• Case Manager, Women's Health ( RN or LMSW)

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
    Excellus BlueCross BlueShield (10/28/25)
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  • Senior Specialist, Quality Program Management…

    Molina Healthcare (MA)
    …reporting and monitoring for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides ... programs meet regulatory requirements. **Job Duties** + Acts as a lead specialist to provide project-, program-, and/or initiative-related direction and guidance… more
    Molina Healthcare (10/26/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (OH)
    …continuous improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. Please ... for the position. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
    Molina Healthcare (10/19/25)
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  • Senior Specialist, Quality Interventions/QI…

    Molina Healthcare (Chicago, IL)
    …functions: Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active,...for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
    Molina Healthcare (10/18/25)
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