- Amazon (San Francisco, CA)
- …in healthcare outcomes through data-driven strategies and team leadership. Key job responsibilities Quality Strategy & Program Leadership: - Lead initiatives ... Vendor Management - Ensure full compliance with CMS regulations, quality reporting standards, and related...payers and healthcare organizations, Medicare Advantage Stars and/or ACO quality programs - 3+ years experience in… more
- Somatus (Mclean, VA)
- …with regulatory and organizational standards. + Develop and execute the overall quality strategy aligned with organizational goals in conjunction with AVP/SVP. ... or action plan to other departments + Ensure care management program aligns with evidence-based practices for... in a fast-paced, evolving environment + Familiarity with CMS programs and NCQA accreditation survey experience,… more
- Sharing Hope SC (North Charleston, SC)
- … Systems Leadership: + Direct and enhance the Quality Management System in alignment with regulatory standards (FDA, CMS , UNOS, AOPO, AATB). + Leads ... for strategic leadership, development, and oversight of a comprehensive Quality Management System (QMS) that...with existing systems. Quality Program Management : + Oversee key quality programs… more
- CenterWell (Richmond, VA)
- …specific needs thus assisting in driving the effective implementation of the quality improvement strategy . + Manage workloads, having the ability to ... etc. + Minimum of 2 years' experience working with CMS STARs quality measures. + Prior experience...to seniors, including wellness visits, physical exams, chronic condition management , screenings, minor injury treatment and more. Our unique… more
- Highmark Health (Natrona Heights, PA)
- …Assists with efforts to maximize impact of internal and external quality programs (P4V programs CMS , Payor and Public Reporting) by facilitating ... implementation of performance improvement opportunities to support project success. Supports real-time quality programs such as stroke, CHF, other core measures… more
- Molina Healthcare (Kearney, NE)
- …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of ... Plan Risk and Quality leaders to improve outcomes by managing Risk/ Quality data collection strategy , analytics, and reporting, including but not limited… more
- NTT DATA North America (Montgomery, AL)
- …a strategy for creating and maintaining proper documentation of system artifacts to support the certification process for each implementation throughout its ... organization, apply now. We are currently seeking a Medicaid CMS Certification Lead to join our team in Montgomery,...client's site. As part of the NTT DATA Project Management Office (PMO), the Certification Lead will work with… more
- CenterWell (Nashville, TN)
- …and Outcomes Management ** + Develop and oversee robust clinical quality evaluation frameworks to monitor program outcomes, adherence to benchmarks, ... the highest-need and most complex senior patients. This role will lead clinical strategy , quality improvement, and care delivery innovation for chronically and… more
- Medical Mutual of Ohio (OH)
- …evaluations of more junior analysts. + Helps devise and implement clinical quality analytic strategy , priorities, and continuous improvement. Oversees work unit ... encounter, and quality measurement data. + Advanced knowledge of NCQA and CMS measurement requirements and quality rating systems. + Advanced proficiency in… more
- The New Jewish Home (Bronx, NY)
- …to nursing and paraprofessional staff as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement ... develop, implement and refine quality and safety programs at the inter-professional level through consultation, program... subject matter expert with other stakeholders to drive quality management strategy . o Builds… more
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