Medicare Stars Quality Improvement Program Manager Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star
Sr Quality Improvement/HEDIS Specialist Molina Healthcare of Ohio is hiring for a Sr Quality Improvement/HEDIS Specialist on our Health Plan Community Interventions team. This role is remote however candidates must live in Ohio. This role is
Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Strategic Alliance Group Opportunity This is a great opportunity to become an integral part of the Strategic Alliance Group. As a key driver in our overall organic growth, retention is a top priority of our organization.
Applied AI Product Manager An Applied AI Product Manager is a senior individual contributor responsible for ensuring a products value and viability within a product line. This role involves leading empowered, cross-functional product teams to solve
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately and
Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -
Essential Duties and Responsibilities: - Perform as a key member of the senior management team responsible for meeting cost, schedule, and quality requirements of the project. - Oversee all contract administrative functions including policy, budget, and
Essential Duties and Responsibilities: - Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position - Function as a Subject Matter Expert in one
Essential Duties and Responsibilities: - Develop and drive integrated marketing strategies tailored to Defense, National Security and the Space Sector. Strategies will be built annually/quarterly, include demand generation, account-based marketing and pipeline support for key franchise
Essential Duties and Responsibilities: - Responsible for directing all quality operations including planning, implementation monitoring and reporting functions. - Develop and oversee an effective management system to continuously identify opportunities for improvement while maintaining adherence to
Essential Duties and Responsibilities: - Provide feedback regarding the design, development and distribution of training programs and materials as needed. - Conduct, plan, and coordinate training to a variety of audiences. - Coordinate logistics for instruction events,