• Program Manager - Network Solutions and Operations

    Molina Healthcare (Syracuse, NY)
    …: + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with ... May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes… more
    Molina Healthcare (08/02/25)
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  • Lead Abstractor, HEDIS/Quality Improvement

    Molina Healthcare (Buffalo, NY)
    … studies and performance improvement projects. + Leads projects and process improvement initiatives. **Job Qualifications** **REQU** **I** **RED ED** **U** ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,… more
    Molina Healthcare (08/08/25)
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  • Senior Overreader, HEDIS/Quality…

    Molina Healthcare (NY)
    **Job Description** **Job Summary** Molina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical ... well as all other HEDIS/HEDIS like project. Mentors entry-level Overreaders throughout the process . + Provides feedback to providers on visit notes or feedback from… more
    Molina Healthcare (08/21/25)
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  • Process Improvement Manager I-Health…

    Mount Sinai Health System (New York, NY)
    …education relevant to healthcare operations, data analysis, strategic planning and process improvement including at least one year of directly managing staff ... **Job Description** ** Process Improvement Manager I-Health System Operations...healthcare delivery and efficient operations + Drives continuous improvement within the department, contributing to the development of… more
    Mount Sinai Health System (07/03/25)
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  • Associate Dir, Health Systems & Process

    Mount Sinai Health System (New York, NY)
    **Job Description** **Associate Dir, Health Systems & Process Improvement -Health System Operations-Full-Time-Days -Hybrid** The Associate Director of Health ... Systems and Process Improvement is responsible for supporting the...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
    Mount Sinai Health System (07/03/25)
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  • Senior Health Systems and Process

    Mount Sinai Health System (New York, NY)
    **Job Description** Senior Health Systems and Process Improvement Engineer -Health System Operations-Full-Time-Days -Hybrid The Senior Health Systems and ... Process Improvement Engineer supports, develops, and executes...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
    Mount Sinai Health System (07/03/25)
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  • Senior Process Improvement

    Humana (Albany, NY)
    …Encounter Data Management team within the Healthcare Quality Reporting and Improvement organization (HQRI). The Senior Process Improvement Professional ... community and help us put health first** The Senior Process Improvement Professional, DSNP Encounters Data Management...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (08/27/25)
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  • Senior Analyst, Healthcare Analytics (Risk…

    Molina Healthcare (NY)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions… more
    Molina Healthcare (07/17/25)
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  • Senior Process Consultant (Medicare)…

    Molina Healthcare (Syracuse, NY)
    Healthcare , Engineering, etc.) **Required Experience** 10 years of process improvement experience **Preferred Education** Graduate Degree **Preferred ... **JOB DESCRIPTION** **Job Summary** Leads business process improvement initiatives that result in...Experience** + 4 years' experience in healthcare and/or health plan operations + Project management To… more
    Molina Healthcare (07/19/25)
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  • Manager, Performance Improvement - Full…

    Mohawk Valley Health System (Utica, NY)
    …through the quality management system. This position requires a deep understanding of process improvement methodologies, lean six sigma and ISO standards as well ... causes analysis of targeted high risk, and high volume healthcare processes. In collaboration with the Quality Management Department...on teams and committees related to peer review and process improvement at MVHS as required. +… more
    Mohawk Valley Health System (07/09/25)
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