- CVS Health (IL)
- …according to HFS quality strategy and ABHIL population health model. The Quality Management , Nurse Consultant directs analysis and reporting of member ... and supports the development of HEDIS interventions and initiatives within the Quality Management Team. - Reviews documentation and interprets data obtained… more
- Truist (Greensboro, NC)
- …change from time to time. + Within assigned area, perform less complex quality management reviews and document findings and recommendations using independent ... owners for remediation. + Perform Peer Reviews to ensure consistency and quality within Quality Management Program review practices. + Analyze review results… more
- CVS Health (IL)
- …Contracting and Performance Management - 3 years Managed Care and/or Healthcare Quality Experience - 2 years Project Management - 1year experience Member ... Summary** This role is responsible for managing partnerships with Aetna-Illinois quality vendors and community-based organizations, with the primary focus to improve… more
- US Tech Solutions (RI)
- …support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION... review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE… more
- CVS Health (OH)
- …3+ years of clinical experience required. + 2+ years of Utilization Management experience required + 2+ years' experience using personal computer, keyboard ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- IBM (Herndon, VA)
- …across the IBM portfolio. **Your role and responsibilities** As a managing consultant , you will serve as a client-facing practitioner working collaboratively with ... clients to deliver high- quality solutions and be a trusted business advisor with...Configuration: 5+ years hands-on SAP configuration experience in SAP QM , with a minimum of 2 or 3 end-to-end… more
- BorgWarner Inc. (Suarez, PR)
- …in optimizing and enhancing our end-to-end SAP Demand to Supply along with Quality Management . Your expertise will drive strategic design decisions, ... Start your future with BorgWarner now! As an SAP MFG/ QM Senior Functional consultant , you will play...years of experience in the SAP Production Planning and Quality Management area.* 8 years of Hands-on… more
- ITT (Irvine, CA)
- … Master Data, Quality Planning, Inspection process, Notifications, Certificates, Supplier Quality Management , Batch Management + Good understanding of ... supporting existing SAP systems. As the Senior SAP Analyst (PP/ QM ), you will be responsible for working hands-on on...is pivotal in optimizing our supply chain, manufacturing and quality processes, and ensuring they align with our plant… more
- CTG (Iselin, NJ)
- …+ Design, configure, and implement solutions in SAP Production Planning (PP) and Quality Management ( QM ). + Provide expertise in demand planning, ... planning, shop floor control, process orders, inspection lots, and quality notifications. + Integrate PP/ QM with related...Strong expertise in PP master data, MRP, production execution, quality inspection, and batch management . + Good… more
- Defense Health Agency (Shreveport, LA)
- …(PI) through revision of clinical standards and procedures; and performs a varietyof quality management / quality assurance ( QM /QA) duties to meet ... **Overview** **CLINICAL PSYCHOLOGIST (BEHAVIORAL HEALTH CONSULTANT ) - Barksdale Air Force Base, LA** **Barksdale...conditions (eg insomnia, acute and chronic pain, diabetes, weight management etc.)as required. Participates in quality assurance… more
- Defense Health Agency (Honolulu, HI)
- …(PI) through revision of clinical standards and procedures; and performs a variety of quality management / quality assurance ( QM /QA) duties to meet the ... behavioral medicine conditions (eg insomnia, acute and chronic pain, diabetes, weight management etc.) as required. Participates in quality assurance activities.… more
- NHS Management, LLC (Fayetteville, AR)
- …and established customer service program. 4. Monitor corporate clinical benchmarks, QI's, QM 's and other available consultant reports, corporate QA results, and ... We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be...the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems… more
- Cognizant (New York, NY)
- **Empower Test Analyst (Mortgage Lending Technology), Senior Consultant , Global Consulting** Location: Remote, USA **About the Role** As a Senior Consultant ... demands deep expertise in Empower LOS testing, strong stakeholder management , and the ability to translate business needs into...and document defects using tools like JIRA, ALM, or Quality Center. . Liaise with developers and QA teams… more
- Highmark Health (Charleston, WV)
- …exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions ... risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the...Experience in Lean, Six Sigma, TQI, TQC or other quality management certification + Experience in health… more
- Fujifilm (Montpelier, VT)
- …satisfaction. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... other functions and responsibilities that may be assigned by management . + Mentors Clinical Consultant MI-I and... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- The Hartford (Hartford, CT)
- Consultant Quality - QU08AEUW Quality...our team as we help shape the future. The Quality Management team provides governance and oversight ... at various levels of the organization, to successfully drive Quality results and inform Risk Management . Responsibilities:...successfully drive Quality results and inform Risk Management . Responsibilities: + Execute quality reviews by… more
- Fujifilm (Santa Fe, NM)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- University of Utah Health (Salt Lake City, UT)
- …responsible for enhancing value, consistent with the University of Utah Health quality management system, through the planning, design, evaluation, monitoring, ... + Engages shareholders in delivering high value care and the organization's Quality Management System. + Performs internal audits and prepares reports to assess… more
- Elevance Health (Seattle, WA)
- …and value-based success. This includes providing expertise and guidance in quality management , financial performance, value-based incentive programs, and ... Provider Success Consultant Sr. (Value-Based) **Hybrid 1:** This role requires...priority value-based provider organizations to achieve their targets across quality , utilization of resources, and patient experience. This individual… more
- MyFlorida (Tampa, FL)
- …Worker Portal, People First, MES, FLMMIS, ESS Online Data & Reports, ESSI Online Quality Management System, EBT and Power BI/Analytics. + Ability to use ... GOVERNMENT OPERATIONS CONSULTANT II - 60042200 Date: Sep 29, 2025...position may provide policy support, operational and programmatic project management , data management , quality assurance,… more