• Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …network via required provider credentialing guidelines. + Participates in BH provider quality profile design and data interpretation. + Develops and implements the ... BH sections of the Quality Management/Utilization Management (QM/UM) Plan, including having the BH...medical care + Fosters Clinical Practice Guideline implementation and evidence- based medical practice. + Develops and implements performance and… more
    Excellus BlueCross BlueShield (08/09/25)
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  • Chief of Clinical Bacteriology, Bureau of…

    City of New York (New York, NY)
    …to its mission to safeguard the health of all NYC residents by providing quality laboratory testing services that support the priorities of DOHMH and its community ... data analysis, project development and management, as well as maintain and support quality assurance activities and regulatory compliance at PHL This is an excellent… more
    City of New York (07/12/25)
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  • Chief of Molecular Core, Bureau of the Public…

    City of New York (New York, NY)
    …to its mission to safeguard the health of all NYC residents by providing quality laboratory testing services that support the priorities of DOHMH and its community ... analysis, project development and management, as well as maintaining and supporting quality assurance activities and regulatory compliance at PHL. This is an… more
    City of New York (07/12/25)
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  • Immunization Clinic Supervisor, Bureau of Public…

    City of New York (New York, NY)
    …and community groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. BPHC seeks to hire an ... program objectives. - Responsible for development, implementation, and evaluation of quality assurance activities to support the Program's goals and objectives in… more
    City of New York (07/11/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Bronx, NY)
    …the Bronx with Fidelis Care conducting UAS Assessments with members in their home setting. Applicants must reside in or near the Bronx.** **Position Purpose:** ... for complex/high acuity populations with primary medical/physical health needs to promote quality , cost effective care. Develops a personalized care plan / service… more
    Centene Corporation (07/09/25)
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  • Data Analyst, Bureau of Hepatitis, HIV, and STI

    City of New York (New York, NY)
    …the HIV Epidemic (EHE) cooperative agreement. CTP consists of six units: 1) Quality Management & Program Implementation, 2) Program Planning & Compliance, 3) EHE ... data from different systems as needed to ensure data quality and completeness. - Contributing to every stage of...additional health, fitness, and financial benefits may be available based on the position's associated union/benefit fund. oa public… more
    City of New York (07/09/25)
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  • RN Case Manager (Remote) - Telephonic

    Molina Healthcare (NY)
    …with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** ... for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and...RN license and a license in IL and/or MI. Home office with internet connectivity of high speed required.… more
    Molina Healthcare (08/08/25)
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  • Registered Nurse - Nurse Care Manager (Hybrid)

    Cardinal McCloskey Community Services (Bronx, NY)
    …Nurse - Nurse Care Manager will provide health consultation services through family- based home visits, group educational activities, in collaboration with the ... children and families and those with developmental disabilities through quality community- based services. A COA Accredited Agency,...in the early evening. * The position is mostly field- based , with work from home aspects. *… more
    Cardinal McCloskey Community Services (07/09/25)
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  • Vice President, Growth - Payer

    Evolent (Albany, NY)
    …+ Proven track record of accomplishment on execution of population health, value- based care, clinical quality and growth initiatives within a progressive ... Passion for healthcare and subscribed to the vision of value- based care + Strong familiarity with risk- based ...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
    Evolent (06/16/25)
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  • Medical Director - Spine

    CVS Health (New York, NY)
    …their clinical quality and effective use of health care resources. **This is a remote based (work at home ) based anywhere in the US.** Aetna, a CVS ... for a Medical Director (Spine) that can be remote based , work from home . The Medical Director...to members and providers. Leads all aspects of utilization review/ quality assurance, directing case management Provides clinical expertise and… more
    CVS Health (08/08/25)
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