QUALITY ASSURANCE MANAGER jobs in Mcallen, TX

QUALITY ASSURANCE MANAGER is responsible for the implementation of policies and procedures to ensure adherence to production quality standards. Monitors and audits process, material, and product testing against established standards and conducts a continuous analysis of quality defects and deviations. Being a QUALITY ASSURANCE MANAGER identifies deficiencies or gaps in testing activities and develops solutions to ensure adequate and robust quality processes. Optimizes processes to comply with existing and new regulatory requirements. Additionally, QUALITY ASSURANCE MANAGER typically requires a bachelor's degree. Typically reports to a director. The QUALITY ASSURANCE MANAGER manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a QUALITY ASSURANCE MANAGER typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager, CDI - Quality Assurance, Remote
  • Aledade
  • Edinburg, TX FULL_TIME
  • Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.


    We are searching for a Manager, Clinical Documentation Integrity - Quality Assurance to join the team. This Subject Matter Expert will support documentation improvement and coding within practices participating in value-based contracts. This position is critical to our practices’ ability to provide better care to Medicare beneficiaries and the CDI Lead is expected to be an exemplar of regulatory compliance. The CDI QA Lead will lead quality assurance program development and CDI QA initiatives. The CDI Lead must be detail-oriented, service-minded, possess strong verbal and written communication skills, and be fluent in (or willing and able to master) Google Suite tools.


    We are looking for individuals who genuinely believe that Aledade’s model of physician-led ACOs can improve quality and lower cost. This position will work remotely within the US and includes periodic travel to Aledade’s Headquarters in Bethesda, MD and assigned markets.


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    Primary Duties:
    • Partners with key stakeholders to lead clinical documentation and coding quality assurance initiatives & program development.
    • Ensures compliance with third party and State and Federal regulations.
    • Delivers progress reports to leadership regarding CD Quality program initiatives (e.g., audit reports)
    • Serve as a Subject Matter expert for regulatory compliance, clinical documentation, coding, and billing.  
    • Master auditor. Audits staff to assure a minimum of 95% accuracy and recommends education and training related to results.  Provides input to the staff performance evaluation completed and conducted by the Manager.


    Required Qualifications:
    • Active nursing credential as Registered Nurse (RN)
    • Bachelor's degree in Health Information Management or related healthcare field.  10 years of experience in lieu of the degree


    Preferred Experience, Skills, and Abilities:
    • 4 years of experience in a health plan or health system setting
    • 2 years of experience in Risk Adjustment
    • 4 years of management experience
    • Previous experience in a quality assurance program and extensive knowledge of state and federal regulations and guidelines pertaining to documentation and coding. Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models.  
    • Complete understanding of acuity levels for specific patient populations and strong clinical knowledge with the ability to interpret clinical documentation. Experience working directly with physician practices and individual providers to achieve demonstrable improvement of the accuracy and completeness of documentation and coding.
    • Subject matter expertise on the Risk Adjustment program, methodology, and impact to value-based contracts across multiple lines of business (Medicare, Medicaid, & Commercial).  
    • Master’s degree in health related fields. 

    One or more of the following active credentials:
    • RHIA – Registered Health Information Administrator (RHIA) - AHIMA
    • RHIT – Registered Health Information Technician (RHIT) - AHIMA
    • Certified Coding Specialist (CCS) - AHIMA
    • Certified Documentation Improvement Practitioner (CDIP) – AHIMA
    • Certified Clinical Documentation and Certification - Outpatient (CCDS-O) - ACDIS
    • Certified Risk Coder (CRC) - AAPC
    • Certified Professional Medical Auditor (CPMA) - AAPC
    • Certified Professional Biller (CPB) - AAPC
    • Rural Health Coding & Billing Specialist (RH-CBS) - ArchPro Coding
    • Community Health Coding & Billing Specialist (CH-CBS) - ArchPro Coding


    Physical Requirements:
    • Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
    • Flexibility to travel up to 10% of the time.


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    Who We Are:

    Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.


    What Does This Mean for You?

    At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.


    In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

    Flexible work schedules and the ability to work remotely are available for many roles

    Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays

    12 weeks paid Parental Leave for all new parents

    6 weeks paid sabbatical after 6 years of service

    Educational Assistant Program & Clinical Employee Reimbursement Program

    401(K) with up to 4% match

    Stock options

    And much more!


    At Aledade, we don’t just accept differences, we celebrate them!   We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.


    Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at  https://www.aledade.com/privacy-policy-applicants

  • 8 Days Ago

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Quality Control/Quality Assurance Representative
  • Sames, Inc.
  • Allen, TX FULL_TIME
  • About the Job: GENERAL: The Quality Control/Quality Assurance representative is responsible for the implementation and management of the project quality control program and the performance of daily QC...
  • 24 Days Ago

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Construction Quality Assurance Analyst
  • Logistics Management Institute
  • Allen, TX OTHER
  • Overview This position will serve as a construction quality assurance (QA) representative responsible for assisting Customs and Border Protection (CBP) in execution of construction the borders of the ...
  • 22 Days Ago

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Quality Assurance Director
  • United Migrant Opportunity Services
  • Allen, TX FULL_TIME
  • Apply Now and complete an official UMOS application to be considered at UMOS.org. Resumes alone are not accepted. Essential Duties and Responsibilities: Responsible for program compliance in Head Star...
  • 3 Days Ago

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Quality Assurance Director
  • UMOS, Inc.
  • Mcallen, TX FULL_TIME
  • Apply Now and complete an official UMOS application to be considered at UMOS.org. Resumes alone are not accepted. Essential Duties and Responsibilities: Responsible for program compliance in Head Star...
  • 5 Days Ago

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Quality Assurance Specialist
  • C2 GPS- Lower Rio Grande Workforce
  • Weslaco, TX FULL_TIME
  • JOB SUMMARY:The Quality Assurance Specialist performs routine monitoring work and uses statistical sampling, auditing, and observation of work to ensure consistent compliance with policies and procedu...
  • 17 Days Ago

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0 QUALITY ASSURANCE MANAGER jobs found in Mcallen, TX area

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Warranty Specialist II
  • Johnson Controls International
  • Apodaca, Nuevo León
  • Warranty Analyst II What you will do? The position requires a self-motivated associate that can multitask, solve busines...
  • 3/29/2024 12:00:00 AM

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Material/Property Controller - TS/SCI with Poly
  • Leidos
  • Alice Springs, NT
  • Description The National Security Sector at Leidos currently has an opening for a Material/Property Controller to suppor...
  • 3/28/2024 12:00:00 AM

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Senior Network Administrator
  • General Dynamics Information Technology
  • GDIT has an exciting opportunity for a Sr. Network Administrator to support U.S. Army Europe as part of our EMITS progra...
  • 3/28/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Mid Atlantic DC/VA
  • Bayer
  • Sr MSL WHC Mid Atlantic DC/VA The Senior Medical Science Liaison (MSL) serves as a trusted scientific expert and partner...
  • 3/25/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Mid Atlantic DC/VA
  • Bayer
  • Sr MSL WHC Mid Atlantic DC/VA The Senior Medical Science Liaison (MSL) serves as a trusted scientific expert and partner...
  • 3/25/2024 12:00:00 AM

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Senior Medical Science Liaison-Cardiorenal Charleston South Carolina
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 3/25/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Nevada Utah
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 3/25/2024 12:00:00 AM

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Senior Medical Science Liaison-Women's Healthcare Nevada Utah
  • Bayer
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 3/25/2024 12:00:00 AM

McAllen is the largest city in Hidalgo County, Texas, United States, and the 22nd-most populous city in Texas. It is located at the southern tip of the state in the Rio Grande Valley. The city limits extend south to the Rio Grande, across from the Mexican city of Reynosa, and McAllen is about 70 mi (110 km) west of the Gulf of Mexico. As of 2017, McAllen’s population was estimated to be 142,696. It is the fifth-most populous metropolitan area in the state of Texas, and the binational Reynosa–McAllen metropolitan area counts a population of nearly 1.52 million. From its settlement in 1904, the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for QUALITY ASSURANCE MANAGER jobs
$102,227 to $133,623
Mcallen, Texas area prices
were up 1.2% from a year ago

QUALITY ASSURANCE MANAGER in Juneau, AK
Whatever type of industry you work in, be it retail, health care, software, manufacturing or another industry, chances are that a quality assurance manager helps your business meet and exceed quality-control standards for your services and products.
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QUALITY ASSURANCE MANAGER in Great Falls, MT
In larger companies, quality assurance managers usually lead an entire department or sector, and they hire employees as part of their duties.
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QUALITY ASSURANCE MANAGER in Baltimore, MD
Having studied your organization in detail, you not only have an outstanding reputation within the industry, but you are clearly serious about setting and maintaining high Quality Assurance standards.
February 02, 2020