Quality Improvement Jobs In Ms - 39 Job Positions Available

Junior Data Entry Clerk (Remote) Are you ready to embark on a career that offers endless opportunities for growth and development? Do you have a passion for precision and an eye for detail? If so, we

Specialist, Data Entry Junior (Remote) Are you ready to embark on a career that offers endless opportunities for growth and development? Do you have a passion for precision and an eye for detail? If so, we

Data Entry Coordinator Junior (Remote) Are you ready to embark on a career that offers endless opportunities for growth and development? Do you have a passion for precision and an eye for detail? If so, we

Clinical Pharmacist, Pharmacy Outreach The Clinical Pharmacist, Pharmacy Outreach is responsible for optimizing patient outcomes through telephonic interventions. This role focuses on the tactical execution of medication management services, including polypharmacy, adherence, and pharmacotherapy optimization. Candidates

Job Description Provides senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan member

Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to

Job Description Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care strategies, and operational direction for risk adjustment and quality improvement. Sets

Job Description 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

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 contract driven

Essential Duties and Responsibilities: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts

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 resources.

Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation

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

Essential Duties and Responsibilities: - Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed - Interview and recommend hiring and promotion of contact