- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …The role works in tandem with the Manager of Clinical Consultation, Pr Provider Performance Clinical Consultants, and the Medical Director to review ... provider -specific data and to identify actionable clinical opportunities. The role leads face-to-face meetings with leaders in provider care systems and is… more
- University of Colorado (Aurora, CO)
- …Emergency Medicine **Preferred Qualifications:** **Instructor:** + A track record of excellent clinical performance ** Senior Instructor:** + A track record ... + Actively participate in efforts to improve patient safety, clinical quality and patient experience and provide ...of excellent clinical performance **Knowledge, Skills and Abilities:** + Possess a strong… more
- The Cigna Group (Bloomfield, CT)
- **Medical Senior Director, Clinical Network and Provider Relations - Cigna Healthcare** **Description** The **Medical Senior Director, Clinical ... of healthcare financial modeling, trend analysis, and levers of clinical performance improvement. + Exceptional leadership and relationship-building… more
- Molina Healthcare (Escondido, CA)
- …subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education ... * Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians.… more
- Humana (Stuart, FL)
- …of Stars measures and quality improvement initiatives + Proven ability to influence clinical practice or provider performance + Comprehensive knowledge of ... and help us put health first** The Quality Improvement Senior Clinical Professional (RN) is responsible for...+ Documentation and coding + Additional areas related to provider performance , member experience, market growth, … more
- Centene Corporation (Sacramento, CA)
- …and coordinates response with internal matrix partners + Manages Network provider performance for assigned territory through a consultative/account management ... approach + Evaluates provider performance and develops strategic plan to...Conducts regular in-person and virtual visits with physicians to provide real-time support, discuss performance metrics, and… more
- CVS Health (Chicago, IL)
- …a variety of functions for provider experience to ensure successful provider relationship, network performance including clinical , and affordability ... Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, utilization/ performance , network growth, and… more
- Scripps Health (San Diego, CA)
- …improvement, the Senior Director drives excellence in revenue cycle performance , supports clinical and operational goals, and promotes exceptional patient ... is in La Jolla and requires residence in San Diego County. * The* Senior Director, Revenue Cycle - Clinical Documentation Integrity*provides strategic leadership… more
- Molina Healthcare (Worcester, MA)
- …a Provider Engagement plan to meet annual quality & risk adjustment performance goals. * Drives provider partner coaching and collaboration to improve ... quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution. * Addresses challenges/barriers in… more
- Intermountain Health (Murray, UT)
- …on strategies to drive the performance and measured improvement of the clinical program. **Scope** The Senior Medical Director is a system-wide leadership ... to define, establish, and oversee the work of the Clinical Program. The Senior Medical Director works... Best Practice Integration (cBPI), identifying, and defining important clinical and value performance KPIs, provide… more
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