Quality Program Management And Performance Specialist The Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement activities to maintain compliance with quality program requirements and reporting and monitoring for key quality program activities. Provides support for
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,
Overview Position Summary: An Attorney II is the primary attorney assigned to a caseload defending 1st and 3rd party cases relating to the defense of personal injury lawsuits. Most cases involve injections without completed surgeries and
About Pair Team At Pair Team, were an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social -
Any applicants without a current Board Certified Behavior Analyst (BCBA) Certification will NOT be considered Ready to change lives from your couch (or wherever you like) while still making an impact in the field? Coyne &
Care Manager RN Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to
Will consider Sign-on! This Jobot Job is hosted by: Natasha van der Griendt Are you a fit? Easy Apply now by clicking the Apply button and sending us your resume. Salary: $135,000 - $175,000 per year
Launch Your Career with Sureguard Financial Position: Remote Sales Representative Location: Fully Remote | Open to Candidates Across the United States Are you looking for an opportunity that offers flexibility, professional growth, and unlimited earning potential? Sureguard
Client Sales Representative (Entry-Level) Summit Sky Consulting Remote | United States Summit Sky Consulting is currently seeking motivated individuals to join our growing team as Client Sales Representatives. This is an excellent entry-level opportunity for candidates looking
Job Description Job Summary Provides senior level support for delegation oversight activities. Oversees delegated activities to ensure compliance with state, federal, contractual, National Committee for Quality Assurance (NCQA), and Molina requirements. Essential Job Duties Under general leadership
Job Description Shift: M-F 11am- 7:30pm EST Hours 10am - 6:30pm PST Hours JOB DESCRIPTION Job Summary Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for
Job Title Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures
Dental Clinical Reviewer Provides support and subject matter expertise for member clinical dental review activities. Responsible for determining appropriateness and medical necessity of member dental care services - targeting opportunities for quality improvement and satisfaction for
Job Description Provides senior level support for all aspects of taxation including compliance, planning, forecasting, merger and acquisition (M&A) evaluation, expense, liability and asset recordation, securities and exchange (SEC) and statutory reporting disclosure, Sarbanes-Oxley (SOX) compliance,
Job Description Provides senior level analyst support for finance activities including financial analysis, reporting, forecasting, trending and modeling to support planning for future business decisions for the Kentucky Health Plan. Essential Job Duties Gathers, interprets and
Job Title Provides lead level support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy
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
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 Provides analyst support for configuration oversight activities. Responsible for accurate and timely implementation and maintenance of critical information on claims/provider databases, validating data housed on databases and ensuring adherence to business and system requirements
Job Title Provides support for clinical member services review assessment processes. Job Summary Verifies that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through