Top 811 Quality assurance managers Jobs in Fairburn, Ga

Sr. Quality of Care Review Nurse
Oscar Health —Atlanta, GA
- $83,628.00 - $109,761.75 a year
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Quick Apply
5d
Maintenance Supervisor
Nestlé Purina —Fairburn, GA
- $75,000 - $123,000 a year
- Mid-level
- High school diploma or GED
- 1 year
- Health insurance
- 401(k) matching
6d
ATL311 Team Lead -Training and Quality Assurance
City of Atlanta, GA —Atlanta, GA
- $60,000 - $69,000 a year
- Full-time
- Senior level
- Communication skills
Manager, Quality Assurance
Abbott Laboratories —Atlanta, GA
- $99,300 - $198,700 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Mentoring
- Health insurance
Quality Systems Manager
Filtration Group Corp —Fairburn, GA
- 5 years
- Engineering
- Analysis skills
Quality Assurance Specialist
US Administration for Strategic Preparedness and Response —Atlanta, GA
- $94,654 - $123,052 a year
- Part-time
- Background check
- Computer Science
- Pass drug screening
- Loan repayment program
4d
Manager of Clinical Annotation - Remote
UnitedHealthcare —Atlanta, GA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Manager, Housing Compliance and Governance
The Housing Authority of the City of Atlanta (AHA) —Atlanta, GA
- $70,600 - $88,300 a year
- Overtime
- Management
- 5 years
- Office
Quality Assurance Coordinator
Carvana —Fairburn, GA
- $17 - $18 an hour
- Background check
- 18 years or older
- Computer literacy
- Paid holidays
- Paid time off
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Quality Assurance Lead
Fresh Express —Morrow, GA
- Overtime
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Dental insurance
- 401(k)
Quick Apply
5d
Area Manager - Union City, GA
Amazon.com Services LLC —Union City, GA
- $70,000 - $90,900 a year
- Weekends as needed
- Customer service
- Military
- Engineering
- AD&D insurance
- Health insurance
11d
Analyst QA I
The Marzetti Company —College Park, GA
- Overtime
- Basic math
- Bachelor's degree
- Ability to stand for extended periods
Program Manager - IDD - (Specialty Services) - Clayton Co.
View Point Health —Jonesboro, GA
- Full-time
- Microsoft Excel
- Pass drug screening
- Master's degree
9d
Safety and Operations Manager
Transdev —Atlanta, GA
- $70,000 - $77,563 a year
- Full-time
- Background check
- Classroom
- Management
- Disability insurance
- Health insurance
(USA) Store Manager - Supercenter
Walmart —Douglasville, GA
- $110,000 - $170,000 a year
- High school
- Bachelor of Science
- Merchandising
- Paid jury duty
- Disability insurance
Patient Dining Services Manager
Morrison Healthcare —Atlanta, GA
- $70,000 - $80,000 a year
- Full-time
- Acute care
- Background check
- Hospital
- Commuter assistance
- Paid parental leave
Quick Apply
Night Auditor
Marriott International, Inc —College Park, GA
- Full-time
- Hotel
- High school diploma or GED
- Quality control
General Manager II - Distribution
DHL —Forest Park, GA
- $105,000 - $135,000 a year
- Full-time
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Director - Intellectual and Developmental Disability Services - (Specialty Services) - Clayton Co.
View Point Health —Jonesboro, GA
- Full-time
- 5 years
- Residential
- Master's degree
9d
Quality Control Associate
Freshpoint —Fairburn, GA
- Management
- Writing skills
- Merchandising

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quality assurance managers jobs near fairburn, ga

Sr. Quality of Care Review Nurse

Oscar Health -
Atlanta, GA

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Job Details

$83,628.00 - $109,761.75 a year
5 days ago

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

RN License
Patient care

Full Job Description

Hi, we're Oscar. We're hiring a Sr. Quality of Care Review Nurse to join our Quality team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

Clinical Quality programs are designed to enhance clinical outcomes and concierge-level service to our members, through review of services provided to members from network healthcare providers, facilities and Oscar employees. The Senior Quality of Care Nurse analyzes clinical data, tracks core measures, reviews patient records, and implements evidence-based strategies to improve overall provider and facility standard of care. As well as, optimizing clinical experience into clear detailed medical reviews while upholding department standards for quality and productivity. The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient safety, clinical outcomes, and regulatory compliance.

You will report into the Nurse Manager, Quality of Care.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $83,628 - $109,761.75 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Reviewing member complaints that need to be escalated immediately and resolved within 60 calendar days of receipt through review of services provided to members from network healthcare providers, facilities and Oscar employees.
Perform quality of care review to determine whether records or commentary from the provider/facility will be needed in order to accurately determine whether a quality issue did occur.
Conduct root cause analyses for adverse events, sentinel events, or potential quality issues to prevent future occurrences.
Investigate provider and facility quality of care concerns, identifying and escalating negative performance trends for corrective action when appropriate.
Perform annual medical record reviews for selected states.
Consult with internal stakeholders to ensure that quality of care needs or members are met while adhering to accreditation and regulatory requirements.
Present quality and performance trend data to organizational stakeholders, delegates and quality subcommittees as applicable; Collaborate on corrective action plans to address identified gaps.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Licensed Registered Nurse with active, unrestricted license in state of residence and willingness to obtain additional licenses as needed for Oscar's growth (with Oscar's support)
2+ years of experience as a Registered Nurse
2+ years experience working in a clinical care setting

Bonus points:

Health plan utilization management experience or case management experience.
Experience in healthcare quality assurance, including experience auditing medical records and evaluating clinical information and internal documentation to determine the quality of care and service provided to members.
Experience in health plan case management.
Bilingual - fluent in Spanish to audit Spanish-language verbal and written interactions.
Bachelor's Degree from an accredited university, BSN Preferred.
A working knowledge of health insurance/benefit concepts - Medicare and Individual Marketplace insurance experience a plus.
Experience with NCQA accreditation standards for utilization management, case management or population health, HEDIS measures and other regulatory requirements.
CCM or MCG certification.
Experience analyzing performance and other forms of data.
Proficiency using Google applications like Sheets, Docs, Slides and Meets.
Comfortable using Google Meets and other platforms to communicate with internal/external partners.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

quality assurance managers jobs in fairburn, ga

Sr. Quality of Care Review Nurse

Maintenance Supervisor

ATL311 Team Lead -Training and Quality Assurance

Manager, Quality Assurance

Quality Systems Manager

Quality Assurance Specialist

Manager of Clinical Annotation - Remote

Manager, Housing Compliance and Governance

Quality Assurance Coordinator

Quality Assurance Lead

Area Manager - Union City, GA

Analyst QA I

Program Manager - IDD - (Specialty Services) - Clayton Co.

Safety and Operations Manager

(USA) Store Manager - Supercenter

Patient Dining Services Manager

Night Auditor

General Manager II - Distribution

Director - Intellectual and Developmental Disability Services - (Specialty Services) - Clayton Co.

Quality Control Associate

I want to receive the latest job alert for quality assurance managers in fairburn, ga

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