- American Institutes for Research (Chapel Hill, NC)
- **Overview** AIR is seeking a ** Senior Clinical Quality Measure Developer** to join AIR's Learning, Translation, and Quality Measurement Program ... at ftc.gov/scams . \#LI-DC1 #LI-Remote Submit an interest application (https://jobs-airdc.icims.com/jobs/13043/ senior - clinical - quality - measure -developer/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627785) **Please note,… more
- Option Care Health (Raleigh, NC)
- …your employment will be terminated. **Job Description Summary:** Reporting to the SVP, Quality & Clinical Services, the VP, Clinical Effectiveness develops ... team that assesses internal and external data and presents on opportunities for quality improvement, clinical service enhancements, clinical service offering… more
- Prime Therapeutics (Raleigh, NC)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Oncology Pharmacist- Managed Care Oncology Experience required - REMOTE **Job ... Works with analytics team to provide program outcomes to measure for cost impact analyses for health plan clients....+ 7 years of work experience as Pharmacist in clinical oncology with experience at oncology institution, practice or… more
- Humana (Raleigh, NC)
- …This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined ... TRICARE Operations Manual Chapter 18, section 4. This associate will conduct clinical necessity reviews for requested ABA services when approving all treatment plans… more
- MetLife (Cary, NC)
- … standards. * Collaborates with team to develop criteria and standards in which to measure quality behaviors and share best practices. * Assists in the research, ... core business challenges with MetLife. This role will conduct quality reviews of the Return to Health clinical... quality reviews of the Return to Health clinical team, collecting and analyzing quality opportunities… more
- Humana (Raleigh, NC)
- …Innovative Financial Group (IFG) Marketing agency is looking for an experienced Senior Project Manager to join the growing and dynamic Operations team. This ... agencies to provide a seamless experience for agents and quality sales for carriers. In this role, you will...meet those objectives, lead projects through flawless execution, and measure success, so we can continuously improve our efforts.… more
- CenterWell (Raleigh, NC)
- …and utilization for our seniors nationally. This role will partner with senior clinical and operational leadership, finance, analytics, operations, training, and ... innovation and care model development. + Understanding and comfort with population clinical , quality , and financial drivers in full risk care delivery, ideally… more
- CenterWell (Raleigh, NC)
- …facilities, rehab programs, etc. * Proven ability to move the needle on clinical quality outcomes (eg, avoidable hospitalizations, ER visits, readmissions, total ... and enhance/optimize patient outcomes, satisfaction, and operational efficiency. Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient… more
- IQVIA (Durham, NC)
- …health technologies!** IQVIA is a leading provider of scientific services spanning clinical trials, real world evidence, consulting, and technology. PCS leads the ... includes qualitative (eg, patient interviews, focus groups), quantitative (eg, clinical outcome assessments (COAs)/patient-reported outcomes (PROs), preference research) and… more
- Prime Therapeutics (Raleigh, NC)
- …Posting Title** Sr. Product Manager, Government Programs **Job Description** The Senior Product Manager is responsible for understanding the market problems facing ... develop product standards and innovations, moving from strategy to execution. The Senior Product Manager acts as a short-term project manager, facilitating the… more
- Teleflex (Morrisville, NC)
- …provider of clinically effective medical technologies designed to improve the health and quality of people's lives. We apply purpose driven innovation - a relentless ... pursuit of identifying unmet clinical needs - to benefit patients and healthcare providers....totally Customer Centric in our unrelenting focus on Improving Quality , Service and Value as perceived by our customers.… more
- The Cigna Group (Raleigh, NC)
- …help reduce health costs, improve outcomes, provide financial security and measure /forecast business performance. Advanced Supply Analytics & Design drives the ... Cigna Group's affordability and analytics strategies **This person will be a senior individual contributor who is** **responsible for conducting advanced network &… more