- Highmark Health (St. Paul, MN)
- …Description :** **JOB SUMMARY** This job is responsible for working with HHO clinical departments in the areas of compliance and process improvement. Serves ... as a corporate resource regarding accreditation standards, clinical performance and continuous improvement...maintenance of Care Management policies and procedures to ensure accreditation and compliance with NCQA and DMMA… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …needed and are current and consistent with regulatory requirements and accreditation standards. Responsible for monitoring test analyses and specimen examinations to ... monitors quality management activities. Coordinates quality control programs and assures compliance with the proficiency testing program in the section. Establishes… more
- CVS Health (St. Paul, MN)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to reduce risk… more