Quality Management Leader - HEDIS & Stars Programs
Horizon Blue Cross Blue Shield
Horizon Blue Cross Blue Shield of New Jersey in Newark, NJ, is seeking a Manager of Quality Management to lead Clinical Operations, Audit, and Performance Reporting, including HEDIS and STARS, for Horizon Government Programs. The role directs teams, develops policies, and collaborates with senior leadership to drive quality improvements in a complex healthcare environment. The ideal candidate has a Bachelor's degree, at least five years in healthcare quality and five years in management, with #J-18808-Ljbffr Horizon Blue Cross Blue Shield
$215k - $260k
Enterprise Program Leader, Diagnostics SolutionsBring more to life.Are you ready to accelerate... ...planning, capital stewardship, change management, contract compliance, and governance across... ...measurable outcomes in growth, quality, and operational excellence. Acting as...QualityFull timeContract workRemote workWork from homeWorldwideFlexible hours$15.13 - $27 per hour
...Recruitment/Posting Title: Afterschool Assistant Program Leader (Multiple Vacancies) Posting Number: 2... ..., and other leaders to deliver high quality programs, at a15 to 1 student-staff... ...undergo training to support classroom management and the integration of positive youth...QualityHourly payTemporary workPart timeSeasonal workWork at officeFlexible hours$100k - $231.54k
...prioritize safety and quality in everything we do. Join... ...and care teams. This leader reports directly to... ...leadership, including Practice Managers and other regional... ...medication adherence, HEDIS / Stars, accurate risk... ...and patient outcomes Program Implementation and Cross...HEDISQualityHourly payFull timeWork experience placementLocal area$109.6k - $149.63k
...Jersey's health solutions leader driving innovations that improve health care quality, affordability, and... ...all aspects of Quality Management Clinical Operations & Audit... ...Reporting, including HEDIS and STARS performance for Horizon Government Programs. What You'll Do Directs...HEDISQualityLive inLocal area- University Hospital, Newark, is looking for a dedicated professional to lead the Trauma Performance Improvement (PI) program. You will manage compliance with ACS-COT and NJDOH standards, assisting in identifying improvement areas in trauma services. The ideal candidate...Quality
- ...professional to supervise prevention staff and oversee HIV prevention programs. The role requires coordinating trainings, retreats, and... ...guidelines. The candidate will lead data collection, reporting, and quality assurance efforts, while developing social media campaigns and...Quality
$115k - $125k
...safety solutions that enhance people's quality of life. As a global leader in protection solutions, we design... ...Ansell is looking for a RightCycle Program Leader for NA to join the team! The... ...effectively communicate program benefits. Manage cross-functional stakeholder...QualityTemporary workWork at officeLocal areaFlexible hours- The BAYADA Home Health Care Essex Assistive Care State Programs office in Bloomfield, NJ seeks an organized RN to lead... ...approved parameters, and partners with state case managers to maintain compliance and quality. As a clinical manager, you will develop individualized...QualityPart timeWork at office
- ...seeking a driven Tennis Director to lead the club's tennis program during the core season from April through October. The... ...visible, hands-on, and work with a team to deliver high-quality programming, court management, coaching, and events. Responsibilities include...Quality
- ...facing digital and technology leader to build the enterprise... ...optimization, subscription and CRM programs, fulfillment strategy and... ...marketplaces, A+ content, review management and catalog hygiene to... ...DAM ecosystem to ensure high-quality product data, scalable catalog...Quality
$175k - $225k
GFT is seeking a Traffic Group Leader to join our Northeast Region... ...client relationship management, pursuit strategy, teaming decisions... ...transportation studies.Ensuring quality control, schedule adherence,... ...package including wellness programs, parental leave, and pet insurance...QualityFull timeRemote work$145k - $180k
...The YouTube Channel Strategy & Programming Lead will own our content... ...bring into NBA programs.This leader will be supported by Content... ...Ecosystem DevelopmentBuild, manage, and evolve NBA Playmakers and... ...audience composition, content quality, and engagement potentialStay...QualityFull timeTemporary workLocal areaRemote work1 day per week- ...experience - Strong knowledge of Asset management on Commercial Real Estate business and... ...with Product team based on upstream test quality, but always be the "quarterback" driving... ...business validation is fast. Establish program-wide quality gates for UAT and release...QualityFlexible hours
$128.6k - $254.6k
...clients. As the CT BMC Strategic Programs Lead, you will lead... ...standards and operations. Help leaders, client-serving professionals... ...support transformation, risk management, adoption and business change... ...candidates to demonstrate these qualities. EY | Building a better...QualitySummer holidayLocal areaFlexible hours$425k
...anesthesia, participate in the state’s first liver transplant program, and teach residents one-on-one. Competitive, rank-based compensation... ...influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more...QualityHourly payFull timeSeasonal workH1bImmediate startShift work$25k
...and drive Medicare Advantage Stars and quality performance. The Clinical... ...: Medicare Advantage Stars, HEDIS and quality performance across... ...patients are chronic disease self-management, particularly in DM, HTN,... ...discharge or ER follow up programs. Bilingual in English and...HEDISQualityWeekly payFull timeTemporary workApprenticeshipWork at officeMonday to Friday$187.6k - $257.95k
...this Role The Digital Dentistry Leader is responsible for defining... ...technologies. This role manages a portfolio that currently includes... ..., technical sustainability, quality, and delivery risk. Shape... ...-being Solventum offers many programs to help you live your best life...QualityH1bRemote workRelocation packageFlexible hours$185k - $265k
...Mechanical Tunnel Ventilation Leader who will bolster our... ...technical content - to promote quality and excellence in our work and... ...transfer on commercial project management and oversight of project finances... ...safety, OSHA safety programs and Fire and Life Safety Codes...QualityRemote workFlexible hours- ...Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced Program Manager to lead large-scale, multi-year initiatives across our portfolio. You will partner with senior executives to drive delivery, manage budgets, and establish best practices for effective...
- ...Job Description Job Description Lead Program Manager of Harm Reduction — Job Description... ...staff and senior leadership to provide quality program management, contracting, regulatory... ...a culturally humble, trauma-informed leader with deep harm-reduction knowledge and...Quality
$15.13 - $27 per hour
Rutgers University-Newark is seeking an Afterschool Assistant Program Leader to run the PYU-21st CCLC program for 3rd-8th graders in Newark, NJ. You will work with teachers, sponsors, and community partners to deliver STEAM-based enrichment with a 15:1 student-staff ratio...Hourly payPart time- ...IndustryExcellent understanding of Quality Process, Performance and HEDIS measuresWorking within comprehensive... ...databasesAbility to create, write, Query SQL programs, generate and investigate data.Hands... ...below services under Medicare STARS Initiative:Reconciling daily, weekly...HEDISQualityWork at officeLocal area1 day per week
- ...initiatives that drive growth and innovation. As a Lead Technical Program Manager at JPMorgan Chase Commercial Investment Bank - Global... ...planning and risk management to ensure resilient, secure, and high‑quality delivery. Job responsibilities Develops and executes...Quality
$205.6k - $308.3k
...AI Workforce Transformation Leader you will serve as the architect... ...for agent supervision and quality governance establishing accountability... ...compliance and change management into all workforcerelated AI... ...funded pension plan. ~ Wellness Programs including up to $1600 a year...QualityFull timePart timeShift work- ...Lead Technical Program Manager Leverage your deep technical expertise and leadership to guide cutting-edge projects, fostering growth... ...operational plans and risk management strategies, ensuring the highest quality and professionalism in service delivery. You will be a key...QualityContract workFlexible hours
- Social Work Supervisor & Alternate Program AdministratorAtlantic Health Strategies™ offers a fully remote position for a Licensed Clinical... ..., treatment plans, progress notes, and discharge summaries for quality oversight.Participate in compliance and quality-improvement...QualityHourly payInterim roleRemote work
$43k - $56.2k
...identify work expectations and quality standards, but has latitude... ...completion of MA school/training program or a Certified/Registered... ...experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/... ...exams, chronic condition management, screenings, minor injury treatment...HEDISQualityFull timeTemporary workApprenticeshipWork at officeMonday to Friday$179.93k - $205.63k
...NJ Water Resources team including design management and staff development.Lead the design... ...mentorship to junior staff, ensuring the quality and accuracy of deliverables.Engage in client... ...Counseling • Employee Assistance Program • Paid Time Off • Paid Holidays • Back-Up...QualityFull timeLocal areaFlexible hours$210.4k - $331.1k
...seeking an accomplished scientific leader to join the Quantitative... ...pharmacometrics for oncology programs from post-preclinical... ...scientists, including performance management, hiring, retention, and talent... ...team members, ensuring high-quality and timely deliverablesContribute...QualityFull timeFor contractorsLocal areaFlexible hours- ...Lead Technical Program Manager Leverage your deep technical expertise and leadership to guide... ...strategies, ensuring the highest quality and professionalism in service delivery... ...spans over 200 years and today we are a leader in investment banking, consumer and small...QualityWork at office
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