- Molina Healthcare (Grand Island, NE)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- Molina Healthcare (Grand Island, NE)
- …processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality / ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more
- Molina Healthcare (Grand Island, NE)
- …and post-go‑live; steward change management (training, SOPs, job aids, communications). + Risk , Compliance & Quality : Ensure alignment to CMS, HIPAA, state ... leading readiness, cutover planning, and post-go live stabilization. + Hands-on governance, quality assurance, risk management, and escalation handling in a… more
- Fresenius Medical Center (Grand Island, NE)
- …following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance ... range within the department. + Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of… more
- Molina Healthcare (Grand Island, NE)
- **Job Summary** The Manager , Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of medical cost trends. With those… more
- BMO Financial Group (Grand Island, NE)
- …in compliance with requirements for the lending process and established yield, quality , diversification, and risk guidelines. + Makes credit recommendations for ... and resolves issues raised through consumer credit audits and quality checks to ensure accurate data entry and lending...requirements and lending policies and processes. + Applies the risk management framework to the portfolio to protect the… more
- CDM Smith (Grand Island, NE)
- …of all relevant legislation that impacts the industrial market. * Knowledge of risk management and quality assurance practices. * Contract knowledge and ... construction delivery organization. * Oversees groups operations including staffing, quality , profitability, sales support and client service. * Monitors business… more
- Molina Healthcare (Grand Island, NE)
- …Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize ... for working in partnership with the Credentialing Supervisor or Manager , serving as a team lead for credentialing staff....ensures turn-around time requirements are being met and monitors quality of work by conducting regular audits and tracking… more