deviations, and Nonconformances from initiation through closure, ensuring accurate classification, root cause analysis, and timely documentation. Support trending and data analysis activities to identify recurring issues, systemic gaps, and improvement opportunities across departments. Liaise with internal partners to facilitate investigations, collect objective evidence, and verify the effectiveness of corrective and preventive actions. Maintain accurate, audit-ready documentation across all stages of CAPA and Quality Event lifecycle, ensuring traceability and timeliness. Evaluate technical and operational data to confirm adequacy of corrective actions and resolution documentation. Serve as a Subject Matter Expert (SME) for CAPA and Quality Event processes, ensuring compliance, consistency, and accuracy in all related records. Provide input into quality training programs and support continuous improvement initiatives to strengthen CAPA and Quality Event management effectiveness. Collaborate with Quality leadership to align CAPA and QE procedures across departments and integrate analytics into routine governance reviews. Prepare for and support internal and external audits, maintaining documentation to ensure readiness for inspections and assessments. Actively contribute to continuous improvement efforts by identifying trends, recommending procedural enhancements, and participating in cross-functional CAPA planning. Support reporting of Quality Event and CAPA metrics to management through dashboards, trending summaries, and data-driven presentations. Perform other duties as assigned in support of departmental or enterprise-wide quality objectives. Required Qualifications Bachelor's degree in a scientific, engineering or health-related field (e.g., Biology, Chemistry, Biomedical Engineering, or related discipline). 3-5 years of experience in a regulated Quality environment such as Medical Devices, Diagnostics, or Clinical Laboratories (FDA, ISO 13485, CAP/CLIA). Hands-on experience with CAPA, Quality Events, or Deviations, including investigation, documentation, and effectiveness verification. Working knowledge of root cause analysis tools (e.g. 5 Whys, Fishbone, FMEA) and corrective/preventive action principles. Proficiency with electronic Quality Management Systems (eQMS) - preferably DOT Compliance, MasterControl, Veeva, or equivalent. Strong analytical and documentation skills, with the ability to interpret data trends and summarize findings for managerial review. Proficient with Microsoft Office Suite (Word, Excel, Outlook) and comfortable creating dashboards or data visual summaries. Excellent written and verbal communication skills, including the ability to draft clear CAPA and QE records for audit and inspection readiness. Demonstrated ability to manage multiple priorities and meet deadlines in a dynamic, fast-paced environment. Preferred Qualifications Advanced understanding of CAPA systems and Quality Event lifecycle management, including integration with risk management and audit programs. Experience conducting cross-functional investigations involving laboratory, operational, or customer-facing teams to identify systemic process gaps. Proficiency in quality analytics or dashboard tools (e.g., Power BI, Excel Pivot tables, or embedded QMS analytics), for tracking trends and performance metrics. Familiarity with U.S. and International Quality System regulations (FDA 21 CFR 820/903) ISO 13485, CAP, CLIA, IVDR, PMDA, or equivalent). Demonstrated ability to lead problem-solving or root cause analysis sessions (e.g., 8D, Ishikawa, 5 Whys, FMEA). Strong written and verbal communication skills, with proven ability to summarize complex findings and prepare documentation suitable for regulatory inspection. Proven ability to collaborate across departments to drive CAPA and Quality Event closure, training alignment, and continuous improvement initiatives. Strong attention to detail and organizational skills, with a focus on data integrity, timeliness, and completeness. Commitment to continuous improvement and proactive quality leadership in a fast-paced regulated environment. Physical Demands Work is primarily performed in an office or hybrid laboratory environment using standard office equipment. Must be able to sit or stand for extended periods while reviewing documents, conducting investigations, or entering data. Occasional lifting of up to 20 pounds may be required for document files or equipment. Visual acuity and manual dexterity required to review quality records, enter data, and prepare reports. Must be able to work at a computer for prolonged periods and perform repetitive keyboarding and data-entry tasks. Majority of work is performed in a desk/cubicle environment, but at times, may have exposure to high noise levels in the data center, fumes and bio-hazardous material in the lab environment. Other May require flexible scheduling or limited travel ( Position may occasionally require evening or weekend hours during audits, regulatory inspections, or critical quality events. Required Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee. Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

We are seeking a proactive QA Engineer who will work alongside business analysts, product managers, and developers to test daily development tickets, coordinate and execute User Acceptance Testing (UAT), and lead the development and maintenance of automated regression tests. This role is critical in ensuring product quality across releases and features. You will work across manual and automated testing efforts, with a strong focus on Selenium-based test automation and supporting the team in delivering reliable, high-quality software. ESSENTIAL DUTIES AND RESPONSIBILITIES Execute daily manual testing for development tickets returned for QA. Collaborate with analysts, developers, and stakeholders to define and write test cases based on requirements. Manage and coordinate UAT efforts, including obtaining stakeholder sign-off for new features and releases. Identify, document, and track software defects using issue-tracking systems (e.g., Jira). Lead the design, development, and maintenance of automated test scripts using Selenium or other automation frameworks. Manage and maintain the regression test suite, ensuring automated tests are regularly executed and updated. Work closely with development teams to understand new features and ensure test coverage. Participate in Agile ceremonies such as sprint planning, daily stand-ups, and retrospectives. Continuously improve QA processes and recommend automation and tooling enhancements. Qualifications REQUIREMENTS 3+ years of QA experience, with both manual and automation testing responsibilities. Hands-on experience with Selenium WebDriver and automation frameworks (e.g., TestNG, JUnit, or Pytest). Experience writing and maintaining automated regression suites. Proficiency in writing test cases, test plans, and test scripts from requirements or user stories. Experience with tools such as Postman for API testing is a plus. Familiarity with bug tracking and test management tools (e.g., Jira, Zephyr, TestRail, Asana). Excellent verbal and written communication skills. Strong analytical and problem-solving skills. Experience with Microsoft Office and Google Workspace tools. Able to work independently, manage time effectively, and drive testing efforts to completion. Knowledge of HIPAA Privacy Rules is a plus (if relevant to your product). Preferred Skills (Nice to Have) Experience with CI/CD tools (e.g., Jenkins, GitLab CI) for integrating test automation. Knowledge of performance testing tools like JMeter or LoadRunner. Experience testing in healthcare or other compliance-heavy industries. Familiarity with version control systems like Git. CERTIFICATES, LICENSES, REGISTRATION IT, or equivalent, relevant work experience in Development QA PAY TRANSPARENCY The base pay for this role in the Akron Ohio office is: $70,000 - $90,000 per year. You are also eligible for employee benefits medical, dental, vision, life, and participation in the company 401(k) plan. Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. SUPERVISORY RESPONSIBILITIES none Why Join Us? You'll help shape and scale our testing and automation processes from the ground up. Work closely with a passionate, cross-functional product and engineering team. Make a direct impact on the quality of our platform and user satisfaction. Enjoy a collaborative work culture with room for growth.. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Small Motor Skills: Picking, pinching, typing or otherwise working primarily with fingers rather than with whole hand or arm, as in handling. Speaking: Expressing or exchanging ideas by means of spoken word. Those activities in which require detailed or important spoken instructions must be conveyed to other workers accurately and quickly. Hearing: Ability to receive detailed information through oral communication with or without correction. Repetitive Motion: Substantial movement (motions) of the wrist, hands, and fingers. WORK ENVIRONMENT This Hybrid Remote / In-office role provides the opportunity to gain knowledge while collaborating with co-workers while also considering a life work balance. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Normal office environment with controlled temperature. ADDITIONAL REQUIREMENTS The company reserves the right to determine if this position will be assigned to work on-site, remotely, or a combination of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site may be required to engage in face-to-face interaction and coordination of work among co-workers. COMPUTER PROGRAMS USED ON A DAILY BASIS Google Apps Microsoft Office Suite Microsoft Azure Storage Asana RapidAPI Adobe Acrobat INSXCloud proprietary software application

· Work within various test methodologies such as SAFe agile · Participate in the web application technical design process with the Application Architects on Internet and eCommerce related development projects. · Test web services using automated scripts (CA Lisa, Rest Assured, SuperTest, etc.) · Test web services using SDLC best practices. · Participate in all phases of web services system testing. · Develop, implement and maintain quality and test procedures, processes and best practices for QA. · Develop and maintain test plan and test cases with associated test data based upon functional and non-functional requirements. · Identify test automation opportunities to improve efficiency and effectiveness of test services. · Contribute to test automation scripting standards and best practices. · Understand SOA Reference Architecture. · Elicit & understand SOA testing requirements. · Write automation scripts and participate in peer reviews. · Develop a repeatable process for designing, developing, and executing scripts. · Conduct tests, document and analyze test results and present findings to development teams. · Report and document defects found during test cycles. Participate in defect prioritization sessions. · Work with development teams to instill testability into development practices. · Provide test services for support activity and work with release management to assure product release quality. · Communicate timely status, including any potential risks/issues to the appropriate teams to ensure completion of all deliverables within schedule, budget and quality constraints. Must be able to perform the essential functions of this position with or without reasonable accommodation. Qualifications · 5+ years of relevant experience in software quality assurance · 2+ years of hands-on, automation testing of integration web services (both REST and SOAP protocols) that include database validations · Demonstrated experience in XML, XSD, XPath, MQ, Topics, HTTP, HTTPS, JSON · Knowledge of SOA frameworks, processes, strategies, and approaches · 2+ years of Java/Javascript programming on test automation scripts · 1+ years of automation testing experience using Selenium WebDriver/Javascript · 1+ years of working in an Agile/Scrum methodology · 2+ years of using Quality Center/ALM for test case management · 1+ years of using JIRA for user story management and defect tracking · Ability to succeed and focus in a fast paced environment with noise/distractions Additional Information All your information will be kept confidential according to EEO guidelines.

LOCATION: Remote - This is a home based, virtual position that operates Monday - Friday from 8:30am-5:00pm (EST). Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The Analytics QA Tester works independently, as well as with developers and business analysts, to test complex software and Business Intelligence solutions. Develop test plans, participate in peer reviews of software solutions (including code reviews), and assist end-users with user acceptance testing. Responsible for automated regression testing. Work closely with other software developers and analysts to understand what the product is meant to do, to identify issues in design and development, and to provide recommendations for improvements. Analyze and understand complex data sources in order to validate developed applications, Business Intelligence solutions, data warehouses, data visualizations, and extract, transform, and load (ETL) procedures. As a member of an agile development team this position will test new features for functionality and user experience. ESSENTIAL JOB FUNCTIONS Work with the Analytics Development Team to test applications and Business Intelligence products during the systems development life cycle (SDLC). Assist end-users in performing user acceptance testing on developed solutions. Responsible for designing and implementing test plans and test cases based on product specifications. Perform post-implementation testing of developed solutions. Document test plans, test cases, and test results. KNOWLEDGE OF JOB Integrity and decision-making skills necessary to work with and protect confidential personal health information Problem solver, with ability to debug complex processes and applications Analytical and troubleshooting skills Experience within an agile development process, creating and using automating acceptance tests, automated test framework, de-bugging tools and analyzing stack traces. Microsoft Team Foundation Server for work item tracking and source code control is preferred Experience testing web applications, including the ability to use and understand advanced features of web browsers Experience testing end-user reports, ETL packages, and data visualizations including the ability to test Microsoft T-SQL procedures Excellent verbal and written communication skills, ability to articulate ideas clearly Proven ability to meet development commitments and manage expectations Desire for constant improvement Ability to work independently and as a strong team player Ability to work in a fast-paced, deadline driven environment running multiple projects simultaneously High level of computer literacy with spreadsheets, word processing and database software and business systems (Word, Access, Excel, PowerPoint, MS Project, VISIO and other graphic software). Extensive development, architecture, and configuration skills in Microsoft SQL Server 2008, 2012, or 2014 including strong SQL development skills (preferably Microsoft T-SQL). Extensive development, architecture, and configuration skills with the Microsoft .NET framework including development of applications using C# or VB.NET. EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's Degree in Computer Science, Information Technology, Engineering, or a related discipline required and 5 years of experience testing highly complex software applications crossing multiple platforms and diverse technologies. PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENT: The person in this position must live in NC, SC, GA, TN, VA, MD, or FL. SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation. DEADLINE FOR APPLICATION: Open until filled. APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.

We are seeking a proactive QA Engineer who will work alongside business analysts, product managers, and developers to test daily development tickets, coordinate and execute User Acceptance Testing (UAT), and lead the development and maintenance of automated regression tests. This role is critical in ensuring product quality across releases and features. You will work across manual and automated testing efforts, with a strong focus on Selenium-based test automation and supporting the team in delivering reliable, high-quality software. ESSENTIAL DUTIES AND RESPONSIBILITIES * Execute daily manual testing for development tickets returned for QA. * Collaborate with analysts, developers, and stakeholders to define and write test cases based on requirements. * Manage and coordinate UAT efforts, including obtaining stakeholder sign-off for new features and releases. * Identify, document, and track software defects using issue-tracking systems (e.g., Jira). * Lead the design, development, and maintenance of automated test scripts using Selenium or other automation frameworks. * Manage and maintain the regression test suite, ensuring automated tests are regularly executed and updated. * Work closely with development teams to understand new features and ensure test coverage. * Participate in Agile ceremonies such as sprint planning, daily stand-ups, and retrospectives. * Continuously improve QA processes and recommend automation and tooling enhancements.