- Centene Corporation (Columbus, OH)
- …Purpose:** With the Buckeye Health Plan Quality Team, you will do ** clinical quality data reporting and analyzing.** + Design and monitor quality ... plans based on outcomes. Perform baseline outcomes and regular assessments of outcome performance to prepare for readiness and verify program requirements are met.… more
- Premier Health (Dayton, OH)
- …DEPT: CLINICAL DENIALS ADMIN Full-Time / DAY SHIFT The Denials Management Clinical Analyst (DMCA) is a registered professional nurse with knowledge and ... expertise in process analysis, clinical outcome data analysis, utilization management, and...resolve denials and outcomes of those actions. 8. Identifies clinical documentation, quality or legal issues and… more
- Molina Healthcare (OH)
- …and other data sources to identify early signs of UM and CM process and outcome improvement opportunities + Work with clinical , finance, MedEcon teams and other ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to..., Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams… more