- Molina Healthcare (Bowling Green, KY)
- **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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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
- HCA Healthcare (Bowling Green, KY)
- …knowledge and expertise! **Job Summary and Qualifications** The Cardiac Cath Lab RN Manager ensures high quality , patient-centered care through oversight of the ... in a new era as a Cardiac Cath Lab Manager where building a healthier tomorrow is more than...independent practitioners. + Continuously assess and improve assigned area's performance . + Maintain appropriate quality control programs.… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... 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
- Signature Healthcare (Hartford, KY)
- …culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives. Signature HealthCARE is a family-based healthcare ... and Care.ai-enabled solutions. We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high … more
- CDM Smith (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …contracting and provider relations, member services, claims management, payment integrity, pharmacy, quality and risk adjustment. * Acts as a critical segment ... Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Molina Healthcare (Bowling Green, KY)
- …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