- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Key Quality Indicators (KQIs). Identify and drive initiatives for continuous quality improvement .Deputize for the Sr. Director, Medical Affairs QA as needed. ... stakeholders are educated on common deviations.Ensure proper planning and execution of and quality improvement initiatives to reduce issues to build a stronger … more
- Merck & Co. (Toledo, OH)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... , Health Outcomes, Hospital Sales, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Pharmaceutical Sales Training, Sales… more
- Lundbeck (Indianapolis, IN)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... the Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies strategic… more
- Lundbeck (San Diego, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... the Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies strategic… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …for site's Strategic Initiatives Team.Defines the interdependent deliverables and ensures that quality , risk, cost, time are managed within the overall approved ... Cell Therapy preferred.Experience managing others -preferred.Experience with managing facility/equipment/process improvement projects from specification development through full implementation in… more
- 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
- Molina Healthcare (Syracuse, NY)
- …improving provider quality performance through provider engagement, practice transformation, managed care quality improvement , or equivalent ... value-based care , and capitation * Strong working knowledge of quality metrics and risk adjustment practices across all business lines * Demonstrates… more
- Molina Healthcare (New York, NY)
- …improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement , or equivalent ... Care contracts have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration...care , and capitation * Strong working knowledge of Quality metrics and risk adjustment practices across all business… more
- Molina Healthcare (Longview, TX)
- …improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement , or equivalent ... role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities.… 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
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high- quality … 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
- Pfizer (Frankfort, KY)
- …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
- RWJBarnabas Health (West Orange, NJ)
- Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Legal, Risk and Compliance Status:Full-Time Shift:Day ... and professional experience. Senior Counsel / Assistant Vice President of LegalAffairs, Managed Care Contracting Job Overview: RWJBarnabas Health, New Jersey's… more
- Dignity Health (Bakersfield, CA)
- …health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical ... improvements. - Conduct high-level analysis to identify emerging trends and opportunities for improvement within Managed Care Operations. - Lead the creation… 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
- Cedars-Sinai (Beverly Hills, CA)
- …contract performance and financial metrics, identifying trends, variances, and areas for improvement . + Analyze managed care contracts for compliance ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… 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
- Molina Healthcare (Naperville, IL)
- …Min. 3 years' experience in healthcare with minimum 2 years' experience in health plan quality improvement , managed care or equivalent experience. + ... provider, member and/or community interventions (eg, removing barriers to care ); preparation for Quality Improvement ...(eg, removing barriers to care ); preparation for Quality Improvement Compliance surveys; and other federal… more
