- Molina Healthcare (Omaha, NE)
- …the implementation of NCQA accreditation surveys and federal QI compliance activities. The Quality AVP will be responsible for Medicare Stars strategies and ... literature and within Molina strategic plans. + Serving as operations and implementation lead for Molina plan quality...in managed healthcare administration. + 10+ years' experience in Quality leadership role with a Managed Care Payer… more
- BlueCross BlueShield of North Carolina (NC)
- …degree or advanced degree preferred **Bonus Points** + Knowledge of clinical quality improvement operations , including HEDIS, Medical quality ratings, ... and monitors staff or provider performance to achieve excellence in quality . Provides timely, relevant, accurate, and objective feedback to staff, providers,… more
- CommonSpirit Health (Phoenix, AZ)
- …and optimization of platforms used for care coordination, risk stratification, quality improvement, and payer -provider integration, ensuring alignment with the ... financial risk reports, and contract performance monitoring. Ensure systems support HEDIS, STARS , CAHPS, and other regulatory and quality reporting requirements.… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …strategic solutions, analytics, and advisory services to clients, ensuring innovation, quality , and repeatability across all engagements. This individual will bring ... execution, monitoring, and closure. + Monitor project progress, ensuring timelines, quality standards, and client expectations are consistently met. + Build and… more