Provider Engagement Lead: Risk Adjustment & Quality
$73.1k - $142.55kMolina Healthcare of Illinois
Molina Healthcare in New Mexico is seeking a Manager for Provider Engagement to establish strategies for risk adjustment and improve quality performance. The role involves collaboration with senior leadership and driving value-based care initiatives. Candidates should have a Bachelor's degree along with 5-7 years of related experience, particularly in managed care environments. Skills in data analytics and communication are crucial for success. A competitive salary from $73,102 to $142,549 is offered based on experience and education. #J-18808-Ljbffr
$87k - $178.1k
...travel 100% of the time. This Lead Engagement Owner role will be accountable... ...managers Identify & manage project risks, drive mitigation/resolution... ...and escalate as appropriate Provide, and hold others accountable for, high quality status reporting and be able to...QualityRiskContract workTemporary workWork experience placementLocal areaRelocationFlexible hours- ...Strategy Lead, RWD Commercial Strategy & Innovation... ...data and AI solutions provider dedicated to improving... ...scopes that drive deal quality, deal velocity, and long... ...prevent downstream delivery risk Uses SQL proficiency... ...or evidence-generation engagements ~ Ability to assess...QualityRiskFull timeTemporary workLocal areaRemote workFlexible hours
- ...Lead Project Manager - Data Center Arizona - Remote... ...resources, and drive quality execution for high‑... ...rising project managers, provide leadership and advancement... ...standards. Execute risk management techniques... ...flexible work arrangements Engage in work that has a...QualityRiskFull timeContract workFor contractorsRemote workFlexible hours
$87k - $178.1k
...recognized authority and leading contributor, this... ...management professional, provides consistent innovative and high-quality solution leadership. Responsible... ...minimizing Oracle's risk and exposure. Exercises... ...on small to medium engagements. Provides direction and...QualityRiskTemporary workWork experience placementFlexible hours$131k - $174k
...architecture standards. Lead, coach, and develop... ...execution with strong quality, security, and performance... ...with vendors, service providers, and senior leaders to... ...audits, and proactive risk management. Monitor... ...minimize business impact. Engage IT leadership,...QualityRiskPermanent employmentContract workFor contractorsRemote workVisa sponsorshipWork visaRelocation packageWeekend work$72.91k - $95k
...Insurance Claims Team Lead - Workers Compensation... ...colleagues' workloads, provide training, and monitor individual... ...action. Performs quality review on claims in... ...is the world’s leading risk and claims administration... ...claims administration, loss adjusting, benefits...QualityRiskContract workWork at officeLocal areaFlexible hours$100k
...premises, cloud, and hybrid environments. Provide hands-on engineering support and advanced... ...indicators to proactively identify risks and drive service stability improvements.... ...teams to ensure optimal voice and video quality through effective QoS design and network...QualityRiskContract work$104k - $143k
...community The Workforce Management Lead applies and integrates advanced and... ...feasibility; proactively mitigate risk Lead performance reviews and present... ...expectations for analytical rigor, quality, and accountability Provide mentorship to elevate technical and...QualityRiskFull timeTemporary workRemote work$132.23k - $176.31k
...future. The Role The Senior Lead, Funnel Governance &... ...needed to hit plan and mitigate risk. The Main Responsibilities... ...rules, definitions, SLAs, data quality thresholds) and maintain governance... ...We are committed to providing equal employment opportunities...QualityRiskTemporary workRemote work$115.2k - $158.4k
...community The Program Delivery Lead strategically identifies,... ...implements programs that influence providers, members or market leadership... ...relationships and/or improved quality metrics. The Program Delivery... ...and resolve eligibility risks. This role plays a critical part...QualityRiskBi-weekly payFull timeContract workTemporary workRemote workWork from homeHome office$136.6k - $338.5k
...integration, OCI is positioned to lead the industry in cost-effective... ..., islanding tests, and power quality acceptance testing at the data... ...Maintain commissioning risk register, punch list, retest plans... ...Familiarity with large-scale cloud provider / hyperscale data center power...QualityRiskTemporary workFlexible hours$169.4k - $279.6k
...annual base salary range provided for this position is a... ...solutions. As a Lead Architect, you will collaborate... ...establish governance, risk, and control processes... ...modernization. Engage with the senior leadership... ...change. Able to adjust plans, priorities and strategies...RiskTemporary workWork experience placementLocal area$17.19 - $23.68 per hour
...accessible and actionable, we provide critical data solutions for organizations... ...pm EST Status: Full-Time Area Lead – Health Information... ...Support productivity, quality, and service improvement initiatives... ...coverage and minimize operational risk What We’re Looking For...QualityRiskHourly payFull timeWork at officeMonday to Friday$87.4k - $97.4k
...Public Consulting Group LLC (PCG) is a leading public sector solutions... ...Performs solution testing in support of quality control processes Provides service and support changes to existing... ...lead working sessions, communicate risks/impacts, and drive decisions. Ability...QualityRiskFor contractorsWork experience placementH1bWork at officeLocal areaRemote work$243.87k - $286.9k
...depth across the team Lead cross-functional... ...communicating clearly on progress, risks, and timelines... ...efficiency, cost, and quality ~ Computer Science degree... ...is also committed to providing reasonable accommodations... ...scenarios and engages in dynamic conversation...QualityRiskLocal area- ...Santa Fe, NM. The role delivers critical support in government risk adjusted programs like Medicare Advantage. Responsibilities include... ...maintaining accuracy, adherence to CMS guidelines, and participating in quality projects. Preferred qualifications include an Associate degree...QualityRiskRemote work
$21 - $29 per hour
...Summary... What you'll do... Provides member service by acknowledging... ...food and merchandise quality by ensuring product rotation... ...desire to learn takes calculated risks and demonstrates courage and... ...no preferred qualifications. Leading a team, Supervising experience...QualityRiskHourly payMinimum wageFull timeTemporary workPart time$144k - $180k
...developing new offerings and leading marketing efforts as demanded... ...Honeywell LNG LLC is the leader in providing natural gas liquefaction... ...technology and commercial risk profile are key factors to our... ...productive world, enhancing the quality of life of people around the...QualityRiskContract workTemporary workWork experience placementWorldwideFlexible hours$105.1k - $164.13k
...selected candidate will lead complex research... ..., supply chain risk management... ...lead on assigned engagements, contributing innovative... ...and deliver high-quality analytical products... ...your contributions, provide you with growth opportunities... ...proportionately adjusted based on hours...QualityRiskFull timeContract workPart timeLocal areaRemote work$201.37k - $236.9k
...Executive Protection (at‑risk individuals,... ...(TPM) , who provide structure for large... ...business outcomes, risk-adjusted investments, and... ...portfolio; lead headcount, budget,... ...efficiency, cost, and quality. Experience: 8+... ...interview scenarios and engages in dynamic...QualityRiskLocal area$115k - $130k
...Lead Specialist, Product Program Manager (AI) Role Overview The Lead Specialist Product... ...interdependent workstreams, ensuring timely delivery, quality outcomes, and alignment with business... ..., assess, and mitigate program‑level risks and issues related to AI development,...QualityRiskFull time$2,340 per month
...pain, and improve their quality of life through... ...surgery, injury, or illness, providing rehabilitation and preventative... ...patient's progress and adjust the treatment plan as... ...patients reduce the risk of future injuries.... ...more active lifestyle and engage in exercises that will...QualityRiskWeekly payTemporary workShift work$2,340 per week
...pain, and improve their quality of life through... ...surgery, injury, or illness, providing rehabilitation and preventative... ...patient’s progress and adjust the treatment plan as... ...patients reduce the risk of future injuries.... ...more active lifestyle and engage in exercises that will...QualityRiskTemporary workZero hours contractImmediate startShift work$200k - $225k
...Relocation assistance is provided. JOB SUMMARY... ...trends and adjust strategies accordingly... ...Services: Lead commercial lending... ...the credit union's risk tolerance. Monitor... ...and Service Quality: Promote a member... ...events, and similar engagements as ambassadors to...QualityRiskLocal areaRemote workRelocation packageAfternoon shift- ...address, auto debit setups, and payment adjustments. Process loan payments, payoffs,... ...when necessary. Compliance and Risk Management Perform quality control checks to identify and... ...efficiency. Support training efforts by providing guidance on loan documentation and...QualityRiskWork at office
- ...effective clinical operations. Provides direction and guidance to the... ...division, and company. Implements quality goals and action plans to... ...ensuring compliance with all risk management initiatives, including... ...direct reports to maintain an engaged and productive workforce,...QualityRiskFull timeRelocation package
$120.1k - $251.6k
...Job Description Leads and manages the... ...centers by colocation providers, ensuring projects... ..., and to high-quality standards. Supervises... ...Addresses gaps in risk identification and... .... Guides teams on adjusting plans to... ...Learning: -Models engaging in continuous learning...QualityRiskContract workTemporary workFor contractorsFlexible hours- ...and physician-led provider of healthcare services... ...to deliver high-quality care in a way that... ...methods that lead to superior clinical... ...medical regimen, adjustment to illness), psychosocial... ...guidelines and risk assessment... ...patient to stabilize. Engages in rapid assessments...QualityRiskContract workTemporary workFor contractorsWork at officeImmediate startRemote work
$105.79k - $141.05k
...today. The Role The Senior Lead, AGT Transformation... ...execution Identify gaps, risks, and blockers early—driving clarity... ...executable actions Executive Engagement & Influence Partner... ...Opportunities We are committed to providing equal employment...RiskTemporary workWork at officeRemote workShift work$21.64 per hour
...Patient Access Advocate I provides primary registration of... ...differential may be adjusted or discontinued based on... ...Monitor and track Data Quality program to ensure... ...Cooperate fully in all risk management activities and... ...Accountable, Respect, Engage and Serve to all whom you...QualityRiskHourly payReliefWork at office
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