- Molina Healthcare (IA)
- …of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions ... Manager serves as the primary contact for health plan interventions and leads the interventions...in managed healthcare, including at least 2 years in health plan quality improvement or… more
- Trinity Health (Des Moines, IA)
- **Employment Type:** Full time **Shift:** **Description:** The purpose of the Manager of Quality and Safety is to manage at the local ministry level the ... Medical Officer (CMO)) to assure the highest levels of quality and safety. The manager reports directly...principles and persistent mindfulness toward zero harm. Implements a quality performance improvement plan that meets Centers… more
- Trinity Health (Des Moines, IA)
- …Implements on-going education and training programs focused on effective population health care/chronic disease management. + Develops quality excellence systems ... + Knows, understands, incorporates and demonstrates the MercyOne (Trinity Health ) Mission, Vision, Core Values, Actions and Promise in...+ Leads, manages, and oversees the respective areas of quality and patient safety (inclusive of the culture of… more
- Avera (Des Moines, IA)
- …designated authority limits. + Conduct risk assessments for group and Medicare Supplement health plan accounts. + Provide insights on risk profiles and recommend ... underwriting, with a focus on risk assessment. + Comprehensive knowledge of health plan operations, products, and regulations. + Strong analytical skills… more
- Elevance Health (West Des Moines, IA)
- **Behavioral Health Case Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... shift will be required; preferred flexible schedule for coverage purposes The **Behavioral Health Case Manager II** is responsible for performing case management… more
- Elevance Health (West Des Moines, IA)
- The **Behavioral Case Manager I** is responsible for performing case management with members in person and telephonically within the scope of licensure for members ... with behavioral health and substance abuse disorder needs. **Location: Candidates must...Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during… more
- Primary Health Care (Des Moines, IA)
- …of health plans and PHC strategies including completion of various health plan /contract requirements, Annual Wellness Visits, Chronic Care Management, and ... As the Population Health Program Manager , you will be...applications to extract data for tracking, trending, and analyzing health center performance and quality care metrics,… more
- CVS Health (Des Moines, IA)
- …Performance (P4P) behavioral health contracting solutions. * Experience with behavioral health Institutes of Quality (IOQ). * Well versed with the behavioral ... At CVS Health , we're building a world of health...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- ManpowerGroup (Des Moines, IA)
- Our client, a leading contract pharmaceutical manufacturer, is seeking a Quality Manager to join their team. As a Quality Manager , you will be part of ... which will align successfully in the organization. **Job Title:** Quality Manager **Location:** Des Moines, Iowa **Pay...for:** + Medical and Prescription Drug Plans + Dental Plan + Vision Plan + Health… more
- Prime Therapeutics (Des Moines, IA)
- … ratings + Build external client satisfaction by establishing client-facing relationships with health plan quality leaders and successfully implementing ... drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality ...goals are met, and meeting with clients regularly, including health plan leadership, to ensure effective planning… more