Consulting Cloud Architect, OpenShift
Red Hat
Design and deliver Red Hat OpenShift, Kubernetes, and hybrid cloud solutions for enterprise customers. Lead customer engagements focused on infrastructure, automation, and application delivery.
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ExamWorks स्वास्थ्य सेवा, परामर्श और कानूनी सेवाओं के संगम पर काम करती है। यह दावों और उनसे जुड़ी प्रक्रियाओं के लिए स्वतंत्र चिकित्सा परीक्षण और सहकर्मी समीक्षाएँ प्रदान करती है। इसके कार्यों में बिलों की समीक्षा, मेडिकेयर अनुपालन, चिकित्सा अभिलेखों और दस्तावेज़ों का प्रबंधन तथा अनुपालन ऑडिट भी शामिल हैं।
कंपनी चिकित्सकों के एक व्यापक नेटवर्क को सहयोग देती है और स्वास्थ्य सेवा संगठनों के लिए एंटरप्राइज़ प्लेटफ़ॉर्म तथा कार्यप्रवाह उपकरण विकसित करती है। इसकी टीमें नैदानिक, संचालन, अनुपालन और प्रौद्योगिकी विशेषज्ञता को मिलाकर ग्राहकों को चिकित्सा अभिलेखों और दावों का अधिक सुसंगत और विश्वसनीय ढंग से प्रबंधन करने में सहायता करती हैं।
Clinical Quality Assurance Coordinator — Massachusetts Remote
Review clinical peer-review documentation for MES, a provider of medical examination and peer-review services. Support evidence-based quality, regulatory compliance, and accurate reporting.
विवरण
- Conduct quality assurance reviews of peer-review reports, correspondence, addenda, and supplemental reviews.
- Confirm that recommendations and determinations are supported by clear, concise, evidence-based rationales.
- Check that client instructions, specifications, and questions have been fully addressed.
- Validate that clinical citations are current and sourced from reputable medical publications.
- Ensure reports meet company standards for content, formatting, and professional presentation.
- Confirm the appropriate board specialty conducted the review and that documentation is accurate.
- Verify peer-reviewer attestations and the absence of conflicts of interest.
- Ensure final reports contain provider credentials and signatures.
- Resolve report inconsistencies by contacting peer reviewers for clarification or corrections.
- Support the handling of customer complaints and quality assurance concerns.
- Maintain compliance with federal ERISA requirements and state mandates.
- Provide management with insight into consultant quality, availability, and compliance.
- Support effective and efficient use of company resources.
- Complete required education and training activities.
- Carry out other assigned responsibilities.
आवश्यकताएँ
- Hold an active RN or LPN nursing license.
- Graduate from an accredited nursing program or possess related medical experience.
- A bachelor’s degree is preferred.
- Have at least two years of clinical or related experience, or an equivalent combination of education and experience.
- Demonstrate strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
- Perform arithmetic calculations involving whole numbers, decimals, rates, and percentages.
- Type at least 40 words per minute.
- Operate computers, fax machines, copiers, scanners, and telephones.
- Use Microsoft Word, Outlook, Excel, and the Internet.
- Demonstrate excellent English usage, grammar, punctuation, and writing style.
- Follow instructions and accurately respond to management direction.
- Work independently, prioritize tasks, and manage time efficiently.
- Maintain confidentiality.
लाभ
- Medical, vision, and dental benefits are available.
- Paid time off.
- 401(k) plan.
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