• Program Director, Quality Improvement…

    Molina Healthcare (Rochester, NY)
    … Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance ... of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement… more
    Molina Healthcare (08/02/25)
    - Related Jobs
  • AVP, Clinical Stars & Quality Improvement…

    Molina Healthcare (Yonkers, NY)
    **Job Summary** This role oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs supporting Medicare ... for ensuring maintenance of programs for members in accordance with prescribed quality standards and provides direction and implementation of key clinical Stars… more
    Molina Healthcare (08/28/25)
    - Related Jobs
  • Lead Abstractor, HEDIS/ Quality Improvement…

    Molina Healthcare (Buffalo, NY)
    …**E** **N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** + 5 years experience in healthcare Quality /HEDIS specific to medical record review and abstraction + ... **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)
    - Related Jobs
  • Senior Overreader, HEDIS/ Quality

    Molina Healthcare (NY)
    …**N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality /HEDIS specific to abstraction and overreading. **PR** **E** **FE** ... **Job Description** **Job Summary** Molina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical… more
    Molina Healthcare (08/21/25)
    - Related Jobs
  • Healthcare Quality Analyst

    Deloitte (Rochester, NY)
    …accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving ... / personal health information + Consistently meet individual productivity and quality goals The Team Deloitte's Government and Public Services (GPS) practice… more
    Deloitte (08/28/25)
    - Related Jobs
  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Yonkers, NY)
    …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops ... audit projects and deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source (SDS) acquisition from… more
    Molina Healthcare (08/21/25)
    - Related Jobs
  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare certification To all current ... Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with… more
    Molina Healthcare (08/15/25)
    - Related Jobs
  • Medical Director (Marketplace)

    Molina Healthcare (Albany, NY)
    …Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Quality Practice Transformation Advisor

    CVS Health (Albany, NY)
    …trends, best practices, and regulatory changes related to provider performance and healthcare quality . Support population health and health equity initiatives to ... for improvement. **Required Qualifications:** + 5+ years of experience in healthcare quality improvement, provider relations, or a related role. + 2+ years… more
    CVS Health (08/23/25)
    - Related Jobs
  • Quality Informatics Analyst - Senior

    Rochester Regional Health (Rochester, NY)
    …performing data analysis in a healthcare field preferred. + Experience with healthcare quality and safety data is highly desirable. + Experience in a ... Job Title: Quality Informatics Analyst - SeniorDepartment: Quality ...and presents this information to stakeholders (physicians, nurses, allied healthcare professionals and healthcare administrators, and enterprise… more
    Rochester Regional Health (08/19/25)
    - Related Jobs