Clinical Pharmacist - Quality Improvement & CMS Stars
JobRx, Inc.
JobRx, Inc. is seeking a Clinical Pharmacist to enhance health plan performance in CMS Star Ratings and Population Health initiatives. This position requires a Doctor of Pharmacy (PharmD), excellent analytical skills, and strong experience in clinical pharmacy to implement quality improvement strategies. The ideal candidate will have a minimum of 3 years in a clinical pharmacy setting, a commitment to medication adherence, and an ability to collaborate with various healthcare stakeholders to improve member outcomes. #J-18808-Ljbffr
- ...Quality Improvement - Clinical Pharmacist - CMS STARS & Population Health 195-2018 Tulsa, OK, USA Job Description Posted Monday, June 8, 2026 at 5:00 AM JOB SUMMARY: The Clinical Pharmacist in the Quality Improvement Department plays a pivotal role in advancing the health...CmsQualityWork at office
- ...CommunityCare HMO, Inc. is seeking a Clinical Pharmacist to join the Quality Improvement Department. This role focuses on enhancing CMS Star Ratings and population health initiatives through effective pharmacy-related quality improvement strategies. The ideal candidate...CmsQuality
- ...The Stars Manager is responsible for leading the design, implementation, and continuous improvement of strategies to achieve and maintain superior CMS Star Ratings. This role serves as the key driver of... ...strong leadership to optimize quality performance and member...CmsQualityWork at office
- ...CommunityCare HMO, Inc. is seeking a Stars Manager responsible for... ...strategies to achieve superior CMS Star Ratings. This role will... ...strong leadership to optimize quality performance and member outcomes... ...collaborative environment focused on improving healthcare quality. #J-18808-...CmsQuality
- ...Summary The QI&O Analyst works with quality improvement and peer review teams by facilitating team... ...of experience in administrative or clinical position in healthcare environment including... ...standards of care (such as TJC, DNV, CMS, OSDH) and participates in regulatory...CmsQualityFull timeWork experience placementRelocationMonday to Friday
- ...Clinical Quality Program RN (STARS) The Clinical Quality Program RN (STARS) plays a critical role in promoting, protecting, and improving the health of the health plan's members. This role involves developing and implementing initiatives to manage chronic conditions...QualityWork at office
$230k - $240k
..., the Physician plays a vital leadership and clinical role, ensuring high-quality outcomes and patient-centered care. Key Responsibilities... ...Ensure compliance with HIPAA, CLIA, CMS, and other regulatory bodies Deliver 5-star service in line with our mission of better...CmsQuality- ...you play a vital role in helping patients improve mobility, strength, and independence.... ...accurate documentation in accordance with CMS requirements, including functional reassessments... ...You take pride in delivering high-quality care that directly improves patients' lives...CmsQualityFull timeTemporary workMonday to FridayFlexible hours
- ...CommunityCare HMO, Inc. is looking for a Quality Improvement - Member Engagement Specialist in Tulsa, OK. This role focuses on member outreach to improve care quality through effective engagement strategies. Candidates must have a background in customer service and healthcare...Quality
- ...helping others, committed to high-quality patient care, and looking for... ...plans of care Prepare clinical and progress notes Communicate... ...services in compliance with CMS documentation and billing standards... ...needed Your work directly improves the lives of your patients -...CmsQualityTemporary workReliefMonday to FridayFlexible hours
- ...efforts. This role spends 100% of time on quality program activities. May require... ...behaviors. Refer members with specific clinically-related questions to supervisor, or Clinical... ...trending. Share potential opportunities for improvement with supervisor based on interaction...QualityWork at office
$65 per hour
...program solutions that reduce costs and improve patient care quality for hospitals, health systems and... ...are currently recruiting for a PRN Pharmacist to work as needed covering PTO/vacation... ...the patient is using and completes clinical tasks related to antimicrobial...QualityHourly payReliefLocal areaImmediate startMonday to FridayShift work$4,500 per month
...stage of life Received a five-star rating, the highest... ...Medicare & Medicaid Services (CMS) Named one of the nation's... ...STAT Traveling Physicians. Clinical Guidance: National Clinical Governance... ...compassionate, attentive, and quality care with a group that invests...CmsQualityTemporary workSeasonal workLocal area$70k - $100k
...and debits and credits Partner with cross-functional teams to improve financial processes Requirements: Bachelor’s degree in... ...work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients...CmsQualityFull timeLocal area- ...Medicare and Medicaid Services (CMS) regulations assuring the highest quality of resident services and comprehensive... ...captures each resident's clinical characteristics for payment classification... ...MDS acceptance into the Quality Improvement and Evaluation System (QIES)...CmsQualityFull timeWork at officeImmediate startShift workNight shiftWeekend workAfternoon shift
- ...CHART COOLER SVC CO INC in Tulsa, OK, is seeking a quality assurance professional to support their commitment to quality and continuous improvement. This role requires 5 years of prior experience, focusing on maintaining quality processes, training, and ensuring compliance...Quality
- ...Responsibilities Design and maintain high-quality website layouts, landing pages, and... ...prototyping to validate design direction and improve user flow efficiency. Collaborate with product... ...Experience designing for component-based CMS or headless web environments. Knowledge...CmsQuality
$240k - $280k
...Medical Director to provide clinical leadership and oversight within... ...maintaining the highest standards of quality care. Position Details... ...awareness of and adherence to CMS, Joint Commission, and state... ...quality assurance initiatives to improve outcomes and patient...CmsQualityFull timeMonday to FridayFlexible hours$36k
...of life Received a five-star rating, the highest achievement... ...Medicare & Medicaid Services (CMS) Named one of the nation'... ...STAT Traveling Physicians. Clinical Guidance: National Clinical Governance... ...-based model emphasizing quality, long-term wealth building and...CmsQualityFull timeTemporary workSeasonal workH1bLocal areaNight shift- ...customers to address disputes, negotiate payment arrangements, and improve collection outcomes. Through accurate analysis and effective... ...done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients...CmsQualityFull timeLocal area
- ...exciting opportunity for Tulsa. The goal is to improve health disparities in the Tulsa community... ...documentation of each patient contact. CMs will work closely with medical providers... ...of Time) Participates in staff meetings, quality assurance activities, and in-service...CmsQualityWork at office
- ...immunizations in store and at off-site clinics. Participates in local health... ...the public.* Maintains quality control by ensuring dated... ...Medicare & Medicaid Services (CMS) star ratings and the impacts of... ...required. Prior experience as pharmacist where applicable.* Must be licensed...CmsQualityWork at officeLocal areaImmediate startFlexible hoursNight shift
- ...Strategic Sourcing Specialist The Strategic Sourcing Specialist improves the supply chain and purchasing operations of a company. This... ...relationships, including: Forecasting demand Monitoring quality and delivery performance Addressing supplier issues...CmsQualityFull timeContract workLocal area
$60.7k - $106.3k
...skills to support, build, implement, and improve technology solutions across sites in a defined... ...without SOPs Planning and coordinating CMs and CM templates. - Collaborating with... ...improvement efforts. - Auditing the quality of work performed and provide constructive...CmsQualityCasual workLocal areaRemote workWorldwideFlexible hoursShift work- ...knowledge base documentation for recurring issues. Continuous Improvement Identify opportunities to improve support processes and... ...done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients...CmsQualityFull timeWork at officeLocal areaRemote work
- ...managing the care of hospice patients, ensuring quality, continuity, and compassionate support... ...timely documentation in compliance with CMS/CHAP standards Provide on‑call support as... ...hospice or home health preferred) Strong clinical assessment and critical thinking skills...CmsQualityFlexible hours
$29.75 - $32.7 per hour
...with research of denied claims. Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations. Must be able to achieve individual quality and productivity performance...CmsQualityFull timeTemporary workLocal areaRemote workRelocation package- ...accordance with HHS standards to deliver efficient, effective, and quality patient care. Provide care appropriate to the needs of patients... ...and other regulatory and accrediting organizations, including CMS and TJC. Qualifications One to three years of experience. Two-year...CmsQualityPart timeNight shift
$40.95k
...goal of the partnership is to improve health disparities in the Tulsa... ...of each patient contact. CMs will work closely with medical... ...Participate in staff meetings, quality assurance activities, and in-service... ...hospital. Regular exposure to clinic environments as well as travel...CmsQualityFull timeTemporary workPart timeWork at officeFlexible hours- ...including system design, process improvement, and compliance planning.... ...information management support to the clinics. Minimum Education:... ...and Medicaid Services (CMS) regulations, and other federal... ...reports, and supports departmental quality and performance improvement...CmsQualityFull timeWork experience placementMonday to Friday
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