- Molina Healthcare (Chandler, AZ)
- …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... the activities of the department and the process improvement process . * Assesses...**Preferred Experience** * State QI experience * Medicaid and/or Medicare QI + **Databricks** + **Development leading indicators and… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... * Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams… more
- CVS Health (Hartford, CT)
- …as needed Key responsibilities: + Assist with improving and transforming Group Medicare business performance through various operations, process development and ... Solutions (GRS) is a core component of the Aetna Medicare Organization. Our vision is to develop an industry-leading...accountability and teamwork, with an emphasis on structure and process , drive us to deliver unparalleled results. We are… more
- Humana (Richmond, VA)
- …part of our caring community and help us put health first** The Insurance Product Manager manages the end-to-end process of product design for a portfolio of ... bid filings, new product implementation, and product change management. The Insurance Product Manager manages the end-to-end process of product design for a… more
- Molina Healthcare (Layton, UT)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
- AmeriHealth Caritas (Newtown Square, PA)
- …**Responsibilities:** Under the supervision of the Director of Care Management, the Manager of Care Management is responsible for the direct performance of Case ... oriented, and provided with regular professional development. Identifies opportunities for improvement , both clinical and administrative, and assists the Director in… more
- Centene Corporation (Austin, TX)
- …+ Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the planning and delivery… more
- Elevance Health (Costa Mesa, CA)
- …management skills. + Serves as a resource for the design and evaluation of process improvement plans/quality improvement plans and ensures they meet ... ** Medicare Quality Management Health Planning Director Sr.** **Location:**...and implementation of a strategic clinical quality management and improvement program within assigned health plan. Role intended to… more
- Trinity Health (Boise, ID)
- …preferred gained through experience. Experience working in a quality and/or performance/ process improvement role preferred. Knowledge of NCQA and HEDIS ... the accuracy of payer performance reports and communicate discrepancies Identify process improvement opportunities within practices. Develop, document, execute,… more
- Medical Mutual of Ohio (Dublin, OH)
- …guidance as necessary to other team members with the goal of process improvement and overall project leadership quality. Collaborate cross-functionally and ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....necessary to other team members with the goal of process improvement and overall project leadership quality.… more