and their leaders Knowledge/Experience: Bachelors Degree in related field. 6+ years of quality and process improvement experience... anywhere in the United States. Position Purpose: Lead and direct process improvement initiatives by utilizing process improvement...
of organization-wide quality improvement projects as well as planning and evaluation related to clinical quality, patient safety... in Quality Management or Performance Improvement preferred. 3 years of progressive clinical experience in neurological nursing...
of organization-wide quality improvement projects as well as planning and evaluation related to clinical quality, patient safety... in Quality Management or Performance Improvement preferred. 3 years of progressive clinical experience in neurological nursing...
, Principal (Behavioral Health Preventive Care Outcomes) will report to the Sr. Manager/Director of Clinical Quality. In this role.... Specifically, the role leads annual planning for quality/improvement/equity activities and negotiates resources, workplans...
, including HEDIS and CAHPS quality improvement, NCQA accreditation and compliance with regulatory agencies and other objectives.... Serves as a resource for the design and evaluation of process improvement plans/quality improvement plans and ensures...
The Director, MSSP Quality will lead cross-functional operational initiatives across Provider Networks and Product... in MSSP Quality performance. We are seeking an experienced leader to join our team as Director of MSSP Quality. This role...
to all our work. Reduce health disparities. Create an equitable work environment. About the Role The Senior Director, Quality.... Have ten (10) + years of experience in healthcare quality, performance improvement, or healthcare analytics, with a focus...
Position Overview: Leads the strategic planning, design, direction and implementation of clinical improvement and quality... include one or more areas relating to clinical process transformation, quality outcomes measurement and reporting, infection...
and/or HEDIS measures and clinical quality 5+ years of experience in a large, complex and successful health care / managed care... to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...
of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines.... Recommends and implements process improvements related to the potential of quality medical care and service to members...
working with HEDIS, ICD-10, and CPT codes 1+ years of experience developing/leading quality improvement initiatives... the full HEDIS lifecycle, this position will carry dual responsibility as the primary quality liaison for key provider...
-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement... Produce monthly provider and/or employer group specific reports based on HEDIS measures in alignment with reporting quality...
experience Knowledge of Medicare Star Program requirements required HEDIS quality improvement experience required Demonstrated...Job Category: Business Operations Job Description: Your Role The Clinical Quality team manages projects...
. Directs staff to support quality improvement initiatives specifically related to Quality Audit, HEDIS, Stars, and NQCA... & Audit and Quality Management Performance Reporting, including HEDIS and STARS performance for Horizon Government Programs...
responsibilities related to the quality risk and risk score adjustment programs. Assist with the quality improvement review and audit..., but not required. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours...
. * Participates on improvement teams as assigned by the Member Safety Team Manager, Department Director, Senior Director of Quality... reporting to Internal Quality Improvement (IQI) and Quality Utilization Advisory Committee (QUAC), as well as to the Department...
in Medi-Cal regulatory requirements, measurement of health care quality (HEDIS and CAHPS) and California Department of Health..., Medical Director, Medical Management, the Medical Director will be responsible for engaging in organization-wide quality...
data ecosystem that supports quality improvement, performance accountability, and scale across California. The Position... improvement work. To support our impact at scale, the Learning Center is building a secure, cloud-based data infrastructure...
network area. This role ensures compliance, supports quality improvement, and enables effective care management, utilization...? Do you thrive on tackling challenges with optimism and resourcefulness? As Director of Reporting & Analytics, you will play...
quality improvement and utilization management goals ·Reviews claims involving complex, controversial, or unusual or new... quality, and pharmacy committees and activities ·Provides input to the strategic planning process for the Office of Clinical...