Senior A&G Coordinator
$61K - $73K/yr
As a support to the A&G Department, the A&G Analyst is responsible for the preparation, communication, and submission of External Appeals and QIO case files to the Department and Financial Services ...
$61K - $73K/yr
As a support to the A&G Department, the A&G Analyst is responsible for the preparation, communication, and submission of External Appeals and QIO case files to the Department and Financial Services ...
$61K - $73K/yr
As a support to the A&G Department, the A&G Analyst is responsible for the preparation, communication, and submission of External Appeals and QIO case files to the Department and Financial Services ...
Informs Medicare beneficiaries, healthcare providers, and other partners of the activities and responsibilities of the QIO. * Develops and maintains positive relationships with external and internal ...
Informs Medicare beneficiaries, healthcare providers, and other partners of the activities and responsibilities of the QIO. * Develops and maintains positive relationships with external and internal ...
Annapolis Junction, MD · On-site
$85K - $93K/yr
The Nurse Educator/Review Coordinator's primary role is to facilitate provider education related to the claim reviews performed under Task Order 3 for the BFCC-QIO contract. The education provided ...
Annapolis Junction, MD · On-site
$85K - $93K/yr
The Nurse Educator/Review Coordinator's primary role is to facilitate provider education related to the claim reviews performed under Task Order 3 for the BFCC-QIO contract. The education provided ...
$29 - $30/hr
Maintains current knowledge of the QIO contract, QIO Manual, SDPS Memorandums and Healthcare Communities Website to locate and apply up to date rules and protocols Recognizes barriers to completing ...
$29 - $30/hr
Maintains current knowledge of the QIO contract, QIO Manual, SDPS Memorandums and Healthcare Communities Website to locate and apply up to date rules and protocols Recognizes barriers to completing ...
$61K - $73K/yr
... QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G ...
$61K - $73K/yr
... QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G ...
$61K - $73K/yr
... QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G ...
$61K - $73K/yr
... QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G ...
$75K - $90K/yr
... in QIO or health plan-level appeals as needed. · Identify patient care needs, assess insurance limitations, and work with the healthcare team to develop appropriate care plans. · Advocate for ...
Quick apply
$75K - $90K/yr
... in QIO or health plan-level appeals as needed. · Identify patient care needs, assess insurance limitations, and work with the healthcare team to develop appropriate care plans. · Advocate for ...
Manhattan, NY · On-site
$61K - $73K/yr
... QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G ...
Manhattan, NY · On-site
$61K - $73K/yr
... QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G ...
$14.75 - $19/hr
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
$14.75 - $19/hr
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
Champaign, IL · On-site
$90K/yr
... QIO or health plan-level appeals as needed. • Identify patient care needs, assess insurance limitations, and work with the healthcare team to develop appropriate care plans. • Advocate for ...
Champaign, IL · On-site
$90K/yr
... QIO or health plan-level appeals as needed. • Identify patient care needs, assess insurance limitations, and work with the healthcare team to develop appropriate care plans. • Advocate for ...
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
$75K - $90K/yr
... in QIO or health plan-level appeals as needed. · Identify patient care needs, assess insurance limitations, and work with the healthcare team to develop appropriate care plans. · Advocate for ...
Quick apply
$75K - $90K/yr
... in QIO or health plan-level appeals as needed. · Identify patient care needs, assess insurance limitations, and work with the healthcare team to develop appropriate care plans. · Advocate for ...
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
Manhattan, NY · On-site
$61K - $73K/yr
As a support to the A&G Department, the A&G Analyst is responsible for the preparation, communication, and submission of External Appeals and QIO case files to the Department and Financial Services ...
Manhattan, NY · On-site
$61K - $73K/yr
As a support to the A&G Department, the A&G Analyst is responsible for the preparation, communication, and submission of External Appeals and QIO case files to the Department and Financial Services ...
Document social work discharge planning activity in the patient's chart in accordance with Departmental, Hospital, CMS, QIO, DHHS and JC standards. * Prepare monthly statistical and other assigned ...
Document social work discharge planning activity in the patient's chart in accordance with Departmental, Hospital, CMS, QIO, DHHS and JC standards. * Prepare monthly statistical and other assigned ...
Trenton, NJ · On-site
Maintains current and accurate knowledge of relevant CMS, NJDHSS, DOBI and QIO regulations related to managed care and utilization. Participates in DNV and other regulatory readiness and preparation ...
Trenton, NJ · On-site
Maintains current and accurate knowledge of relevant CMS, NJDHSS, DOBI and QIO regulations related to managed care and utilization. Participates in DNV and other regulatory readiness and preparation ...
Maintain knowledge of current state, federal, and CMS regulations, Quality Improvement Organization (QIO) requirements, and guidelines on case management and utilization review. * In collaboration ...
Maintain knowledge of current state, federal, and CMS regulations, Quality Improvement Organization (QIO) requirements, and guidelines on case management and utilization review. * In collaboration ...
Miami Beach, FL · On-site
$14.75 - $19/hr
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
Miami Beach, FL · On-site
$14.75 - $19/hr
Collects, copies, and transmits pertinent clinical and patient demographic information to the QIO when patients requests a discharge appeal. * Upon completion of the discharge appeal, provides a HINN ...
... and QIO requests. He/she helps support the Director to assure consistent practice and outcomes involving appropriate level of care, resource utilization, associated revenue cycle activities, safe ...
... and QIO requests. He/she helps support the Director to assure consistent practice and outcomes involving appropriate level of care, resource utilization, associated revenue cycle activities, safe ...
Quality Assurance / Utilization Review and/or coding experience, QIO experience INTERNET REQUIREMENTS: Reliable, high-speed wireless internet service (Wi-Fi)Physical and Sensory Requirements (With or ...
Quality Assurance / Utilization Review and/or coding experience, QIO experience INTERNET REQUIREMENTS: Reliable, high-speed wireless internet service (Wi-Fi)Physical and Sensory Requirements (With or ...
$5.29 - $7.67
0% of jobs
$7.67 - $10.05
0% of jobs
$10.05 - $12.43
0% of jobs
$12.43 - $14.82
0% of jobs
$14.82 - $17.20
0% of jobs
$17.20 - $19.58
6% of jobs
$20.66 is the 25th percentile. Wages below this are outliers.
$19.58 - $21.96
42% of jobs
$21.96 - $24.34
0% of jobs
$24.34 - $26.73
0% of jobs
The median wage is $27.32 / hr.
$26.73 - $29.11
8% of jobs
$30.13 is the 75th percentile. Wages above this are outliers.
$29.11 - $31.49
44% of jobs
$5
$25
$31
Qio is not a widely recognized job title, so its meaning may vary depending on the company or industry. It could be a specialized role within technology, business, or another sector. If you have encountered this title in a specific context, reviewing the job description or company details can provide clarity. Feel free to share more information for a more precise answer.
| Aspect | Qio | Medical Assistant |
|---|---|---|
| Required Credentials | Typically requires certification or specialized training in healthcare quality or patient safety | Requires completion of a post-secondary education program and certification (e.g., CMA or RMA) |
| Work Environment | Healthcare facilities, clinics, hospitals focusing on quality improvement | Doctors' offices, clinics, hospitals assisting with patient care |
| Employer & Industry Usage | Healthcare quality organizations, hospitals, clinics | Medical practices, outpatient clinics, hospitals |
| Common Search & Comparison | Qio vs Medical Assistant |
Qio professionals focus on healthcare quality improvement, compliance, and patient safety, often working behind the scenes in healthcare organizations. Medical Assistants provide direct patient care and administrative support in clinical settings. While both roles are vital in healthcare, they differ in responsibilities, credentials, and work environment.
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
As a support to the A&G Department, the A&G Analyst is responsible for the preparation, communication, and submission of External Appeals and QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO). Complete all quarterly DOH, CMS, and departmental reports. Serve as a backup for the A&G Fair Hearing Coordinator and the A&G Senior Specialists and other A&G staff as needed. Assist with VAM upgrades, and training as needed. The position requires excellent communication, time management, and proficiency in multiple systems to facilitate the timely gathering of documentation, communication, and collaboration between responsible parties to ensure compliance with all State and Federal Regulatory Requirements.
BA/BS degree or equivalent, relevant experience required.
3-4 years prior related experience is requirpreferablybly in Managed Care or Health Care related organizations.
Telephone, Fax, Email, Scanner, Microsoft Word, Excel, Powerpoint, capacity to learn other programs as assigned.
Excellent written and oral communication skills.
Good analytical abilities.
Ability to be empathetic and understanding.
Ability to handle confidential aspects of the position.
Ability to work closely with different professionals as part of an interdisciplinary healthcare team.
Good customer service skills.
Ability to set priorities.
Ability to work independently while recognizing issues having a departmental or organizational impact.
Ability to maintain collegial relationships and work in an interdisciplinary team environment.
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Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care (Isabella & Menorah Center), and the research-based MJHS Institute for Innovation in Palliative Care. We also offer health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible, in part, through support to the MJHS Foundation. The generosity of grateful families, private and corporate donors and grants, as well as our own employees, support our specialized services not reimbursed by government programs or private insurance.
Health care and social assistance
1,001 - 5,000 Employees
New York, NY, US
1907