- 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 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
- Amcor (Bowling Grn, KY)
- …operations. + Perform reviews on inspection staff, with assistance and input from Quality Manager . + Responsible for providing leadership and technical guidance ... and departmental policies and procedures. + Other duties as assigned by Quality Manager . **Qualifications** + Capable of physical mobility including sitting,… 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)
- …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