Strategic Health Risk & Quality Performance Lead
Molina Healthcare of Illinois
Molina Healthcare is seeking a Risk & Quality Performance Manager to enhance performance improvement initiatives. You will collaborate with Health Plan leaders and stakeholders to manage Risk/Quality data collection strategies and ensure compliance with audit guidelines. The ideal candidate has a Bachelor's degree, experience in risk adjustment and project management, and strong technical skills in data analysis and Microsoft Azure. Molina Healthcare offers a competitive compensation package and is an Equal Opportunity Employer. #J-18808-Ljbffr Molina Healthcare
- ...supply chain is complex and performance-driven, requiring close coordination... ...teams to meet production and quality requirements. The... ...collaboration, cost control, and risk mitigation. The role includes... ...Improved cost performance through strategic sourcing, negotiation, and...QualityRisk
- ...West and West Region Medical Director to oversee womens health services. The role includes strategic leadership, operational oversight, and direct patient... ...across clinical teams and ensures the delivery of high-quality patient care. #J-18808-Ljbffr Direct JobsQuality
- Centrum Health in Doral, FL is seeking a Sr. Manager of Risk Adjustment and Quality to oversee a diverse team responsible for coding, billing, and successful risk adjustment operations. The ideal candidate will have extensive experience in healthcare Risk Adjustment and...QualityRisk
- ...dedicated to improving the health, well-being and, most of all, quality of life for the... ...consultant and strategic value creator for the... ...and improve performance of the business.Partners... ...close the gap(s)).Leads succession planning... ...Heat/Cold = 0%Fire Risk = 0%Hazardous Noise...QualityRiskWork experience placementWork at officeShift work
$159k
...embedded in NYU Langone Health’s tripartite... ...ensure excellence in quality, patient... ...disciplines to establish strategic partnerships to achieve... .... Evaluates performance and assesses practice... ...concerns, safety, risk management... ...practice efforts. Leads and supports developing...QualityRiskLocal areaShift work$97.59k - $117.11k
NYU Langone Health is a fully integrated health... ...a rigorous focus on quality that has resulted in... ...analyzing spend data, performing market analysis, and leading the end-to-end RFx... ...Job Responsibilities Strategic Sourcing Planning... ...annual savings targets. Risk Management Assess...QualityRiskContract workWork experience placement- ...more below.Summary:The Data Quality Specialist is responsible for... ...PI processes to identify and strategize opportunities for improvement... ...0%Extreme Heat/Cold = 0%Fire Risk = 0%Hazardous Noise = 0%Heating... ...nature and level of work performed by employees within this classification...QualityRiskWork experience placementShift work
- ...enhances resident health outcomes while saving... ..., we deliver high-quality, proactive care... ...assurance, and program performance across Chronic... ...discrepancies Lead initiatives within... ...regarding progress, risks, and operational needs... ...and contribute to strategic planning and...QualityRiskFull time
- Lake Bennet Center in New York is seeking a Risk Manager to oversee Risk Management and Quality Assurance programs. This position requires a Registered Nurse... ...quality initiative programs. We offer comprehensive health benefits, PTO, and employee perks. You'll thrive in...QualityRisk
- ...Manager Business Management- Strategic Finance &... ...optimizing operational performance Driving optimal commercial... ...asset performance, improve risk‑adjusted returns, and strengthen... ...Key Responsibilities Lead strategic finance... ...build high‑quality analyses and communications...QualityRiskFull timeFor contractorsWork at officeLocal areaRelocation
$114k - $210.9k
...critical data/process risks and implement... ...manager. Employs strategic thinking to propose... ...risks to delivery or quality and ensures... ...managers on staff performance, including strengths... ...Demonstrated ability to lead and align teams in... ...or car allowance, health benefits (medical,...QualityRiskFlexible hours- Lake Bennet Center in Florida is seeking a Staff Development Nurse / Risk Manager to oversee quality assurance and risk management functions. You will educate nursing staff and ensure compliance with healthcare regulations. The ideal candidate holds an RN license, has long...QualityRisk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...QualityRiskRemote job
- ...most pressing global health challenges.... ...is responsible for leading and coordinating all... ...delivery of high-quality, culturally appropriate... ...Responsibilities Strategic Leadership &... ...expectations and monitoring performance. Support... ...health function. Risk Management & Safeguarding...QualityRiskWork at officeLocal areaWorldwide
- ...with us in providing quality medical care to patients... ...Medical and Mental Health Treatment Women’s Medical... ...initiatives. Strategic Planning: CMOs participate... ...developing clinical services. Risk Management: They... ...and other stakeholders. Performance Improvement: CMOs monitor...QualityRisk
- ...for driving operational performance for the research site.... ...Budgets Contracts and Quality to coordinate delivery... ...on track, identifying risks to delivery or quality... ...timelines. Employing strategic thinking and problem‑... ..., email, electronic health records, web applications...QualityRiskFull timeTemporary work
- ...identification of areas of clinical risk, development of... ...Assist with special compliance/quality educational trainings as requested... ...related to the success of the strategic plan of the organization, as... ...Incumbent may be required to perform emergency duty before, during...QualityRiskLocal area
- Healthy MD is looking for a Director of Quality, Compliance & Risk Management in the Town of Florida, NY. This role includes leading quality improvement initiatives and ensuring regulatory compliance across the organization. The ideal candidate has a Bachelor's degree...QualityRisk
$100k - $140k
...strongcommitment to quality, safety,... ...Company Sponsored Health Insurance w/ Company... ...projectplanning, risk management, pricing... ...Responsibilities Lead all estimating andpreconstruction... .... Support strategic growthinitiatives... ...initiatives, and performance standards. Foster...QualityRiskFull timeContract workTemporary workFor contractorsFor subcontractor- Trinity Regional Rehab Center is seeking a Staff Development Nurse / Risk Manager to enhance quality assurance and performance improvement. Responsibilities include overseeing QAPI programs, investigating incidents, and ensuring compliance with regulations for optimal patient...QualityRiskFlexible hours
- ...adults. This role involves managing a panel of up to 450 patients, engaging with transitional-care teams, and participating in risk and quality management programs. The ideal candidate should exhibit a strong service orientation and leadership qualities, while...QualityRisk
- ...leave, and more. Overview The Manager Performance Analytics & Enablement serves as a critical... ...to identify trends, opportunities, and risks Translate data into actionable insights... ...Senior Director to deliver consistent, high‑quality insights Develop a deep understanding of...QualityRiskFull timeLocal areaFlexible hoursWeekend work
- ...grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By... ...providers to succeed in performance-based arrangements... ...Health’s Sr. Manager of Risk Adjustment and Quality will... ...and billing operations. Lead a team to drive risk adjustment...QualityRiskTemporary workWork at office
- ..., you will take a lead role in advancing... ...act as the primary strategic partner for our clients... ...with exceptional quality. What You’ll Do... ...and mitigating risks. Mentor junior project... ..., and financial performance. Ensure alignment... ...of the Syneos Health range for this position...QualityRiskRemote jobContract work
- ...financial incentives via risk‑based contracts.... ...ways that improve care quality and help achieve the triple... ...care models and manage performance on VBC contractual metrics... ...the practice staff. Lead recurring clinical quality... ...on Novocardia’s strategic vision. Coordination among...QualityRiskContract workLocal areaRemote work
- ...that honors safety, quality, client engagement... ...Environmental, Health, and Safety (EHS)... ...in a position to lead a project site. ESSENTIAL... ...by influence and strategic partnership with... ...safety related risks Applies record‑keeping... ...abilities Performs other duties as assigned...QualityRiskFull timeFor contractorsWork experience placementWork at officeLocal area
- A leading risk management firm seeks an Industrial Hygiene/EHS professional to join its Miami Lakes/Fort Lauderdale team. Role involves conducting air quality assessments, generating reports, and requires strong skills in project management and communication. Candidates...QualityRiskFull time
- ...Canadian-based global health company. We... ...customers, and drivers of performance to set and execute... .... Evaluates strategic packaging options... ...relevant product risks and opportunity updates... ...and Partners Leads competitive intel... ...Compliance Program, Global Quality procedures, Safety...QualityRiskContract workWorldwide
- ...manager evaluates the performance of clinical staff and... ..., and fosters class-leading outcomes, ensuring Avant... ...and interpret risk data, including emotional... ..., collaboration, and strategic thinking. Quality & Results Oriented: Intermediate... ...Requirements of Law Health Insurance Portability...QualityRiskWork experience placementWork at officeMonday to Friday
- ...in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely... ...providers to succeed in performance-based arrangements... ...development. Support ad hoc strategic initiatives tied to... ..., population health, or risk-based payment models. Experience...QualityRiskWork at officeWork from home
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