Hedis Review Nurse $120,000 jobs

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RN, Manager of Utilization Review/ Medical Management (field...
Healthcare Support Staffing 24 reviews - Long Beach, CA
and monitor Utilization Review, Quality Improvement... CA Knowledge of Utilization Review, Quality Improvement, STARS, HEDIS,compliance, accreditation, service... $129,000 a year
Sponsored by CareerBuilder - 12 days ago

Mid South Regional Medical Director

Humana 634 reviews - Knoxville, TN
Participation in Quality Operations including chair Quality Management Committee, complete initial peer review on quality of care complaints, complete peer-to...
6 days ago - save job - email - more...

East Central Regional Medical Director

Humana 634 reviews - Dublin, OH
Humana is seeking a Regional Medical Director that will collaborate with other health care givers in reviewing actual and proposed medical care services against...
19 days ago - save job - email - more...

Medical Director, Clinical Informatics

Evolent Health 3 reviews - Arlington, VA
The Clinical Informatics team seeks a clinician with experience both in medical data analysis and clinical practice to support our Clinical Rules Engine quality...
12 days ago - save job - email - more...

President Medicaid Health Plan - WV

KORE Healthcare Recruitment - Charleston, WV
Lead strategic planning and development of the health plan business plan, quarterly reviews and course corrections....
17 hours ago - save job - email - more...

Home Chronic Care Physician - Alegis Care - Mobile AL

Cigna 659 reviews - Mobile, AL
The Physician is responsible for quality medical care for all assigned patients, meeting or exceeding generally accepted standards of medical care, along with...
4 days ago - save job - email - more...

Sr Dir, Healthcare Quality/Accreditation

Aetna 336 reviews - Phoenix, AZ
Thorough knowledge of NCQA and HEDIS management. Years of proven leadership experience setting strategic direction and influencing change that resulted in...
30+ days ago - save job - email - more...

Manager Healthcare Services II

Molina Healthcare 99 reviews - San Antonio, TX
Registered Nurse, Bachelor’s degree or advanced practice nurse (equivalent combination of experience/education will be considered in lieu of Degree)....
5 days ago - save job - email - more...

Medical Director New Hampshire

BMC HealthNet Plan and Well Sense - Manchester, NH
S/he will serve as the primary clinical contact for Well Sense, providing day-to-day coordination of the Well Sense staff of the Office of Clinical Affairs in...
Boston Medical Center HealthNet Plan - 16 days ago - save job - email - more...

Medical Director Behavioral Health

Molina Healthcare 99 reviews - Long Beach, CA
• Reviews quality referred issues, focused reviews and recommends corrective actions. • Attends or chairs committees such as Credentialing, P&T, UM Ops, as...
22 days ago - save job - email - more...

Registered Nurse Care Manager (DDD Population)

Pathway Medical Staffing - Trenton, NJ
The Registered Nurse Care Manager will work in the Care/Case Decease Management DDD (Division of Developmental Disabilities) Unit....
7 days ago - save job - email - more...

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