Head of Health Plan Quality & Performance Improvement
Molina Healthcare of Illinois
Molina Healthcare, Inc. is seeking a senior leader to direct quality management and drive performance improvement across health plans. You will oversee NCQA/QUALITY program activities, coordinate with national analytics teams, and ensure compliance with NCQA and HEDIS requirements. The ideal candidate has extensive experience in health plan quality improvement, strong leadership skills, and a proven ability to translate data into actionable improvements while working in a fast-paced, matrixed #J-18808-Ljbffr
- ...Head of Clinical Operations About the Company High-growth health tech company delivering clinical programs... ...growth and high-quality patient care. Responsibilities... ..., and defines and improves clinical performance measures. The... ...systems, health plans, value-based care,...QualityPerformanceRemote work
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$200k - $280k
...scaling a behavioral health platform to... ...revenue. The VP & Head of Payer Strategy... ...Tier 1 payers, BCBS plans, Medicaid programs... ...strategy, financial performance, and market access... ...translating clinical quality and patient... ...geographic coverage, and improve contract terms...QualityPerformanceContract workLocal areaRemote work- ...Head of Strategic Deployments & Operations Healthcare... ...programmes for health plans and healthcare providers... ...outreach and payer-specific quality objectives to deliver measurable improvements in patient engagement... ...to maintain campaign performance. Nurse Operations:...QualityPerformance
- ...fill a pivotal role: Head of Systematic Macro Strategy... ...scalable, sustainable performance. Strategy Design:... ...existing portfolios to improve overall trading efficiency... ..., and integrate high-quality datasets for macro... ...firm also provides PPO health, dental, and vision insurance...QualityPerformanceFull timeCasual work
$250k - $270k
...together to make high-quality care more... ...We’re seeking a Head of Provider Network... ...capacity management, performance, and ongoing engagement... ...and AI where they improve efficiency while... ...network, or digital health operations. ~... ...deductible Health Plans with Health Savings...QualityPerformanceRemote workFlexible hours$185k - $250k
...Advisor is hiring a Head of Finance to own... ..., and scenario planning for growth, profitability... ...or materially improves speed and accuracy... ..., and channel performance measurement in a multi... .... Top-tier health, dental, and vision... ...consistent, high-quality execution and ownership...QualityPerformanceFull timeFor contractorsWork at officeLocal areaRemote workFlexible hours- ...legacy, and we reward performance and impact players with... ...We prioritize speed and quality. We hold a high bar. In... ...honestly, and execute plans to fix them. Hiring‑... ...In partnership with our Head of Talent Acquisition,... ...launching programs that improved company performance standards...QualityPerformance
$65k - $75k
...description: TITLE: Clinical Quality Improvement Coordinator REPORTS TO:... ...standards, and operational performance. This position serves as a... ...New York State Department of Health (NYSDOH), CMS, Managed Care... ...Profiles Individualized Plans of Care Caregiver Instructions...QualityPerformanceFull timeImmediate startFlexible hours$244k - $335.5k
...contributions. The Head of IT Strategy & Management... ...ensure continuous improvement This role requires... ...and resource planning. Position Overview:... ...governance, communication, quality) to steer global IT performance, transformation... ...they live or what health issues they are...QualityPerformanceTemporary workLocal areaRemote work$186.9k - $252.9k
...AWS) is seeking a Head of NAMER Partner Sales... ...analytics and performance signals that inform... ...and territory planning, influence top-of-... ...can be continually improved.About the teamAWS... ...ability to produce high-quality strategy documents... ...including health insurance (medical...QualityPerformanceWorldwideFlexible hours$32.96 per hour
...alternative application process. Quality Improvement Analyst Regular Full-Time Bronx,... ...ANH initiatives and Corrective Action Plans as necessary, and monitor implementation... ...reports as per program needs and performance indicators. Analyze service delivery...QualityPerformanceHourly payFull timeWork at office$107.7k - $199.3k
...Lead and direct process improvement activities that... ...organization’s digital quality measurement strategy,... ...Information Set (HEDIS) performance - Responsible for quality... ...and implement action plans for improvements - Research... ...Professional in Health Care Quality preferred...QualityPerformanceFull timePart timeH1bWork at officeRemote workWork from homeFlexible hours$150k - $250k
...Blossom Health exists to solve the mental health epidemic in America... ...: We’re looking for a Head of GTM to build and lead one... ...playbook and lead a high-performing Clinical Partnerships organization... ...expanding access to high-quality mental healthcare. You want...QualityPerformanceFull timeWork at office$70k - $90k
...0 To $90,000.00 Annually Improvement Advisor – Dialysis Quality Improvement Location: Remote... ...Time Zones Department: Health System Improvement (HSI)... ...care delivery, strengthen performance, and implement... ...insurance 401(k) retirement plan with company match Generous...QualityPerformanceRemote workFlexible hours$93.4k - $116.8k
...Supports interdepartmental Quality Improvement (QI) initiatives focused on... ...outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify... ...continuous improvement, advance health equity, and ensure... ...holidays Health insurance plan for you and your loved ones,...QualityPerformanceWork experience placementFlexible hours- ...budgets, and risks to ensure high-quality execution, while mentoring... ...corporate development, M&A planning, management, and / or... ...transformation, supply chain improvement, working capital improvement... ...– by providing coaching and performance feedback, and fostering a team...QualityPerformanceFull timeContract workWork at office
- ...Clinical Documentation Improvement Clinical Data Analyst... ...findings such as healthcare performance metrics, staff data,... ...of Science in Health Information Management... ...providing the highest-quality, compassionate clinical... ...region. Jefferson Health Plans is a not-for-profit managed...QualityPerformanceFull timeTemporary workPart timeWork at officeRemote workFlexible hoursShift work
- ...face increasing pressure to improve profitability, optimize cash... ...companies to improve operational performance and drive measurable business... ...actionable implementation plans. ~ Experience delivering measurable... ..., supply chain, procurement, quality, maintenance, and...QualityPerformanceFull timeContract workWork at office
- ...Career Opportunities Continuous Improvement Lead Consultant Location:... ...customers receive the highest quality of product and service the industry... ...strategic client accounts to perform continuous improvement... ...training and certifications Health, dental and vision insurance...QualityPerformanceCasual workRemote workWork from homeFlexible hours
$100k - $120k
...inside Amazon. About the Role The Head of Amazon Ad Strategy owns... ...advertise, decide what each brand's plan should be, and make sure that... ...come with them. * Diagnose performance changes alongside pricing,... ...Team leadership and execution quality * Lead and develop our team of...QualityPerformanceFull timeRemote workFlexible hours- ...affiliates have been committed to improving the quality-of-life and wellbeing of... ...is responsible for performing comprehensive analyses of clinical... ...development of corrective action plans to evaluate procedures and... ...agency for behavioral health programs. In addition, this...QualityPerformance
$137.91k - $189.63k
...excellence, and continuous improvement. Role Overview As an... ...enable sustainable performance improvement and cultural... ..., to improve safety, quality, delivery, cost, and... ...change leadership. Lead, plan, and facilitate Lean... ...where they live or what health issues they are facing...QualityPerformanceTemporary workWork at officeLocal area$226.2k - $377k
...research, RW‑relevant health informatics, and biostatistics... ..., create business plans and proposals, exhibit... ...headwinds and tailwinds. The Head serve as single point... ...monitor their teams’ performance and report metrics,... ...teams to generate high quality and compliant evidence...QualityPerformanceTemporary workWork at officeLocal areaWorldwideRelocation packageShift work$150k
...Division Chief of Behavioral Health and Trauma Services Full... ..., reducing inequality, improving public safety, ensuring delivery... ...direction, implementation, and performance of OCMH's programs and initiatives... ...accountability, program quality, and alignment with Office priorities...QualityPerformanceFull timeWork at office$70k - $85k
...process. Clinical Documentation Improvement Specialist VBS Clinical... ...adjustment, and improving the quality of patient care? We're... ...scores and value-based care performance. Provider Education & Training... ...Collaborate with contracted health plans on risk adjustment and value...QualityPerformanceFull timeRemote work- ...NewYork-Presbyterian is seeking a Quality Assurance Performance Improvement Analyst to oversee data collection, validation and reporting for the NYPMG program, with remote work options and occasional travel for NYP activities. The ideal candidate will have a Bachelor...QualityPerformanceRemote workFlexible hours
- ...Research Group (BRG) seeks a Clinical Quality Managing Consultant to guide hospital quality improvement programs across multiple clinical... ...NHSN, and internal data, identify performance gaps, and design evidence-based improvement plans in collaboration with hospital leadership...QualityPerformance
- ...CVS Health is seeking a Registered Nurse to lead quality improvement initiatives, analyze workflows, and drive performance enhancements in alignment with HEDIS and CAHPS goals. You will support POSC Council workplans and collaborate with executive sponsors to optimize...QualityPerformanceRemote work
- ...are looking for a Continuous Improvement Lead to drive... ...Supervisors, Supply Chain, Quality and front-line employees, you... ...productivity, quality, cost performance and customer satisfaction. Reduce... ...helping you cover everyday health costs like dental optical and...QualityPerformanceRemote work
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