- 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
- Elevance Health (Columbus, GA)
- …provider collaboration programs. + Identifies opportunities for improvement in cost and quality performance , and engages appropriate resources to drive improved ... Provider Network Manager Sr - Value-Based Contracting (JR142923) **Location:** Candidates must...strongly preferred. + Knowledge of Medicare focused cost and quality performance -based programs strongly preferred. Please be… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those… 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)
- …of all relevant legislation that impacts the industrial market. * Knowledge of risk management and quality assurance practices. * Contract knowledge and ... delivery organization. * Directs operations of the groups including staffing, quality , profitability, sales support and client service. * Monitors business… more