Quality Assurance Jobs - Page 63

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Quality Improvement Coordinator I

Michigan Health Plan - Troy, MI

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to state requirements. Support Quality Assurance Performance Improvement work plan/initiatives. Schedule and assist with committee and sub-committee preparat...

Process Improvement Specialist

Superior Health Plan - Austin, TX

Position Purpose: Identify and implement enterprise wide process improvement activities utilizing LEAN/Six Sigma methodologies to support business infrastructure and procurement of new business opportunities Support the development, prioritization and execution of performance improvement projects utilizing LEAN/Six Sigma methodologies for all process improvements As...

Senior Manager, Quality

LifeShare - Lakeland, FL

Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflows. Prepare and analyze reports to identify trends and opportunities for improvement and recommend appropriate changes. Oversee the accreditation process, specifically as it pertains to National Committee for Quality Assurance (NCQA) Accreditation and URAC Accredit...

Process Improvement Specialist

California Health & Wellness - Sacramento, CA

Position Purpose: Identify and implement enterprise wide process improvement activities utilizing LEAN/Six Sigma methodologies to support business infrastructure and procurement of new business opportunities Support the development, prioritization and execution of performance improvement projects utilizing LEAN/Six Sigma methodologies for all process improvements As...

Quality Improvement Coordinator I

Quality Improvement - Clayton, MO

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to state requirements. Support Quality Assurance Performance Improvement work plan/initiatives. Schedule and assist with committee and sub-committee preparation...

Vice President, Quality Improvement

Alabama Healthcare Advantage - Birmingham, AL

Position Purpose: Oversee all related activities for the Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Responsible for all activities related to National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance ensuring highest level of...

Quality Improvement Coordinator II

California Health & Wellness - Sacramento, CA

Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers. Perform quality on site reviews of delegated entities, physician office/clinics, reso...

Behavioral Health Quality Analyst

Health Systems Group - Pittsford, NY

Highly trained individual with significant experience in managed health care, data analysis, and project management. Responsible for maintaining departmental documentation to support state contract requirements and NCQA standards including, but not limited to, applicable policies and procedures, QI focus studies and quality improvement activities, routine control monitoring reports, meeting ...

Business Analyst I

Health Systems Group - Pittsford, NY

Position Purpose: Analyze health management programs including: data collection, validation and outcome measurement. May include: o Financial, pharmacy, claims, provider, and member data o Internal data cleansing and data reconciliation analysis o Trend analysis in various functional areas of health care management. Create and generate reports throug...

Quality Improvement Coordinator I(RN, LPN, LSW, LPC) (Columbus)

Buckeye Community Health - Columbus, OH

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to state requirements. Support Quality Assurance Performance Improvement work plan/initiatives. Schedule and assist with committee and sub-committee preparat...

HEDIS Coordinator(Columbus)

Buckeye Community Health - Columbus, OH

Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas. Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results Establish and maintain an action plan t...

Director of Quality Management

Favorite Health Care Staffing - Richland, WA

Favorite Healthcare Staffing is currently searching for a Director of Quality to join an acute care facility in Richland. This is a full-time position, 8 hour day shift. Salary is $58.82/hr - $73.58/hr, based on experience. Qualifications: - Bachelor's Degree in Health Science Discipline - 5 years experience in a health care setting required - Supervisory, financial management, staff developmen...

Director of Quality Management

Favorite Health Care Staffing - Kansas City, MO

A health insurance company in the KC metro area is looking to add a Director of Quality Management to their team! Schedule: Monday-Friday 8am-5pm Job Summary: The Director of Quality Management develops, designs, and leads large scale quality management program work/projects encompassing performance assessment and improvement, governance systems, business process improvement, divisional project...

Quality Improvement Coordinator I

Granite State Health Plan - Bedford, NH

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to state requirements. Support Quality Assurance Performance Improvement work plan/initiatives. Schedule and assist with committee and sub-committee preparat...

Quality Improvement Specialist I

Granite State Health Plan - Bedford, NH

Position Purpose: Support the data management and quality improvement initiatives for assigned functional areas Assist with the development and coordination of all core health services data reports Support the development of quality improvement performance audit function processes and tools Assist in designing, running, managing, and data review pro...