• Sr Specialist , Quality…

    Molina Healthcare (Cleveland, OH)
    …of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / ... QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions ...Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related… more
    Molina Healthcare (08/02/25)
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  • Senior Specialist , Member…

    Molina Healthcare (OH)
    **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... business (Medicare, Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with prescribed… more
    Molina Healthcare (07/31/25)
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  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Columbus, OH)
    …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy ... benefits of the MTM programs in addition to assisting the leaders with Quality Assurance, training and daily tasks as needed. **Responsibilities** + Receive inbound… more
    Prime Therapeutics (05/10/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Columbus, OH)
    …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... reviewer for invasive/interventional cardiology cases (eg, cardiac catheterizations, coronary interventions , endovascular procedures, implantable cardiac devices, etc) that do… more
    Evolent (07/30/25)
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