- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by ... overseeing large programs and multiple projects supporting Molina's Risk Adjustment and Quality performance ....completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments.… more
- Molina Healthcare (Bowling Green, KY)
- **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
- Deloitte (Nashville, TN)
- … risk across the Deloitte US firms is of utmost importance. As a lead specialist in National Risk , you will help to proactively identify, mitigate, manage, ... Confidentiality & Privacy (C&P) is seeking a Lead Specialist to support the strategic priorities and...governance, data management, or related roles. + Experience in risk management, project delivery, quality management, technology… more
- Deloitte (Nashville, TN)
- Confidentiality & Privacy (C&P) is seeking a Lead Specialist to support the strategic priorities and mitigation of confidentiality and privacy risks across the ... further investigation, methodically monitor remediation activities with attention to quality , accuracy, and timeliness, and document results and outcomes… more
- CVS Health (Nashville, TN)
- …**Position Summary** We have an outstanding opportunity for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a ... of Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the...quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis… more
- HCA Healthcare (Nashville, TN)
- …tactical plans in support of these strategic initiatives. This person will lead development and implementation of governance, risk , and compliance processes, ... Do you have the career opportunities as a(an) Sr Risk Management Analyst you want with your current employer?...teams to help them define KPIs/KRIs to measure control performance + Manages processes to refresh ratings for inherent… more
- Regions Bank (Nashville, TN)
- …business offerings, retiring of offerings, policies and regulations) + Identifies Key Risk Indicators (KRI's) and Key Performance Indicators (KPI's) to evaluate ... more than just a job. We believe in offering performance -driven individuals a place where they can build a...opportunities. If you are focused on results, dedicated to quality , strength and integrity, and possess the drive to… more
- Regions Bank (Nashville, TN)
- …business offerings, retiring of offerings, policies and regulations) + Identifies Key Risk Indicators (KRI's) and Key Performance Indicators (KPI's) to evaluate ... more than just a job. We believe in offering performance -driven individuals a place where they can build a...opportunities. If you are focused on results, dedicated to quality , strength and integrity, and possess the drive to… more
- Deloitte (Nashville, TN)
- Deloitte Consulting LLP's Quality and Risk Management group is seeking a Risk Senior Manager with extensive experience in supporting deal and contract ... structuring, drafting customized contractual provisions and risk review, negotiations, operations, and operational aspects of professional services contracts.… more
- Deloitte (Nashville, TN)
- Deloitte Consulting LLP's Quality and Risk Management group is seeking a Risk Manager with extensive experience in supporting deal and contract structuring, ... drafting customized contractual provisions and risk review, negotiations, operations, and operational aspects of professional services contracts. Recruiting for this… more
- Amazon (Nashville, TN)
- … quality , while protecting the overall health of the network and mitigating risk to Amazon. DSP Performance Ops partners with multiple programs across the ... Performance Ops team is seeking a talented L4 Performance Ops Lead with a focus on...team as a trusted business partner * Monitors safety, quality , productivity, and customer expectations * Partners with cross-functional… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... tracking outcome. Assist with research, development, and completion of special performance improvement projects. **ESSENTIAL JOB DUTIES:** + Work cross functionally… more
- Deloitte (Nashville, TN)
- …focus on compliance with regulations and policies? Are you passionate about quality -assurance and risk -management in a professional services environment? Then ... of Deloitte. The ICN Business Relationships team performs a critical consultative, quality -assurance, and risk -management function for the Deloitte US Firms,… more
- Humana (Nashville, TN)
- …and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of ... complex problems through collaboration. The HQRI Finance team supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and… more
- Humana (Nashville, TN)
- …to design, validate scale new innovative value-based care/ alternative payment models in risk -based healthcare. The Clinical Strategy Lead will: + Engage in an ... part of a team that leads non-PCP and specialty risk initiatives, amongst other home-based and virtual care clinical...experts to identify the greatest opportunities in clinical outcomes, quality , cost, and experience for members. + Lead… more
- ITW (Nashville, TN)
- …demonstrate the ITW values of Integrity, Simplicity, Trust, Respect and Shared Risk . The Lead Service Technician interfaces with customers regarding technical ... aspects of Hobart Service's services. The Lead Service Technician is at an expert, ...thoroughness. * Looks for ways to improve and promote quality . * Applies feedback to improve performance .… more
- Humana (Nashville, TN)
- …Plans by serving its members through a single source solution. We engage in risk -based (eg, capitation, shared savings) deals with health plans and other risk ... infusion services. The Value-Based finance team is seeking a Financial Analytics Lead . The position will work directly with senior management, including the Segment… more
- Humana (Nashville, TN)
- …including pay for performance , bundles, accountable care, and shared savings and risk models. + 2 + years' experience in Medicaid managed care + Ability to ... caring community and help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the… more
- Cushman & Wakefield (Nashville, TN)
- **Job Title** Procurement Lead **Job Description Summary** The Procurement Director will lead a team of procurement professionals of varying levels and ... the on-account leadership team of varying service lines. The Procurement Director will lead in all aspects of procurement including, but not inclusive of: Strategic… more
- Lumen (Nashville, TN)
- …work closely with various departments to meet project objectives and deliver high quality results. Scope will encompass but is not limited to Lumen's global ... Develop comprehensive project plans including scope timelines resource allocation and risk management + Monitor project progress identify potential issues and… more