- Intuit (Mountain View, CA)
- …to inform content curation. + Contribute to the ongoing improvement of our content management system , experiences and processes. + Ensure all content ... of GenAI models & tools to boost content creation, management , and curation velocity and quality . + Contribute to an AI-first strategy and roadmap to… more
- LifePoint Health (Las Cruces, NM)
- …insurance payers such as UHC, Presbyterian, BCBS, Western Sky and Humana to maximize quality incentive programs . In addition to quality incentive dollars, ... *Job Title:* Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience...adjustment mechanics, APR; HCC/RAF Familiar with conventional payment methodologies ( CMS -RBRVS). * Experience with database management in… more
- Martin's Point Health Care (Portland, ME)
- …+ Ability to delegate responsibility, set priorities, and establish accountability. + Knowledge of CMS , DHA and NCQA quality programs . + Strong critical ... HEDIS Program specific projects, and ensuring consistency with company strategy , commitments, and goals. The HEDIS Administrator will assist with the… more
- Cleveland Clinic (Weston, FL)
- …a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical ... Act as the primary resource for staff to facilitate overall operations of programs . + Develop meaningful quality assurance and improvement activities with… more
- Rochester Regional Health (Rochester, NY)
- …coding guidelines and proper documentation requirements as it relates to data quality management and reimbursement. + Responsible for the recruitment, selection, ... the long term success of the Clinical Documentation Improvement program at the system level. The Director...of customer service. + Responsible for the development and management of strategy , specific goals, objectives, budgets… more
- Cleveland Clinic (Mayfield Heights, OH)
- …a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical ... Act as the primary resource for staff to facilitate overall operations of programs . + Develop meaningful quality assurance activities with clinical leadership to… more
- Corewell Health (Grand Rapids, MI)
- …Health and Human Services (MDHHS) and Centers for Medicare and Medicaid Services quality metrics and advancing CMS Star Ratings performance. The specialist will ... activities for accountable areas based on organizational priorities (project management , measurable deliverables, milestones, and data informed strategy ).… more
- Amazon (San Francisco, CA)
- …operations or related technical field - 7+ years of program management experience leading complex hardware programs - 5+ years direct experience ... our mission is to serve as the central nervous system of the home. While we began by revolutionizing...Management : - Partner with EPM to drive overall program success - Coordinate across Manufacturing engineering, Packaging, Accessories,… more
- Humana (Lansing, MI)
- …or data requires an in-depth evaluation of variable factors. The Senior Quality Assurance, Clinical Professional supports and implements programs to establish ... of our caring community and help us put health first** The Senior Quality Assurance, Clinical Professional consults and collaborates with clinicians to ensure high… more
- GEHA (Lee's Summit, MO)
- …and ensuring integration of pharmacy strategy across population health, utilization management , and quality initiatives for all GEHA products and lines of ... benefit management , PBM oversight, pharmacy network strategies, clinical pharmacy programs , and regulatory compliance. Serving as a key member of the clinical… more
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