- Hartford HealthCare (New Britain, CT)
- …in a richly diverse work space. *Job Description:*Internationally Board Certified Lactation Consultant (IBCLC) under the direction of the Clinical Manager will ... will assist in meeting the needs of breastfeeding families and the healthcare team. Coordinates all lactation support services and communicates with physicians and… more
- BJC HealthCare (St. Louis, MO)
- …About the Role** Come join our team as a full-time Value Based Care Consultant with **_BJC Medical Group with our ACO Project located in Creve Coeur,_** this ... **BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who… more
- Molina Healthcare (KY)
- …analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for ... the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve our company's discount position and… more
- US Tech Solutions (Chesapeake, VA)
- … treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ ... **Position Summary:** Provide comprehensive healthcare management services to facilitate appropriate healthcare...policies and programs are comprised of network management and clinical coverage policies. + Through the use of … more
- Prime Healthcare (Woonsocket, RI)
- …core values of quality, compassion, and community. As a member of Prime Healthcare , Landmark Medical Center is actively seeking new members to join its award-winning ... protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Lactation Consultant will provide skilled lactation care and instruction to… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC is looking for a Sr. Performance Improvement Consultant to join our team! This role will be managing performance improvement process ... reside in the greater St. Louis area. **Overview** **BJC HealthCare ** is one of the largest nonprofit health care...top medical schools in the country. The Center for Clinical Excellence (CCE) provides leadership in quality assessment and… more
- US Tech Solutions (May, OK)
- …pm **Job Description:** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from ... clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider… more
- US Tech Solutions (Atchison, KS)
- …tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, ... are comprised of utilization management, quality management, network management and clinical coverage and policies. Utilizes critical thinking and judgment to… more
- US Tech Solutions (Hialeah, FL)
- … treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical ... **Position Summary:** + Provide comprehensive healthcare management services to facilitate appropriate healthcare… more
- US Tech Solutions (Tallahassee, FL)
- … treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical ... **Job Summary:** + Provide comprehensive healthcare management services to facilitate appropriate healthcare… more