- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities ... more
- Elevance Health (Costa Mesa, CA)
- …also responsible to assist regional head of quality management to mentor QM Directors of less complex health plans. **How you will make an impact:** + ... more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Clinical Nurse Specialist is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with ... more
- UCLA Health (Los Angeles, CA)
- …oversee the transfer/termination process. + Support quality management ( QM ) projects: Assist in initiatives like HEDIS /Pay for Performance, clinical ... more
- Molina Healthcare (AZ)
- …the quality management functions. * Facilitates individual and systemic quality of care investigations. * Monitors and evaluates the structure and ... more
- Dignity Health (Bakersfield, CA)
- …Clinical Social Worker (LCSW), NP, PA,). - 5 years of Quality Management ( QM ) experience in managed care health plan setting or medical group. - 5 ... more
- Fallon Health (Worcester, MA)
- …**Experience** * Minimum of 5 years' experience within a health care /managed care setting directing quality management or care management ... more
- Highmark Health (Dover, DE)
- …with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management **Preferred** + 7 years in a government program setting, ... more
- Sea Mar Community Health Centers (Seattle, WA)
- …manuals. + Interface with Managed Care Organizations to assure performance with HEDIS and other quality metrics. Qualifications: + Knowledge of patient ... more
- McLaren Health Care (Flint, MI)
- … care setting with at least two (2) years' experience performing complex quality management activities including HEDIS , NCQA etc. **Preferred:** + ... more
- Ventura County (Ventura, CA)
- …will have extensive experience leading quality improvement projects in a health care environment; proficiency with Electronic Health Record (EHR) ... more
- ChenMed (Philadelphia, PA)
- …FOR OWN PANEL AND CENTER:** + Responsible for assessment, diagnosis, treatment, management , education, health promotion, care coordination and documentation ... more
- Highmark Health (Columbus, OH)
- …industry, healthcare administration in primary care , or healthcare consulting in primary care or population health management . + 3 years of experience ... more
- Sharp HealthCare (San Diego, CA)
- …the continuum of care foundation for our NCQA required population health management program. Additionally, this position provides the representation of ... more
- ChenMed (Richmond, VA)
- …hospitalist works for ChenMed or not). + Responsible for assessment, diagnosis, treatment, management , education, health promotion and care coordination and ... more
- AmeriHealth Caritas (Washington, DC)
- …**Position Summary:** Provide organizational leadership in the operational areas of care management , utilization review, appeals, quality improvement ... more
- CVS Health (Columbus, OH)
- …DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality , and care management . * Actively participate in meetings and ... more
- Ascension Health (Zionsville, IN)
- …Quality improvement experience 3 years or greater Three (3) years' experience in a quality management with HEDIS data collection and Pay for Performance ... more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …success. The Quality Coordinator will assist in the promotion of quality management activities related to monitoring, assessing and improving performance in ... more
- Molina Healthcare (FL)
- …and regulatory changes. + Develops policies and procedures as needed. + Participates in Quality Management and Health Education programs including, but not ... more