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Quality improvement Remote Jobs

137 fresh jobs found

Remote Behavioral Medical Director
Remote-IL, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 231K+

Quality Improvement Abstractor
Remote-TN, United States

Centene Corporation

CHIPRA Quality Initiatives Quality measures Data Abstraction Ncqa standards Microsoft Applications HEDIS Medical Coding Microsoft Access +17

USD 95K+

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States

The Cigna Group

Case conferences Medical care management Board certification Educational training Ncqa standards Peer-to-peer discussions Medical Review Quality of care Federal Laws +21

Exec Senior Full Time

USD 203K+

Clinical Field Specialist, CT
Minneapolis, Minnesota, United States

HeartFlow, Inc.

Cardiac ct Technology innovations Imaging programs Clinical discussions Healthcare innovation Training delivery Product demonstrations Quality improvement Teaching +9

USD 84K+

Patient Access Advocate I-ED
Albuquerque, NM, United States

Presbyterian Healthcare Services

Registration processes De-escalation techniques Billing codes Insurance Verification HCPCS ICD-10 Investigations Conflict Management Medical terminology +13

Entry Full Time

USD 41K+

Program Consultant, Health Care, Quality
Dallas, TX, United States

American Heart Association

Clinical decision support Clinical processes Clinical Workflows Healthcare quality Process Mapping Program development Quality improvement Consultation Public health +16

USD 65K+

Clin Effect Consultant, MSN
Washington Remote, United States

Seattle Children's

Lean production methodology Evidence-based medicine Clinical Informatics Clinical Leadership Quality improvement

Senior Mid Full Time

USD 115K+

Quality Improvement Coordinator - Behavioral Health
Remote-WA, United States

Centene Corporation

Clinical Nursing Grievances Quality of care Clinical Quality Program Evaluation Healthcare administration Appeals HEDIS Medical necessity +19

USD 66K+

Behavioral Health Clinical Liaison
Remote-FL, United States

Centene Corporation

Outpatient Treatment plans Substance use Substance abuse Provider education Clinical assessment Procedures Treatment Planning Health Services +28

USD 68K+

Quality Improvement Coordinator I
Remote-WA, United States

Centene Corporation

Clinical Quality Quality of care Healthcare Management HEDIS Medical Records Performance Improvement Performance monitoring Utilization management Quality improvement +16

USD 95K+

Part-Time Weekend Medical Director
Remote-FL, United States

Centene Corporation

Health financing Government programs Medical management programs Provider network development Health administration Health care quality Personnel management Medical Review Clinical Quality +32

Exec Senior Part Time Full Time

USD 231K+

Supervisor, Quality Improvement
Remote-AR, United States

Centene Corporation

Managed care experience Effective Business Communication Lotus Notes HEDIS Procedures Supervisory Quality improvement Health Insurance Managed Care +20

USD 68K+

Vascular Specialized Coder
Work at Home - Tallahassee - FL, United States

Ensemble Health Partners

Educational tools Vascular coding Coding software Physician coding Provider education ICD-10-CM Coding Guidelines Color HCPCS +23

USD 52K+

Assignment Ready Counselor, PFC; Bentonville, AR
Remote AR Bentonville 72712, United States

Magellan Health Remote-first

Referral resources Video teleconference Briefings Web-based communication Financial management classes Workshop coordination Personal financial management Virtual counseling Financial counseling +10

USD 53K+

Assignment Ready Counselor, PFC; Stockton, CA
Remote CA Stockton 95203, United States

Magellan Health Remote-first

Referral resources Video teleconference Briefings Web-based communication Video teleconferencing Financial management classes Workshop coordination Virtual counseling Personal financial management +11

USD 53K+

Remote Supervisor-Quality Improvement/Accreditation
Albuquerque, NM, United States

Presbyterian Healthcare Services

Clinical processes Accreditation Quality improvement Auditing Managed Care Program Management Regulatory Compliance Critical thinking Team Leadership +13

Senior Mid Full Time

USD 95K+

Manager, Practice Transformation Service Delivery- Island
Remote, British Columbia, Canada; Vancouver, British Columbia, Canada; Victoria, British Columbia, Canada

Team accountability Process drafting Diplomacy Service Delivery Quality improvement Evaluation Microsoft PowerPoint Performance Management Decision making +9

CAD 90K+

ON-CALL Operations Administrative Specialist (Grants Management) REMOTE ROLE DMV area
Virginia Remote Office (VA99), United States

ICF Remote-first

Logistical Support File Management Meeting coordination Training and Technical Assistance Knowledge Sharing Public Trust Security Clearance Grants Management Federal Government Materials +51

USD 37K+

Customer Service Team Lead
8917 Albuquerque NM Home Office, United States

Staffing analytics IT knowledge Service Desk Government contracting IT Support Digital Modernization SOPS Public Trust Clearance Staffing +20

Senior Mid Full Time

USD 50K+

Supervisor, Utilization Management
Remote-NC, United States

Centene Corporation

Regulations knowledge UM Accreditation Standards Accreditation Clinical Review Procedures Health Services Prior authorization Medical management +17

USD 73K+

Senior Manager, Practice Transformation (12 Month Contract)
Vancouver, British Columbia, Canada; Remote, British Columbia, Canada

AI supports Clinic security Digital health platforms EMR optimization Team-Based Care Panel management Motivating Strategic alignment Health Technology +22

Senior Contract Full Time

CAD 116K+

Physician - Telemedicine (1099-Work From Home)
Remote

Medical decision-making Digital Literacy Electronic Health Records EHR Clinical operations Quality improvement Telemedicine HR Adaptability +10

Senior Mid Full Time

USD 220K+

Program Consultant, Health Care
Dallas, TX, United States

American Heart Association

Clinical decision support Clinical processes Clinical Workflows Process Mapping Program development Quality improvement Consultation Public health Outlook +14

USD 65K+

Program Manager, Health Science
Dallas, TX, United States

American Heart Association

Weight management Registry experience Multi-site research Nutritional sciences Clinical Trial Management Healthcare systems Clinical Studies Quality improvement Consultation +10

USD 65K+

Head Start Early Childhood Specialist - Region VIII
Nationwide Remote Office (US99), United States

ICF Remote-first

Classroom assessment Research-based practices Virtual platforms Building relationships Early Childhood Education Family Engagement Conferences Training and Technical Assistance Program Evaluation +43

Senior Mid Full Time

USD 67K+

Head Clinical Director
AZ - Remote, United States

Veterinary Medicine Clinical Leadership Quality improvement Team Development Business Acumen Strategic planning Innovation Interpersonal Communication

Exec Senior Full Time

USD 200K+

Senior Coder
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Coding Education Coding software Provider education Coding Guidelines Color HCPCS ICD-10 CPT Revenue Cycle Management +19

Senior Full Time

USD 43K+

Director, Quality Audit
Cincinnati

Kao Corporation

Cosmetics Consumer goods Product quality FDA regulations GMP ISO Quality improvement Quality Management Auditing +3

Exec Senior Full Time

USD 140K+

RN Reviewer
United States

Cohere Health Remote-first

MCG Care Guidelines Retrospective review Concurrent review Accreditation Compliance Healthcare programs Accreditation Quality Metrics Clinical Intelligence Patient outcomes +20

USD 70K+

Weekend RN Reviewer
United States

Cohere Health Remote-first

Concurrent review Healthcare programs Accreditation Quality Metrics Clinical Intelligence Patient outcomes Clinical Review Medical necessity Utilization Review +18

USD 66K+

Science & Health Advisor, Hypertrophic Cardiomyopathy
Dallas, TX, United States

American Heart Association

Healthcare certification Audit Processes Spreadsheets Data Reporting Program development User Experience Design Quality improvement Clinical Experience Consultation +15

USD 100K+

Director Cardiovascular Service Line Advisory
USA-TX, United States

Patient care systems Clinical program development Strategic Account Management Healthcare administration Healthcare Access Market development KPI development Quality improvement Operational Efficiency +27

Exec Senior Full Time

USD 258K+

Helpdesk
DC Remote Office (DC99), United States

ICF Remote-first

Palantir Social justice strategies Race equity Operation Unaccompanied children Child Welfare Help Desk Support Social justice User Support +62

USD 79K+

Customer Service Advocate IV
Remote-CA, United States

Centene Corporation

Procedures Quality improvement Training Development Root Cause Analysis Call Center Confidentiality Health Insurance Communications Access +13

USD 44K+

Dietitian
Remote

Included Health

Shared Decision Making Group class instruction Registered dietitian nutritionist Compassionate care Oncology care Biopsychosocial approach Nutrition Counseling Patient-centered care Care Plan Development +29

USD 25K+

Complex Claims Advisor | Litigation Experience Required
Telecommuter TX, United States

ADR Casualty claims Mediation Liability Claims Arbitration Action plans Liability Interpretive PC literate +25

Senior Mid Full Time

USD 95K+

Quality Improvement Coordinator II
Remote-WA, United States

Centene Corporation

Medical record audits Best practices identification Complaint Resolution Corrective action plans Clinical Initiatives Compliance review Quality of care Meeting coordination Medical Records +18

USD 66K+

Manager, Autism Clinical Care
Remote-LA, United States

Centene Corporation

Functional behavioral analysis Behavioral services Quality of care Medical Review Behavioral Analysis Accreditation Claims resolution Clinical Oversight Provider Relations +21

USD 86K+

Remote Medical Director - Michigan
Remote-MI, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 221K+

Care Manager Transition of Care
Remote-FL, United States

Centene Corporation

Transition support Medication review Post-discharge assessments Care/service planning Home outreach Quality of care Treatment plans Medical Services Compliance Documentation +20

USD 55K+

Behavioral Health Clinical Liaison, Central Region - VA - Remote
Work At Home-Virginia, United States

Clinical coordination Behavioral health services Addiction recovery Psychiatric care Interdisciplinary Teamwork Navigating multiple systems Mental health services Training and education Clinical Leadership +36

Senior Mid Full Time

USD 80K+

Project Coordinator, Get With the Guidelines
Dallas, TX, United States

American Heart Association

Nonprofit operations Spreadsheets Project Coordination Grammar Quality improvement Database Management Consultation Editing Policy +10

Exec Mid Full Time

USD 40K+

Supervisor, Clinical Documentation Integrity (CDI) (Remote)
Livonia, MI, United States

MS-DRG System 3M CDI Software Staff Supervision ICD-10 Coding Healthcare Management Training and education Clinical Documentation ICD-10 Performance monitoring +11

USD 92K+

Quality and Risk Adjustment Analyst
Remote-TX, United States

Centene Corporation

Risk Adjustment Microsoft Applications HEDIS Microsoft Access Quality improvement Statistical analysis Health Insurance Power BI Microsoft Excel +10

Entry Mid Full Time

USD 55K+

Claims Examiner
Central Office - Las Vegas, United States

Intermountain Health

Revenue Coding ICD coding CPT coding CPT Claims processing Typing Quality improvement Data Entry Interpersonal +1

Entry Mid Full Time

USD 36K+

Public Health Nutrition Consultant - 64086382
Remote / Telework, US

State of Florida

Legislation Writing Menu Planning Nutrition Consultation Nutrition education Program Planning Licensing Sanitation Food Safety Technical Assistance +11

USD 56K+

Didactic Full Time Nursing Faculty- BSN Online Prelicensure
Remote, REMOTE, United States

Adtalem Global Education

Evidence-Based Teaching Simulation Experience Complex Adult Health Nursing Fundamentals Pathophysiology Student Evaluation Advisement Nursing Practice Health Professions +26

USD 68K+

Program Manager, Quality Health
Dallas, TX, United States

American Heart Association

Hospital Accreditation Volunteer Engagement Program Implementation Healthcare systems Program development Quality improvement Training Development Clinical Experience Consultation +16

USD 60K+

Clinical Pharmacist
Supply Chain Center, United States

Intermountain Health

Pharmaceutical care Drug information State and Federal Regulations Clinical pharmacy Inventory control Quality improvement Mentorship Customer service

Senior Mid Full Time

USD 118K+

Provider Quality Liaison
Remote-AR, United States

Centene Corporation

HOS P4P Member Experience CAHPS Medical record documentation Grievances Clinical Quality Provider Relations Appeals +21

USD 64K+

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