- HCA Healthcare (Campbell, CA)
- …with purpose and integrity. We care like family! Jump-start your career as a Managed Care Quality Improvement Specialist today with HCA Healthcare. ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a Managed Care Quality Improvement Specialist. We care for our… more
- Beth Israel Lahey Health (Wakefield, MA)
- …systems and procedures, developing and operating a capitated managed care infrastructure, continuous quality improvement , human resources management ... appropriate patient education materials to promote engagement in plan. Quality Improvement : The care manager...Medicare Guidelines preferred 3. Experience with Medicare population in managed care preferred Must be proficient in… more
- Hackensack Meridian Health (Edison, NJ)
- …employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey program and its Quality Metrics. ... as a leader of positive change. The **Transitions of Care Navigator** is a member of the healthcare team...and is responsible for coordinating, communicating and facilitating the care of patients with Medical, Behavioral and Maternal Health… more
- Banner Health (Phoenix, AZ)
- …implementing continuous improvement initiatives. + Experience with hospital medical staff, managed care organizations, and quality improvement ... Ensure adherence to policies, procedures, and regulatory requirements while driving continuous improvement in patient care and safety. + Manage budgets,… more
- McLaren Health Care (Flint, MI)
- …+ Five (5) years' experience performing quality management activities in a managed care organization, including HEDIS, NCQA, including at least two (2) ... policies and procedures that support all aspects of the Quality Improvement Performance Plan (QPIP). Manages the...Information Set (HEDIS) process. Facilitates the delivery of medical care in a cost efficient and quality … more
- RWJBarnabas Health (West Orange, NJ)
- Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Professional / Management Status:Full-Time Shift:Day ... background, skills and professional experience. Assistant Vice President of LegalAffairs, Managed Care Contracting Job Overview: RWJBarnabas Health, New… more
- Pfizer (Olympia, WA)
- …following: + Clinical, formulary, and/or other management experience + Managed Care , pharmaceutical industry, and/or Quality Improvement + Data Analytics ... as appropriate. The individual may be involved in presentations to payers, managed care organizations, formulary decision makers and regional medical advisory… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …medications, and treatment options. + Ensure services are cost-effective and meet quality standards, consistent with managed care requirements and ... Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating,...and hospital admissions. + Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of managed ... Duties for this position include credentialing and enrollment in governmental and commercial managed care plans and medicare and medicaid. The Managed … more
- Beth Israel Lahey Health (Woburn, MA)
- …treatments, managed care principles, provider development, and quality improvement concepts is essential. Familiarity with state and local ... professional conduct and services. Provides oversight of regulatory, accreditation, and quality improvement activities. + Assesses, establishes, and implements… more
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