Remote Health Plan Quality & Performance Lead
Molina Healthcare
Molina Healthcare is seeking a remote Health Plan Quality Program Mgt & Performance Manager with Michigan Medicaid/Managed Care experience. The role focuses on quality improvement, NCQA accreditation support, and regulatory compliance across state and federal programs.
Travel 0-50% may be required, with potential multi-day trips. Requirements include 6+ years in health care with 4+ years in health plan QI, CP HQ/CHCA certifications preferred, and strong data analysis, reporting, and leadership
#J-18808-Ljbffr$59.81k - $129.59k
...Partner with health plans on HEDIS/CAHPS data strategies, analytics... ...: ~3+ years healthcare quality program management; HEDIS/NCQA... ...9,810.60–$129,589.63, fully remote US-based role. ~ Exposure... ...partner focused on national performance initiatives, including HEDIS...Remote workQualityHealth Insurance$175.42k - $237.33k
...career. Business Performance Director What... ...initiatives, and lead initiatives through... ...management strategies and plans related to changes... ...disruption. Fully Remote with onsite... ...scalable, high-quality learning experiences... ...eligibility, comprising of health and welfare plans...Remote workQualityHealth InsuranceFlexible hours$135k - $150k
Senior Director, Performance Marketing Operations - O&O Lead Generation Visiqua, a... ...operational excellence, lead quality, conversion... .... This position is remote (hybrid available... ...unless you are already planning to relocate at your... ...for with strong health plans - We even...Remote workQualityHealth InsuranceWork at officeLocal areaRelocationRelocation packageFlexible hours$1,000 per month
...barrier to mental health. Spring Health... ...job, move, health plan, and life stage.... ...worldwide through leading employers, health... ...expand the reach, quality, and humanity of care... ...Provider Enablement and Performance Excellence, the... .... This fully remote role is part of the...Remote workQualityHealth InsuranceWorldwideSleeping nights- ...SCAN Health Plan is seeking a Senior Program Manager - Market Performance to lead initiatives enhancing market and provider performance. You will partner with Market Performance... ...workplans and dashboards that drive care quality and affordability. You will oversee...Remote workQualityHealth Insurance
$132.4k - $251.6k
...problems. With our three market leading businesses, world-class... ...aerospace and defense.The Supplier Performance and Logistics Finance Lead... ...Supplier Engineering and Supplier Quality as well as the material flow... ...as on-site, hybrid or remote.The salary range for this role...Remote workQualityHealth InsuranceTemporary workWork experience placementWork at officeFlexible hours- ...DESCRIPTION Job Summary Essential Job Duties Collaborates with health plan quality leaders to improve outcomes by managing quality data... ...trending and forecasting, provider quality measurement performance, Consumer Assessment of Healthcare Providers and Systems (CAHPS...Remote workQualityHealth InsuranceWork at office
$185.1k - $277.6k
...architecture design to performance assessment to... ...Associate Director to lead our Position, Navigation... ..., and ensuring quality and accuracy of work... ...demonstrated success in remote staff development... .... ~ Comprehensive health care and wellness plans ~ Paid holidays, sick...Remote workQualityHealth InsuranceFull timeWork experience placementWork at officeImmediate startRelocation packageFlexible hours$125.4k - $181.42k
...SCAN is a nonprofit health organization... ...Manager - Market Performance supports the development... ...into operational plans, ensuring consistent... ...improvement in quality, growth, member experience... ...individual will lead cross-functional... ...: Long Beach, CA; Remote, USType: Full timeRemote workQualityHealth InsuranceFull timeFor contractorsWork at office$182k - $247k
...Clinical Pharmacy Stars Performance page is loaded##... ...PerformanceApplylocations: Remote USAtime type: Full... ...matter expert on pharmacy quality: the person Medical... ...into executive meetings, leading cross-functional... ...leadership in managed care, a health plan, or a PBM, with...Remote workQualityHealth InsuranceFull timeContract workInternshipShift work$85k - $120k
...Sales Performance Lead About the Role Too Good To... ...sales, productivity, quality, and revenue targets.... ...Scale Support planning and execution as the sales... ...a balance of focused remote work and collaborative... ...Security Premium Health Coverage: 100% employer...Remote workQualityHealth InsuranceWork at office$107.7k - $199.3k
...development of network performance analytics. Design... ...position is 100% remote within the United... ...future business. Plan, manage, analyze,... ...reporting tools. Lead provider profiling... ...provide support to health plans and other stakeholders... ...modeling or quality measurement...Remote workQualityHealth InsuranceFull timeContract workPart timeWork at officeLocal areaFlexible hours$66.46k - $129.59k
...Health Plan Quality Program Mgmt & Performance Manager (Remote in MI) MI, United States Job Description Molina Healthcare is hiring for a Health Plan Quality... ...critical quality improvement functions. Leads quality improvement activities, meetings, and discussions...Remote workQualityHealth InsuranceFull timeContract workWork experience placementWork at officeNight shift- Ensure health plan programs comply with state, federal, and NCQA regulations... ..., implement, and maintain quality improvement activities that... ...reporting requirements. Performance Monitoring and Audits:... ...continuous improvement, with a remote work environment for professionals...Remote jobQualityHealth Insurance
$163.2k - $224.4k
...Performance Advisory Services Manager By applying... ...to divest its Health Information Systems... ...in this Role Lead Performance Advisory... ...professional, quality, and security standards... ...systems, health plans, or payer organizations... ...Work location: Remote Travel: May...Remote workQualityHealth InsuranceH1bWorldwideRelocation packageFlexible hours- ...Manager to maintain partnerships between the health plan and contracted provider networks. You will... ...the primary contact for providers and drive performance improvements across HEDIS/quality, cost, and utilization. This remote role requires strong project management, two...Remote jobQualityHealth Insurance
$52k - $62k
DIRECTOR OF PERFORMANCES Position Type: Full Time Contract... ...Benefits: ICHRA Health Benefit Plan (eligible after 3 months... ...will own the quality of Mainstages performances... ...responsibilities are remote with 1-2 workdays in... ...Staffing & Training: Lead performer staffing process...Remote workQualityHealth InsuranceFull timeContract workSummer workCasual workWork at officeNight shift- Partner Company in the United States seeks a Quality Improvement professional to ensure health plan programs comply with state, federal, and NCQA regulations.... ...leadership to close escalations and improve compliance, with a remote work setup #J-18808-Ljbffr Partner CompanyRemote jobQualityHealth Insurance
- ...Marketing Analytics & Performance Optimization to be an integral... ...from inquiry or lead through MQL, sales acceptance... ...into optimization plans. Develop hypotheses and... ...marginal returns, pipeline quality, strategic priorities,... ...Unlimited PTO (UPTO) Remote or hybrid working...Remote workQualityHealth InsuranceWork at officeWorldwideShift work3 days per week
$132.4k - $251.6k
...problems. With our three market leading businesses, world-class... ...analytical support to Supplier Performance Excellence and Logistics teams... ...Supplier Engineering and Supplier Quality activities with ad hoc... ...designated as on‑site, hybrid or remote. The salary range for this...Remote workQualityHealth InsuranceTemporary workWork at officeWorldwideFlexible hours$60k - $110k
## Provider Network Performance ManagerApply: Fully Remote - Washington: Fully... ...providers to improve cost, quality, access, and overall... ...opportunities, lead provider... ...develop improvement plans, and influence provider... ...physicians, medical groups, health systems, and other providers...Remote workQualityHealth InsuranceFull timeContract workInternship$101.3k - $204.4k
Sr Manager, Performance Marketing - Amazon United States... ...on every listing. Lead Amazon marketing planning across both paid... ...investment and content quality to downstream sales... ...ora relatedfield. #LI-REMOTE Salary and Other... ...spending accounts, health savings accounts (HSA...Remote workQualityHealth InsuranceTemporary workLocal areaFlexible hoursShift work$173k - $208k
Collectors is the leading creator of innovative... ...by phone. For remote roles, and at our... ...Supplier Relations & Performance Management... ...Finance, Legal, and Quality, and will be the executive... ...expansion plan and new-site launchesLead... ...To Join Us:Health Insurance: All full...Remote workQualityHealth InsuranceFull timeContract workWork at officeLocal areaWorldwideFlexible hoursShift work- ...States is seeking a skilled professional to monitor agent performance and ensure adherence to quality guidelines. This role focuses on data-driven... ...teams to optimize processes, tools, and training for top KPIs, while enjoying fully remote work. #J-18808-LjbffrRemote workQuality
- ...seeking a Risk Management Project Lead to define data requirements and... ...initiatives across the organization. This remote role includes up to 50% travel... ...project teams, manage scope, quality assurance, and develop ongoing management plans, ensuring timely reporting, issue...Remote workQuality
- ...Working Solutions is seeking a performance and quality analyst to continuously monitor agent performance, ensuring adherence to guidelines and... ...interactions across voice and digital channels and supports remote teams. Candidates should have strong data analysis...Remote workQuality
- ...GE Vernova is seeking a Contract Performance Manager in the United States. You will own the outcome for power-generation assets, leading outages, parts, and repairs while ensuring safety... ..., with a focus on zero-harm, high-quality, on-time maintenance and strong #J-18...Remote workQualityContract work
- ...The Supplier Development Lead (SDL) is a critical... ...improvement, and sustainable performance. This role is hands-on... ...structured improvement plans across global... ...initiatives. This is a remote role; however, the candidate... ...collaboration with Operations and Quality. Facilitate supplier...Remote workQualityHealth InsuranceWork from home
$211.2k
JOB REQUISITIONBusiness Performance Improvement - Finance... ...'s standards of quality and meets the needs of... ...additional work. You take the lead role in maintaining... ...offshoring advisory, financial planning and analysis (FP&A),... ...site, and/or from a remote location such as your...Remote workQualityHealth InsuranceFull timeTemporary workWork at officeHome office- ...maintenance of accurate financial records, the full-time remote Financial Performance Reporting Manager will prepare monthly financial reports,... ...statistical reports Generate and review ad-hoc reports related to quality, cost, and effectiveness of healthcare services Provide...Remote workQualityHealth InsuranceFull time
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