- Insmed Incorporated (San Francisco, CA)
- …and issue/problem solving.Provide medical and scientific support to payers, commercial managed markets, and related health care organizations to facilitate ... objective, scientific and evidence-based medical information, and education to health care customers within managed markets/healthcare/payor systems, in addition… more
- Clever Care Health Plan (Huntington Beach, CA)
- …and staff. Collects and compiles the required documentation to maintain critical quality improvement functions. Telephonic and electronic outreach to patients ... to CAHPS and HEDIS/Risk gaps. Conducts member outreach for quality initiatives including HEDIS or wellness care ...or minimum two (2) years' experience in health plan, managed care or equivalent experience. Knowledge of… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …others. * Ability to solve problems and identify solutions. * Knowledge of managed care environment and patient service delivery systems and knowledge of ... flow and analyzes needs for the practice to assure quality patient care . * Partners with the...communication, standard work (ie staffing and space), continuous process improvement , and resource deployment and to assure practice needs… 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
- Molina Healthcare (Garden Grove, CA)
- **Job Description** **Job Summary** Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, ... Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Assists with...years of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of… more
- Providence (Anaheim, CA)
- …in an ambulatory care environment. + Experience with Six Sigma Quality Improvement and Lean Production/Manufacturing processes and tools. **Why Join ... Professional certification. + 5 years Experience in a health care or managed care system....line within Providence serving patients across seven states with quality , compassionate, coordinated care . Collectively, our medical… more
- Centene Corporation (Sacramento, CA)
- …related field or equivalent experience. Three or more years of managed care or medical group experience, provider relations, quality improvement , claims, ... to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care . + Performance Management: Uses data analytics to… more
- Stanford Health Care (Palo Alto, CA)
- …individuals residing in San Mateo, Santa Clara, or Alameda counties. Supporting a value-based care model for Medicare Managed Care programs, serving all ... with legal, regulatory and clinical policies and procedures. + Participates in quality improvement initiatives. + Provides and coordinates patient teaching and… more
- Sharp HealthCare (San Diego, CA)
- …Nursing, and/or Home Health + 3 Years Medical Management experience, preferably in managed care , with supervisory experience + 2 Years Medical Management ... experience, preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications** +… more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... the right place at the right time. Mission: LA Care 's mission is to provide access to quality...care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment… more
- Banner Health (CA)
- **Primary City/State:** Phoenix, Arizona **Department Name:** Quality Improvement -Corp **Work Shift:** Day **Job Category:** Risk, Quality and Safety ... Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options… more
- Dignity Health (Carmichael, CA)
- …and disseminated to appropriate leadership staff. Provides leadership in developing quality improvement and patient safety training programs and coaches ... organizational clinical/service lines and operational/support departments in quality improvement principles. + Oversees the events reporting process, root cause… more
- Sharp HealthCare (La Mesa, CA)
- …Officer and appropriate Supervisory Committee Chair, facilitates evaluation of the medical staff's quality of care and leads improvement projects to decrease ... and meaningful data analysis to audiences of all levels.Maintains confidentiality of quality improvement department information. Refer to quality … more
- Elevance Health (Sacramento, CA)
- … quality outcomes for members. + Builds relationships with internal clinical and quality departments to ensure high- quality care to members and ... of company HEDIS performance. Implements strategies that meet clinical, quality , and network improvement goals. + Build...the worksite and other locations as necessary preferred. + Managed care experience preferred. For candidates working… more
- City and County of San Francisco (San Francisco, CA)
- …of care and discharge/reentry planning; Knowledge of compliance and quality improvement methodologies and practices to address racial and cultural ... data collection and analysis, program evaluation, workflow development, and continuous quality improvement . In close collaboration with Jail Health leadership… more
- Dignity Health (Grass Valley, CA)
- …meetings and case discussions. + Provide consultative services to other healthcare providers. ** Quality Improvement :** + Participate in quality assurance and ... initiatives. + Review and analyze clinical outcomes for continuous improvement . + Implement changes to enhance patient care...for you! With a growing patient demand, excellent patient care , and providers' quality of work/life balance… more
- RTX Corporation (Goleta, CA)
- …tactical and commercial applications. RVS is seeking an experienced **Senior Program Quality Engineer** (PQE) to implement and develop quality engineering and ... You Will Do** : + Create or tailor existing quality planning to administer customer and internal quality...Ensure programmatic and technical risks are identified, contained, and managed throughout each phase of business pursuit and program… more
- Stanford Health Care (Palo Alto, CA)
- …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Logistics Associate is responsible for supporting the ... records. Participates in the departmental patient safety and performance improvement initiatives. Performs related duties as assigned. **Locations** Stanford Health… more
- Dignity Health (Redding, CA)
- …: Work with healthcare professionals and participate in interdisciplinary meetings. + ** Quality Improvement ** : Engage in quality assurance initiatives ... Health, which connects to the highest standard of health care available + A physician led, professionally managed... care available + A physician led, professionally managed practice + Strong physician support and mentorship +… more
- J&J Family of Companies (Santa Clara, CA)
- …+ Develop device Quality Plans to ensure that the elements of the Quality Management System are appropriately described and managed . + Audit DHFs to ensure ... and product approval processes. + Participate in the implementation and continuous improvement of the Quality Management System. + Provide technical support… more
