• Quality Improvement Auditor

    Centene Corporation (New York, NY)
    …and requires an clinical license. 3+ years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ... processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....and delivered timely + Perform other performance and process improvement activities + Performs other duties as assigned +… more
    Centene Corporation (06/04/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Health Plan Quality Interventions…

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... is responsible for developing, implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources… more
    Molina Healthcare (06/15/25)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Analyst - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …MSHP seeks a Risk Adjustment Analyst support efforts to improve the overall quality and completeness of clinical documentation in outpatient physician practices. ... 2 years of HCC Risk Adjustment experience, preferred * Clinical background in a healthcare setting, preferred * Demonstrated...plan, monitor conditions prior to patient visits. * Facilitates improvement in the overall risk adjustment quality ,… more
    Mount Sinai Health System (06/21/25)
    - Save Job - Related Jobs - Block Source
  • Auditing & Compliance Director - Software as…

    Wolters Kluwer (New York, NY)
    …consistent practices across the company. You will report to the VP, Clinical Content Management **RESPONSIBILITIES** ** Quality Management and Compliance** + ... approved locations on the posting). **OVERVIEW** You will be the global product quality lead in support of a broad portfolio of on-market medical devices including… more
    Wolters Kluwer (06/11/25)
    - Save Job - Related Jobs - Block Source