- Cambia Health Solutions, Inc (Portland, OR)
- …and cross-functional projects.General Functions and OutcomesResponsible for delivering high quality pharmacy clinical services for Medication Benefit ... and achieve operational goals.Normally to be proficient in the competencies listed above: Clinical Pharmacist Consultant would have a Bachelor's degree in… more
- Segal (Chicago, IL)
- …benefit client solutions and plan designs.| Create models, tools and approaches to quality assure and measure the effectiveness of PBM and Healthcare company ... pharmacy benefits data? This opportunity may be for you!Our Senior Consultant , Pharmacy Benefits Financial Analysis creates and analyzes pharmacy benefits financial… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …improve patient care.Knowledge and expertise in patient care management, clinical quality analytics, and value-based reimbursement/accountable care ... it.Develop care management workflows that utilize provider/patient attribution, risk scoring, clinical quality metric dashboards, care gaps, outreach encounter… more
- University Medical Center of El Paso (El Paso, TX)
- …medical chart review, data abstraction and report preparation; serves as internal consultant to clinical departments on quality , performance improvement, ... activities for the following programs as directed by the Assistant Administrator Quality and Infection Control or designee: Quality and Performance Improvement,… more
- Sutter Health (Santa Rosa, CA)
- …outcomes. Leads and facilitates the development, deployment, and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and ... top decile clinical outcomes and accelerate the achievement of clinical quality and safety goals. Assigned to specific performance improvement teams to… more
- Sutter Health (Burlingame, CA)
- …Medical Center **Position Overview:** Serves as primary support to clinical and operational leadership in monitoring and evaluating processes for ... management, performance improvement, patient safety and regulatory compliance. Facilitates clinical improvement activities utilizing performance improvement methodologies. Provides all… more
- Sutter Health (Modesto, CA)
- …regulatory compliance. Develops and coordinates components of the Sutter Health's Clinical Effectiveness and Performance Improvement (PI) Program. Facilitates ... Center **Position Overview:** This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes… more
- Sutter Health (Los Banos, CA)
- …regulatory compliance. Develops and coordinates components of the Sutter Health's Clinical Effectiveness and Performance Improvement (PI) Program. Facilitates ... Los Banos **Position Overview:** This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes… more
- Sutter Health (Modesto, CA)
- …regulatory compliance. Develops and coordinates components of the Sutter Health's Clinical Effectiveness and Performance Improvement (PI) Program. Facilitates ... Center **Position Overview:** This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes… more
- Intermountain Health (Las Vegas, NV)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... **Job Description:** The goal of the Clinical Documentation Specialist- Consultant is to educate...risk of mortality. + Identifies opportunities for improving the quality of medical record documentation and confers with the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor ... Program Consultants to identify/ implement workflows and process improvements to maximize quality , efficiency, and cost effectiveness of team This document is… more
- Signature Healthcare (Owensboro, KY)
- …row and Modern Healthcare's "Best Places to Work!" Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare, ... telemedicine. A growing number of our centers are earning quality assurance accreditation and pioneering person - directed care....How you Will make a difference + Ensure that clinical systems and standards of care are in place… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. Position Summary The Quality Assurance Consultant fulfills the company purpose of helping people on ... by driving quality execution of PBM functional area performance. The Consultant will perform some monitoring activities. However, this position requires a higher… more
- CVS Health (Frankfort, KY)
- …with other products, services and/or programs. + Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization. + ... is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon… more
- UTMB Health (Galveston, TX)
- Lactation Consultant - Lactation Services (19.99 Hours or Less, Non-Benefit Bearing) **Galveston, Texas, United States** Nursing & Care Management UTMB Health ... Qualifications:** + Bachelor's degree in nursing. + Three (3) years' clinical experience. LICENSES, REGISTRATIONS OR CERTIFICATIONS Required: + Basic Cardiac Life… more
- CVS Health (Raleigh, NC)
- …with other products, services and/or programs -Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization -Consults ... membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all aspects of… more
- Houston Methodist (Sugar Land, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Senior Organizational Development (OD) Consultant is responsible for organizational assessment, recommendation, and development of… more
- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Organizational Development (OD) Consultant is responsible for participating in organizational assessment, recommendation, and development… more
- CVS Health (Columbus, OH)
- …other products, services and/or programs - Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization -Consults ... can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all aspects of the… more
- CVS Health (Harrisburg, PA)
- …with other products, services and/or programs - Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization - ... expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills to...Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all aspects… more
