- 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
- 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
- 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
- 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
- Guidehouse (Chicago, IL)
- …and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of ... Dec. 2** . **What You Will Do** **:** Guidehouse Clinical Operations works with clients to measurably improve their...gaps and trends, and make recommendations related to baseline performance and structure, as well as established best practices… more
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