Health Plan Quality Program Management & Performance Manager (Fully Remote)
Partner Company
- Remote job
Ensure health plan programs comply with state, federal, and NCQA regulations. Plan, implement, and maintain quality improvement activities that meet reporting requirements. Performance Monitoring and Audits: Prepare for audits, accreditation surveys, and quality improvement reports. Monitor key deliverables to ensure accuracy and on-time completion. Collaboration and Improvement: Partner with quality leadership to investigate escalations and resolve compliance gaps. Provide training and guidance to quality management team members. Partner Company This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan. #J-18808-Ljbffr Partner Company
- ...behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Health Plan Quality Program Management & Performance Manager based in United States. The... ...strengthen program outcomes. This is a remote opportunity for a Michigan-based...Remote workQualityHealth InsuranceFull timeNight shift
- ...Molina Healthcare is hiring for a Health Plan Quality Program Mgt & Performance Manager. This position is remote; however candidates must reside in Michigan. Highly Qualified Candidates Will Have the Following – Michigan Medicaid and/or Managed Care experience...Remote workQualityHealth InsuranceFull timeContract workWork at officeNight shift
$125.4k - $181.42k
...is a nonprofit health organization serving... ...Advantage, fully integrated care... ...The JobThe Senior Program Manager - Market Performance supports the development... ...operational plans, ensuring... ...improvement in quality, growth, member... ...Long Beach, CA; Remote, USType: Full timeRemote workQualityHealth InsuranceFull timeFor contractorsWork at office$1,000 per month
...barrier to mental health. Spring... ...move, health plan, and life stage... ...therapy, medication management, and specialty... ...the reach, quality, and humanity... ...and Performance Excellence, the... ...ecosystem. This fully remote role is part of... ...and enablement programs. What you’ll...Remote workQualityHealth InsuranceWorldwideSleeping nights- ...transforms the property management industry. Through... ...operational performance, consistency, and... ...portfolio through quality assurance oversight... .... The Performance Programs Manager is responsible... ..., mental health, and wellness programsAncillary... ...assistance to fully participate in our...QualityHealth InsuranceWeekly payFull timeStart working todayWork at officeLocal area3 days per week
$59.81k - $120.59k
...matter expertise for Molina's quality performance solutions team.... ...across the enterprise to plan, coordinate, and manage resources, and execute quality... ...Duties Collaborates with health plan quality leaders to... ...updates quality-related program documentation, including...Remote jobQualityHealth InsuranceWork experience placementWork at office- ...Company in the United States seeks a Quality Improvement professional to ensure health plan programs comply with state, federal, and... ..., and training the quality management team. You will collaborate with... ...and improve compliance, with a remote work setup #J-18808-Ljbffr...Remote jobQualityHealth Insurance
- ...SCAN Health Plan is seeking a Senior Program Manager to oversee market performance programs and drive operational excellence across quality, growth, member experience, provider performance, and access to care. You will lead cross-functional teams, develop actionable workplans...QualityHealth Insurance
- ...SCAN Health Plan is seeking a Senior Program Manager - Market Performance to lead cross‑functional teams in improving market and provider performance. You will translate... ..., and track outcomes across regions to drive quality, growth, and affordability for members. The...QualityHealth Insurance
$24 per hour
...Our commitment to quality and customer... ...seeking a Costco Program Coordinator to join... ...Support Costco Program Manager in quoting and... ...Analyze program performance metrics and... ...:00am-5:00pm) ~ Fully remote, PST preferred... ...Benefits Health Care Plan (Medical, Dental...Remote workQualityHealth InsuranceWork at officeLocal areaWork from homeMonday to Friday$99k - $176k
TECHNOLOGY PROGRAM MANAGERWHAT IS THE OPPORTUNITY... ...for the planning and successful delivery... ...DO?Independently manages multiple highly complex... ..., budgets, scope, quality standards and... ...volunteer timeSpecialized health and family... ...otherwise indicated as fully remote, reporting into a...Remote workQualityHealth Insurance- ...Description Remote Our client seeks a Sr Technical Project/Program Manager to lead high-complexity initiatives... ...within a state health plan environment. The role... ..., and ensure timely, quality outcomes. The... ...members and foster a high-performing culture in a matrixed...Remote workQualityHealth Insurance
- ...barrier to mental health. Spring... ...move, health plan, and life... ...therapy, medication management, and specialty... ...the reach, quality, and humanity... ...for a Senior Program Manager to join... ...a full‑time, fully remote position on our... ...increasing revenue performance and delivering...Remote workQualityHealth InsuranceFull timeWork from homeWorldwideHome officeFlexible hours
- Martin's Point Health Care Inc. is seeking a Vice President Medical Director of Clinical Programs to oversee the Health Plan Medical Directors. In this role, you will... ...-based utilization and care management programs while driving high-quality clinical outcomes. The ideal...Remote jobQualityHealth Insurance
$148.7k - $201.2k
...contract execution, delivery performance, cost, quality, capacity, and long-term... ...and leading recovery plans to maintain program schedule and business... ...engineering, legal, program management, and supply chain teams... ...benefits including health insurance (medical, dental...QualityHealth InsurancePermanent employmentContract workFlexible hours- Acentra Health is seeking a Senior Program Director to lead a new, critical program... ....The position is remote, with residency in California... .... The candidate will manage cross-functional teams, drive quality outcomes, and collaborate with health plans and communityJ-18808-Ljbffr...Remote jobQualityHealth Insurance
$70.1k - $126.2k
...Trillium Community Health Plan Provider Contracting... ...Details: This is a fully remote role. Must be... ...Monitoring network adequacy performance and identifying... ...reporting materials. Managing network gap... ...required. 3+ years of quality improvement, program management or project...Remote workQualityHealth InsuranceFull timeContract workPart timeH1bWork at officeFlexible hours- ...resultsAs a Field Sales Performance Manager, you take pride... ...in the value and quality they provide to... ...Training and Programs teams, the Area Education... ...supervision both remotely and in person,... ...to identify, plan, and deliver training... ...roles. Our health and well-being benefits...Remote workQualityHealth InsuranceFull timeTemporary workLocal areaWork visaFlexible hours
- ...seeks a Provider Engagement Account Manager to maintain partnerships between the health plan and contracted provider networks... ...contact for providers and drive performance improvements across HEDIS/quality, cost, and utilization. This remote role requires strong project...Remote jobQualityHealth Insurance
$150k - $190k
...but this role is fully remote across North America... ...role As a Senior Program Manager, you will manage... ...into actionable plans and aligning... ...improvement to ensure high-quality, predictable... ...courses Monthly health & wellness allowance... ...diverse teams perform better, and an inclusive...Remote workQualityHealth InsuranceFlexible hours- ...Title : Program Manager (75432) Duration... ...: Oakland, CA ( Remote - one day in a month... ...on clinical quality Educate and... ...practices to maximize performance on outcomes of the... ...Responsible for planning, execution of initiatives... ...required ( Health Plan or Provider...Remote workQualityHealth InsuranceWork at office
$190.9k - $334.1k
...Senior Staff Technical Program Manager to lead our most... ...around a single execution plan. As the Moveworks BU scope... ...land on time and at quality, and you are a trusted... .... We also offer health plans, including flexible... ...Work personas (flexible, remote, or required in office...Remote workQualityHealth InsuranceWork at officeImmediate startFlexible hours$105k - $145k
...About the role We're hiring a Program Manager, Performance Effectiveness to help improve how we measure... ...AI-driven evaluation tools to improve quality and operational effectiveness at... ...tools, or classification models. #LI-Remote #LI-AM1 Below is the base salary offered...Remote workQualityFull time- Acentra Health seeks a Senior Program Director to lead a new CA UIS Care Coordination... ..., operations, workforce performance, quality outcomes, regulatory... ...operational, provider, health plan, and community... ...person-centered support, managing care coordination workflows...Remote jobQualityHealth Insurance
- ...for Medicare Stars quality improvement (QI) programs and activities. Provides... ...expertise in planning and implementing QI... ...Responsible for leading and managing Medicare Star... ...-functional and health plan teams of subject... ...recommendations, performance results and opportunity...Remote jobQualityHealth InsuranceWork at office
$42.11 - $67.37 per hour
Job Details PI Program Manager Nursing Quality & Safety | Avenue North | Wilmington,... ...Part Time, 20 hours a week, Performance Improvement (PI) Program... ...improvement initiatives across the health system while supporting... .... Apply Lean, Six Sigma, Plan-Do-Check-Act (PDCA), and...QualityHealth InsuranceHourly payPart timeWork at officeLocal area$100k - $115k
...Care Quality Program Manager Pelago is the leading specialty substance use care... ...use based on individual health, habits, genetics, and goals... ...hundreds of employers and health plans and has already helped more... .... This is a full time remote role, open to candidates located...Remote workQualityHealth InsuranceFull timeFlexible hours- ...your career. Business Performance Senior Manager, Integration... ...execution against integration plans, people-centered change... ...implementation plans, and high-quality deliverables. Driving integration health reporting through... .... Supporting program level presentations and...QualityHealth InsuranceWork at officeFlexible hours
$101.15k - $168.58k
...Regional Omnichannel Performance Manager on the Digital &... ...and offer programming● Assist in the training... ...commercial planning and leverage retailer... ...cycles● Identify quality-improving and feature... ...match*** **Health Spending Accounts... ...required, including for remote-eligible roles,...Remote workQualityHealth InsuranceTemporary workWork experience placementLocal areaRelocation packageFlexible hours- ...responsible for value-based programs (VBP) activities.... ...and contracts annual plan by state by line of... ...In conjunction with health plan and quality and risk adjustment leadership... .../VBP/reimbursement performance to senior leadership... .... • Hires, trains, manages and evaluates team...Remote workQualityHealth InsuranceContract workWork experience placementWork at officeLocal area
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