• Health Plan Quality

    Medical Mutual of Ohio (OH)
    …position has the option to work fully remote; Ohio residents preferred._** **Responsibilities** ** Health Plan Quality Program Manager** + Facilitates ... a culture of continuous improvement. + Performs other duties as assigned. **Senior Health Plan Quality Program Manager** + Leads and/or participates in… more
    Medical Mutual of Ohio (08/20/24)
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  • Health Plan Analyst - USFHP…

    Pacific Medical Centers (Seattle, WA)
    …audit processes, data analysis, and reporting to support the US Family Health Plan (USFHP) and Pacific Medical Centers quality program and leadership. ... - Health care experience in a group practice, outpatient/inpatient or health plan setting. **Preferred Qualifications:** + HEDIS software application. +… more
    Pacific Medical Centers (07/15/24)
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  • VP, Health Plan , Quality

    VNS Health (Manhattan, NY)
    OverviewOversees and leads the development, implementation and strategic oversight of VNS Health Plan 's Quality programs and improvement initiatives to ... clinical quality and member experience across all Health Plan products. + Monitors and analyzes...quality measures. + Oversees the Education & Development program to ensure Health Plans team members… more
    VNS Health (09/04/24)
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  • Program Manager III, Risk Adjustment…

    Sutter Health (Sacramento, CA)
    …**SKILLS AND KNOWLEDGE:** + Experience with program management in a healthcare or health plan setting. + Knowledge of risk adjustment program management. ... **Organization:** Sutter Health Plan - Valley **Position Overview:** As a program management expert, the incumbent will develop, manage, and execute… more
    Sutter Health (08/18/24)
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  • Community Health Program Manager II…

    LA Care Health Plan (Los Angeles, CA)
    …to resolve problems and/or improve operations and quality of the housing program . Community Health Platform: The Community Health Platform team supports ... Community Health Program Manager II (ALD) Job...(Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency… more
    LA Care Health Plan (08/01/24)
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  • Physician Assistant Surgery General Per Diem

    Provider Solutions & Development (Eureka, CA)
    …accolades such as the Top Performing Hospital 2024 by the Partnership Health Plan 's Hospital Quality Improvement Program and the Blue Distinction Center ... total compensation and may include productivity bonuses, incentives related to quality and performance, hospital/ED call stipends, extra shift incentives, and other… more
    Provider Solutions & Development (09/06/24)
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  • Manager, Clinical Quality Analytics (Stars,…

    LA Care Health Plan (Los Angeles, CA)
    …$117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (08/28/24)
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  • Medical Director of Quality and Population…

    Ascension Health (Glendale, WI)
    **Details** + **Specialty:** Quality and Population Health + **Schedule:** 1.0 FTE, Monday - Friday + **Call Schedule:** There is no on call responsibility. + ... and will partner with their operations dyad partner.** The Medical Director of Quality and Population Health will have the responsibility for planning,… more
    Ascension Health (09/06/24)
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  • Claims Quality Auditor II

    LA Care Health Plan (Los Angeles, CA)
    …$67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (09/11/24)
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  • Provider Data Quality Auditor II (ALD)

    LA Care Health Plan (Los Angeles, CA)
    …Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (08/03/24)
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  • Clinical Quality Program Manager

    Elevance Health (Nashville, TN)
    **Clinical Quality Program Manager** **Location:** 22 Century Blvd, STE 310, Nashville, TN 37214 This position will take part in Elevance Health 's hybrid ... sites used for collaboration, community, and connection. The **Clinical Quality Program Manager** is responsible for overseeing...for the TennCare Kids population, develops an annual strategy plan , and ensures integration of quality into… more
    Elevance Health (09/11/24)
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  • Customer Solution Center Quality Auditor II

    LA Care Health Plan (Los Angeles, CA)
    …Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (08/28/24)
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  • Utilization Management Clinical Quality

    LA Care Health Plan (Los Angeles, CA)
    …$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (07/03/24)
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  • Director, Information Technology Quality

    LA Care Health Plan (Los Angeles, CA)
    …$135,136.00 (Min.) - $175,676.00 (Mid.) - $216,218.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (07/30/24)
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  • Quality Patient Safety Program

    Dignity Health (Phoenix, AZ)
    …we are proud_ _to be_ _a tobacco-free campus._ **Responsibilities** As our new Quality and Patient Safety Program Manager (licensed), you will support, ... benefits) + Flexible spending accounts + Matching 403(b) retirement program + Fully Funded Pension Plan +...company performance + Relocation assistance if applicable + Dignity Health now offers an Education Benefit program more
    Dignity Health (08/25/24)
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  • Behavioral Health Provider Quality

    Elevance Health (Charleston, WV)
    …measurements. + Contributes to the identification of best practices and integrates high- quality program ideas/designs into the local market to drive high ... Pulse Point location. **Shift:** Monday - Friday; 8am - 5pm The **Behavioral Health Provider Quality Manager** is responsible for leading Behavioral Health more
    Elevance Health (09/11/24)
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  • Quality Program Coordinator/RN…

    Northern Light Health (Brewer, ME)
    …Independent travel to various sites required. + Collaborates with Quality Program Manager to create individual self-development plan . + Sound analytical and ... Work Schedule: 8:00 AM to 4:30 PM Summary: The Quality Program Coordinator will facilitate quality...relative work experience required.* 5 years' experience of Ambulatory/Population Health quality knowledge OR 5 years' experience… more
    Northern Light Health (08/23/24)
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  • Clinical Quality Manager - Urgent Care…

    Bon Secours Mercy Health (Cincinnati, OH)
    …staff training and satisfaction. + Collaborates with business leaders to oversee the quality program to include infection prevention, safety, and lab compliance. ... Health , we are dedicated to continually improving health care quality , safety and cost effectiveness....of clinical workflow, and front desk process. + Designs quality training program , develops protocols and safety… more
    Bon Secours Mercy Health (08/29/24)
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  • Data Governance Program Manager I

    LA Care Health Plan (Los Angeles, CA)
    …$105,267.00 (Min.) - $122,000.00 (Mid.) - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...of a Director. Assists in developing a domain-specific data quality program , including robust data remediation processes.… more
    LA Care Health Plan (06/26/24)
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  • Behavioral Health Regulatory…

    Fallon Health (Worcester, MA)
    …and federal and state contracts regarding behavioral health services offered by the health plan . + Partner with Compliance area to ensure the integrity and ... and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high- quality , coordinated care and...state contract and other needs with respect to Fallon Health 's Behavioral Health program and… more
    Fallon Health (08/14/24)
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