- CVS Health (Madison, WI)
- …are met. You will be accountable for health care quality projects and initiatives supporting NCQA accreditation through direction setting and leadership. ... anywhere in the US** **Position Summary** Manages and influences health care quality projects and...to gather and prepare evidence of compliance for NCQA accreditation . You will review analyses, policies, and other documentation… more
- CVS Health (Madison, WI)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... Summary** The Quality Management Nurse (QM Nurse) supports Aetna Better Health of Texas by ensuring compliance with regulatory and accreditation standards… more
- CVS Health (Madison, WI)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... Auditor is responsible for evaluating healthcare organizations' compliance with NCQA Accreditation standards and supporting quality activities. This role… more
- Veterans Affairs, Veterans Health Administration (Janesville, WI)
- …vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Advanced Practice Nurse (Nurse ... expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care , demonstrating proficiency in the ability to manage… more
- Highmark Health (Madison, WI)
- …in achieving their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL ... , identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals… more
- Molina Healthcare (Madison, WI)
- …Experience** + Min. 3 years' experience in healthcare with 1 year experience in health plan quality improvement, managed care , or equivalent experience. + ... and in Medicaid. **Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA)… more
- Wellpath (Madison, WI)
- …and collaborate with interdisciplinary teams to maintain high- quality patient care . **Key Responsibilities** + The Health Services Administrator oversees and ... is your moment to join our mission to provide quality care to every patient with compassion,...Delivery and administration of correctional medical, dental, and mental health care recommended. + Three years administrative,… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …would you like to become a part of a team providing compassionate whole health care to Veterans? Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT. ... peer review input, and participate in clinical conferences and quality assurance programs. Other duties as assigned. Work Schedule:...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application… more
- Centene Corporation (Madison, WI)
- … improvement experience. **License/Certification:** + RN license preferred. Certified Professional in Health Care Quality preferred. Pay Range: $145,100.00 - ... more efficient and streamlined workflow. + Responsible for National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a ... 401K with up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be carried… more
- Highmark Health (Madison, WI)
- …to service United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work ... identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits through educating providers on… more
- Centene Corporation (Madison, WI)
- …to facilitate implementation of recommendations to providers that would improve utilization and health care quality . + Reviews claims involving complex, ... or Family Medicine + Utilization Management experience and knowledge of quality accreditation standards. + Actively practices medicine **Position Purpose:**… more
- CVS Health (Madison, WI)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** +...to reduce risk factors and barriers and address complex health and social indicators which impact care … more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …a safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and ... is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be...time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The… more
- Intermountain Health (Madison, WI)
- …work of performance improvement through the enterprise by performing high- quality data abstraction, compilation, validation, for clinical registries. The ... opportunities and performance improvement activities. The registries may include federal/ accreditation program, third-party gold standard registries, and internal regulatory.… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Basic Requirements: English Language ... include knowledge and active participation in the program level quality improvement process and initiatives as well as customer...USC 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written… more
- Meriter-UnityPoint Health (Madison, WI)
- …6:30a-6p. The Child Care Teacher is responsible for providing high quality care and education in a stimulating, child-centered environment that promotes ... 15057BRDepartment Name:HSP Child Care -Mound Street Location:Meriter Hospital Job Description: $1,500...and will occasionally support the preschool area. Why UnityPoint Health - Meriter? At UnityPoint Health , you… more
- Molina Healthcare (Madison, WI)
- …experience. * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager ... care . Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization… more
- Prime Therapeutics (Madison, WI)
- …in Microsoft Project and Visio + Extensive knowledge of CMS regulations and Health Care + Experience with regulatory reporting Every employee must understand, ... If you're ready for a purpose-driven career and are passionate about simplifying health care , let's build the future of pharmacy together. Prime Therapeutics… more
- Sodexo (Janesville, WI)
- …part-time Registered Dietitian to come join their dynamic and innovative team at SSM Health St. Mary's Hospital, a 50-bed acute care facility located in ... variety of patient types working with inpatient population + Participate in quality improvement initiatives within the nutrition department. + Have knowledge of… more