Job Title Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative approach emphasizing physician engagement and behavior change through actionable data
Job Title Job Summary Will require to be infield twice a week subject to change Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of
Job Title Provides support for health plan provider engagement activities. Drives value-based care strategies through risk adjustment and quality improvement activities. Ensures smaller, less advanced tier II and tier III providers have engagement plans to meet annual quality
Risk & Quality Performance Manager The Risk & Quality Performance Manager position will support Molinas Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and
P2S stands as a provider of professional engineering services to a broad range of markets, including higher education, healthcare, ports/harbors, industrial, entertainment, commercial, laboratories, municipal, and federal sectors. Our specialties include electrical, mechanical, plumbing, fire protection, and
Project Controls Specialist (Hybrid) Long Beach & Los Angeles, CA What We’re Looking For: Michael Baker International is seeking a Project Controls Specialist to support project delivery across our Long Beach and Los Angeles offices. This
Job Title Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis. Knowledge/Skills/Abilities
Job Title Provides support and subject matter expertise for member clinical dental review activities. Job Description Determines appropriateness and medical necessity of member dental care services - targeting opportunities for quality improvement and satisfaction for members
Sr. Director, Member Engagement Operations Homebase Medical is getting back to basics. Our mission is to optimize the quality of life for homebound older adults, allowing them to live independently and with dignity in their own
Job Title Leads and directs team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and
Job Title Provides executive level strategy and leadership for teams responsible for optimization of clinical operations across the enterprise. Job Description Develops and implements processes to ensure healthcare services functions including utilization management/care management/etc. and clinical