- Molina Healthcare (Bowling Green, KY)
- …of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions ... Manager serves as the primary contact for health plan interventions and leads the interventions...in managed healthcare, including at least 2 years in health plan quality improvement or… more
- Elevance Health (Nashville, TN)
- **Behavioral Health Case Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... shift will be required; preferred flexible schedule for coverage purposes The **Behavioral Health Case Manager II** is responsible for performing case management… more
- CVS Health (Nashville, TN)
- …Performance (P4P) behavioral health contracting solutions. * Experience with behavioral health Institutes of Quality (IOQ). * Well versed with the behavioral ... At CVS Health , we're building a world of health...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- Prime Therapeutics (Nashville, TN)
- … ratings + Build external client satisfaction by establishing client-facing relationships with health plan quality leaders and successfully implementing ... drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality ...goals are met, and meeting with clients regularly, including health plan leadership, to ensure effective planning… more
- National Power, LLC (Nashville, TN)
- Summary National Power, LLC is seeking a Quality Assurance Manager to join our growing team! Under the general direction of and reporting to the Director of ... Broadband Service, The Quality Assurance Manager is primarily responsible for...at 100% by the company. + 401(k) retirement savings plan with company matching + Health Savings… more
- Molina Healthcare (Bowling Green, KY)
- …initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve outcomes ... **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical...to: Risk/ Quality rate trending and forecasting; provider Risk/ Quality measure performance, CAHPS and survey analytics, health… more
- Molina Healthcare (Bowling Green, KY)
- …requirements. + Delivers the appropriate artifacts as needed. + Works with Enterprise and Health Plan l leaders within the business to provide recommendations on ... **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and... functions oversees, plans and implements new and existing health care quality improvement initiatives and education… more
- Elevance Health (Nashville, TN)
- **Nurse Care Manager II** **Carelon Health Guide** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... will make an impact:** + Ensures medically appropriate, high quality , cost effective care through assessing the medical necessity...services in multiple states . Certification as a Case Manager or a BS in a health … more
- BAYADA Home Health Care (Nashville, TN)
- BAYADA Home Health Care is currently seeking a **Clinical Manager (RN required)** for our **Franklin, TN** **Medicare Certified home health office.** ... provide exceptional care. + Work closely with the Rehab Manager (where applicable), Director, and DCO to ensure cohesive...a local office + Growth opportunities + BAYADA Home Health Care offers a comprehensive benefits plan … more
- Molina Healthcare (Bowling Green, KY)
- …management, disease management, managed care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM) To all current ... **Job Description** We are looking for a Case Manager (licensure required LCSW, LPCC, and LMFT) who...are looking for experience working with variety of mental health issues as well as Substance Abuse. Minimal local… more
- Elevance Health (Nashville, TN)
- **Internal Audit Manager /Lead** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... workplace. Alternate locations may be considered. The **Internal Audit Manager ** is responsible for independently leading, supporting and providing direction… more
- Cardinal Health (Nashville, TN)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... distribution channels and within new customer segments. **_Job Summary_** The Product Manager will be responsible for the Surgical Essentials portfolio within the… more
- Cardinal Health (Nashville, TN)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... **What Product or Services Marketing contributes to Cardinal Health ** Marketing is responsible for assessing customer needs, market conditions and competition to… more
- CVS Health (Franklin, KY)
- …and psychosocial needs of the member to facilitate and support the member's improved health . The Case Manager develops a proactive course of action to address ... At CVS Health , we're building a world of health...and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and… more
- Elevance Health (Nashville, TN)
- **JR152484 Product Operations Manager ** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. ... to enable individuals in home and community-based settings to maximize their health , independence, and quality of life through homecare and community-based… more
- Ascension Health (Nashville, TN)
- …supervisor and care transition team members to ensure effective implementation and reevaluation of health plan . + Act as a resource for adequate medical record ... a diverse population, please apply! **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… more
- Cardinal Health (Nashville, TN)
- …quality assurance concepts and technical capabilities, the Senior Specialist supports the Manager , Quality Assurance in quality audits and develops ... as well as external requirements. + Responds to significant quality issues and in support of the Manager...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… more
- Cardinal Health (Nashville, TN)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... This is a medical inventory accounting manager role. This role is ideal for someone...+ Establishes processes and mechanisms to review and monitor quality of outsourced staff work product. Effectively partners with… more
- CVS Health (Glasgow, KY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. **Position Summary** Senior Operations Manager will lead all aspects of the operations in… more
- Cardinal Health (Nashville, TN)
- …company online. We are seeking a passionate and seasoned UX Mixed Methods UX Research Manager to join the Cardinal Health Pharma ecommerce team. In this role, ... a team of UX Researchers and conduct and synthesize high- quality mixed-methods research. You will leverage multiple data sources,...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… more