• Sr Dir, Op Excellence - Administration - Full Time

    Guthrie (PA)
    …and enterprise-wide initiatives. + Quality & Safety Alignment: Support quality improvement teams in aligning efforts with patient safety, clinical ... preferred. Experience + Minimum of 8-10 years of progressive leadership in healthcare operations, performance improvement , or enterprise transformation. + Proven… more
    Guthrie (07/29/25)
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  • Medical Director Utilization Management

    AmeriHealth Caritas (Philadelphia, PA)
    …leadership in the operational areas of care management, utilization review, appeals, quality improvement and related policy and practice initiatives in ... non-network providers. + Engaging the provider network in Continuous Quality Improvement through the diffusion of practice...prohibited from participating in any Federally or State funded healthcare programs. + MHA, MPH, or MBA in … more
    AmeriHealth Caritas (08/12/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Harrisburg, PA)
    …Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing quality while reducing healthcare costs. + Support the identification of ... providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different potential roles on a… more
    Highmark Health (08/20/25)
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  • Manager, Coding Operations

    Datavant (Harrisburg, PA)
    …reports meet established accuracy and productivity standards. + Manage performance improvement initiatives by monitoring productivity and quality levels. + ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...structures for successful coder engagement and outcomes. + Supervise quality assurance and performance improvement efforts, providing… more
    Datavant (09/04/25)
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  • Faculty Position, Ambulatory Practices - Senior…

    University of Pennsylvania (Philadelphia, PA)
    …faculty development programs and rich opportunities in quality /process improvement , informatics, medical education, and healthcare innovation. The academic ... clinician track requires 100 credits per/year of active and high- quality teaching responsibilities. There will be an expectation of the ability of candidates to… more
    University of Pennsylvania (07/13/25)
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  • Value Based Payor Contracting Program Analyst

    WellSpan Health (York, PA)
    …the new or changed programs. + Understands the utilization and/or the variance of healthcare services and quality measures and the effect on Shared Savings/Risk ... value-based program teams for financial analysis, planning budgeting and performance improvement of the value-based programs. To accomplish strategic goals, this… more
    WellSpan Health (08/19/25)
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  • Director, Virtual Care Center

    UPMC (Pittsburgh, PA)
    …teams in the development and implementation of evidence-based practice and quality improvement initiatives. + Collaborates with engineers, informatics, IT, ... **Purpose:** Are you a visionary healthcare leader ready to transform patient care through...and monitor metrics to support group operational and clinical improvement , quality assurance and business success in… more
    UPMC (08/08/25)
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  • Supervisor - PA or CRNP - University OB/GYN

    UPMC (Pittsburgh, PA)
    …patients, families and colleagues. + Actively participates in department or practice-specific quality improvement efforts. Identifies opportunity for quality ... related to clinical specialty or areas of interest, discusses opportunities for quality improvement at multidisciplinary rounds, and influences patients' plans… more
    UPMC (07/30/25)
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  • Senior Specialist, External Manufacturing

    Merck (Philadelphia, PA)
    …time bound improvement plans + Partners with ExM Procurement, ExM Quality , and ExM Technology on commercial aspects of relationship, including Identify, Select, ... Are you ready to make a meaningful impact and drive innovation in the healthcare industry? The Global Pharmaceutical Organization (GPO) at our company is excited to… more
    Merck (09/05/25)
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  • VP Revenue Cycle Client Delivery

    Highmark Health (Harrisburg, PA)
    …+ Defines and establishes strategic direction, priorities, accountabilities, and ongoing quality improvement related to onsite Revenue Cycle operations in ... Model. The VP is closely involved with client engagement, performance improvement , strategic planning, and best practice integration across the Revenue Cycle,… more
    Highmark Health (09/03/25)
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