- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- CDM Smith (Columbus, GA)
- …to identify potential new business opportunities and sources of revenue. * Develop, lead , and maintain a high- performance service and construction team. * Work ... are seeking a dynamic and experienced Unit President to lead our Industrial Business Unit. This role is pivotal...legislation that impacts the industrial market. * Knowledge of risk management and quality assurance practices. *… more
- Elevance Health (Columbus, GA)
- …provider collaboration programs. + Identifies opportunities for improvement in cost and quality performance , and engages appropriate resources to drive improved ... Organization's (ACO) strongly preferred. + Knowledge of Medicare focused cost and quality performance -based programs strongly preferred. Please be advised that… more
- Molina Healthcare (Columbus, GA)
- …multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those ... populations with the goal of identifying opportunities to improve financial performance . Extracts, analyzes, and synthesizes data from various sources to identify… more
- Centene Corporation (Columbus, GA)
- …for provider improvement. + Collaborates with Provider Relations to improve provider performance in areas of Quality , Risk Adjustment, Operations ... provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists… more
- CDM Smith (Columbus, GA)
- …and provides feedback to staff and to project staffs' supervisors on project performance ; escalates any performance issues to appropriate management and human ... budgets and objectives for projects using lessons learned. * Assesses potential project risk and outlines risk mitigation solutions. * Ensures adherence to… more
- Elevance Health (Columbus, GA)
- …organizations. + Medicare value-based experience with a focus on cost and quality performance strongly preferred; Commercial and Medicaid experience a plus. ... cost and quality trends for the purpose of improving provider performance . + Leads internal performance strategy, and external Joint Operation Committees… more
- Cognizant (Columbus, GA)
- …teams to gather and analyze requirements for new projects. + Ensure the performance quality and responsiveness of applications by conducting thorough testing and ... **Job Summary** We are seeking a highly skilled Functional Lead with 12 to 16 years of experience to...to the overall success of the company by delivering high- quality software solutions that meet business objectives. **Qualifications** +… more