- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Provider Engagement , Clinical Quality Executive develops and grows positive, ... the contracted working relationship with the health plan. The Provider Engagement , Clinical Quality...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- DocMatter Inc. (San Francisco, CA)
- …collaboration goals within your supported clinician networks + Utilize KPI's to monitor clinical engagement and discussion quality , and proactively identify ... of healthcare professionals. As a senior member of the Clinical Engagement Team, you will be responsible...areas. You will drive the strategy to support high quality peer to peer education and collaboration in clinician… more
- Northwell Health (Lake Success, NY)
- …standard of care delivery through frontline team engagement * Provides clinical expertise and quality assessment for the successful referral, transfer, and ... with senior leadership and department management to plan and implement clinical services, systems, and performance improvement activities as they relate to… more
- Humana (Tallahassee, FL)
- …members ( clinical , provider engagement ), to discuss key operational, clinical , and quality related topics. **Use your skills to make an impact** ... first** Humana Healthy Horizons in Florida is seeking a Provider Engagement Professional to join the Florida...and healthcare systems to support and improve financial and quality performance within the contracted working relationship with the… more
- Somatus (Cleveland, OH)
- …improvement strategies. + Provide strategic guidance and support for Somatus' provider network. + Develop provider quality and financial incentives ... the Great Lakes region-Ohio, IN, or KY.** The Director, Provider Engagement is a critical member of...engagement and operational team. + Partner with Somatus' clinical managers to support care team objectives related to… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to… more
- Commonwealth Care Alliance (Farmington, MI)
- **Why This Role is Important to Us:** **Position Summary:** The Provider Engagement Specialist ACO/PO works closely with participant providers within the ... organization's ACO and/or Physician's Organization. The Provider Engagement Specialist will conduct reviews and... Specialist will conduct reviews and audits for designated quality metric compliance via onsite and EMR review and… more
- Molina Healthcare (Seattle, WA)
- …education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality ... education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of these… more
- Molina Healthcare (Flint, MI)
- …education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality ... and monitoring for key performance measurement activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Provider Engagement contributes to one or more of these… more
- University of Virginia (Charlottesville, VA)
- …competency Health System: The CNS helps to advance the practice of nursing and clinical care through improvement of quality , safety and service in collaboration ... the sharing of clinical expertise as evidenced by patient outcomes, employee engagement survey + Willingness to embrace and lead change when change is necessary,… more
- Catholic Health Services (Melville, NY)
- …clinically integrated network Educate provider stakeholders on incentive programs, quality measures and clinical performance data Interface with hospital ... reimbursement paradigms shift from fee-for-service to those which are value-based. Job Details The Provider Engagement Manager (PEM) is the face of CHS for our… more
- Centene Corporation (Topeka, KS)
- …of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Centene Corporation (Sacramento, CA)
- …of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations. Project management ... Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with… more
- Centene Corporation (Sacramento, CA)
- …of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations. ... Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on… more
- University of Virginia (Charlottesville, VA)
- This Advanced Practice Provider - Clinical Nurse Specialist (APP-CNS) is a vital member of the Charles O. Strickler Transplant Center's Leadership Council, ... supporting Adult and Pediatric solid organ transplant clinical practice across the entire care continuum, quality , safety, and regulatory compliance initiatives,… more
- AbbVie (Irvine, CA)
- …Follow Allergan Aesthetics on LinkedIn. Job Description The Manager, AMI Clinical Engagement will play an integral role in deploying ... skin care, and more. Our goal is to consistently provide our customers with innovation, education, exceptional service, and...necessary part of job training, the Sr. Manager, AMI Clinical Engagement will also participate in on-going… more
- AbbVie (Atlanta, GA)
- …Follow Allergan Aesthetics on LinkedIn. Job Description Summary: The Sr. Manager, AMI Clinical Engagement will play an integral role in deploying AMI training ... skin care, and more. Our goal is to consistently provide our customers with innovation, education, exceptional service, and...necessary part of job training, the Sr. Manager, AMI Clinical Engagement will also participate in on-going… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? Summary: + The HUP Community Engagement team's Clinical Research Coordinator is responsible for managing a multilayered ... of community engagement team in caring for subjects. Implements or provide oversight of screening, referral, and scheduling subjects for appointments, in person… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and implementations team. FEP is BCBSMA's single largest account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered ... encompasses a member and provider call center, provider correspondence and appeals, clinical review, member...ownership + Offer opportunities for continuous learning and associate engagement + Build bench strength to secure talent +… more
- Molnlycke Health Care (Austin, TX)
- Clinical Engagement Manager DACH & CEE JOIN US AND MAKE A DIFFERENCE If you have a passion for science as well as the commercial side, if you like partnering ... the opportunity for you. We are looking for a Clinical Engagement Manager DACH & CEE (m/f/d)....the region. + Lead the development of case studies, quality improvement projects, and small-scale clinical studies… more