- Independent Health (Buffalo, NY)
- …including parameters that reflect the organization's health equity goals. The Director builds organizational commitment to continuous quality improvement , ... education regarding quality improvement ; and facilitates a comprehensive quality improvement program. The Director has oversight of the identified/approved… more
- Sharp HealthCare (San Diego, CA)
- …conjunction with the Director of PHM/ Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and Physician Reviewers. ... programs and work plans. + Assists the Chief Medical Officer and the Quality Improvement Director in creating and maintaining a system that gives feedback to… more
- McLaren Health Care (Indianapolis, IN)
- …and NCQA guiding the Plans on NCQA policies and procedures, negotiates the survey process as well as HEDIS /CAHPs procedures and standards with NCQA. Plays a ... We are looking for a Director , Accreditation to join us in leading our...or exceed accreditation standards, and to address opportunities for improvement across standards. Serves as a liaison between the… more
- Molina Healthcare (Columbus, OH)
- …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... the activities of the department and the process improvement process . * Assesses...efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an… more
- Elevance Health (Miami, FL)
- …**Clinical Quality Program Director ** is responsible for developing a national quality improvement strategy for a major line of business. **How will you make an ... **Clinical Quality Program Director ** **Preferred Location: Florida. This position is hybrid...integrates best practices into state programs. + Develops performance improvement plans and oversees the clinical quality improvement… more
- Molina Healthcare (Columbus, OH)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
- Molina Healthcare (Charleston, SC)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
- ZoomCare (Portland, OR)
- …part of our dedicated, fast-moving team of superstars! ZoomCare is seeking a **Medical Director of Primary Care** to join our team! The Medical Director of ... and implement strategies to improve performance on key quality metrics (eg, HEDIS , STAR Ratings, preventive screenings, and chronic care management). + Monitor and… more
- CenterLight Health System (NY)
- …interdisciplinary team on all care planning requirement and be the steward of process improvement and effective communication across teams. + Support case ... and testing center DTC. + Participates in safe care transitions initiatives and process improvement . Informatics and Clinical Model Implementation + Lead the… more
- Sutter Health (San Francisco, CA)
- …surgical quality improvement program (NSQIP). + Working knowledge of performance/ process improvement methodologies (eg, lean/six sigma, pdsa, rapid cycle). + ... Leads the strategic planning, design, direction and implementation of clinical improvement and quality management programs and initiatives for the system and… more
- Sea Mar Community Health Centers (Seattle, WA)
- …support quality improvement projects and initiatives. + Support and plan internal process improvement initiatives led by the Quality Improvement Medical ... in Seattle, WA. This position works under the direction of the Quality Improvement Medical Director or Designee. They will assist in advancing organizational… more
- Ventura County (Ventura, CA)
- …performance and recommends, facilitates, and oversees the implementation of quality improvement initiatives throughout the clinic system including process ... + Benefits + Questions Description Under the general direction of the Director , Quality & Population Health for Ambulatory Care, oversees clinic-based quality teams… more
- Fallon Health (Worcester, MA)
- …within Fallon Health to facilitate the design and implementation of clinical quality improvement activities and to support HEDIS submissions. In addition, this ... Twitter and LinkedIn. **Brief Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is… more
- Beth Israel Lahey Health (Wakefield, MA)
- …revenue in our quality risk arrangements. This role facilitates strategic process improvement initiatives through planning, development, and operationalization ... applications. May produce complex documents, perform analysis and maintain databases Knowledge of process improvement initiatives such as LEAN or Six Sigma a… more
- Molina Healthcare (AZ)
- …opportunities for improvement . * Monitors and collaborates with Manager and Director to address any gaps in processes that may require remediation. * Creates ... quality management compliance activities. Please make sure to include any healthcare/ HEDIS /quality metric experience on your resume. We are moving quickly to… more
- ERP International (Nellis AFB, NV)
- …and timely information to these groups and assists with decision-making and process improvement . Participates in customer service initiatives, performance and ... and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives. Promote and contribute quality performance,… more
- Elevance Health (Seven Fields, PA)
- …risk management and/or utilization review in a managed care setting as well as process improvement ; or any combination of education and experience which would ... quarterly, annual and ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal written correspondence in… more
- Hackensack Meridian Health (Edison, NJ)
- …recovery efforts and collaborating with care management and physician advisors on continuous process improvement . **Responsibilities** A day in the life of a ... clinical denials, collaborating with care management teams and physician advisors on process improvement . Provide leadership and oversight to the Vice President,… more
- Beth Israel Lahey Health (Wakefield, MA)
- …team in coordinating care for visits and for future healthcare needs 8. Supports process improvement to enhance physician and staff workflow 9. Handles new ... for populations identified by LCPN and supervised by the Director of Quality. 2. Serves as the liaison with...produce complex documents, perform analysis and maintain databasesKnowledge of process improvement initiatives such as LEAN or… more
- Johns Hopkins University (Baltimore, MD)
- … Director , identify inefficiencies within clinical practice operations and implement process improvement projects using best practices in healthcare and ... which support Institutional strategic goals. This position reports directly to the Director for Ambulatory Operations & Access Services and receives direction on… more
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