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Quality improvement Remote Jobs

202 fresh jobs found

Associate Director, Denials and Appeals
US Remote

Accounts receivable management PHI Privacy Billing Management HIPAA/PHI Privacy PHI Denials management Security Training ICD-10 Coding Policies and procedures +54

Senior Mid Full Time

USD 133K+

Oncology Clinical Support RN
US Remote

Patient records NCCN guidelines PHI Privacy HIPAA/PHI Privacy Cancer biology PHI Security Training Cell-free DNA Electronic Medical Records +40

Senior Mid Full Time

USD 82K+

Healthcare Quality Business Development Specialist
Dayton WFH, United States

Epidemiological Studies RFP writing NCQA Certification Quality improvement Proposal Development Content development Quality Management Managed Care +22

USD 70K+

Medical Coding Quality Auditor
Remote US, United States

Evaluation and Management Medical auditing Quality Auditing Durable Medical Equipment Medical Record Review Coding certification Interventional Radiology Processes Medical Coding +54

Senior Mid Full Time

USD 65K+

Senior Manager, Programs
CAN - ON - Remote, Canada

AmerisourceBergen

Profit and Loss Management Patient assistance programs Health Canada Client Account Management Patient assistance Performance Standards Pharmaceutical Distribution Key Account Management Bilingual French +54

Senior Full Time

CAD 87K+

QI Data Coordinator - HYBRID (75% Travel)
Thibodaux, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Microsoft 365 Medical Billing Predictive Analytics +12

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Jennings, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Microsoft 365 Medical Billing Predictive Analytics +12

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Alexandria, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Microsoft 365 Medical Billing Predictive Analytics +12

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Opelousas, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Healthcare Compliance Microsoft 365 Medical Billing +13

USD 60K+

Offsite Nurse Education Manager - Mount Sinai Hospital - Full-Time - Days
United States

Mount Sinai Health System

Competency Assessment Relationship Centered Care Primary Nursing Policy Formulation Health Assessment Educational Materials Patient experience Staff Development Surgery +30

USD 104K+

Growth Engineering Manager
San Francisco, Remote

Psychological Safety Growth Engineering User Engagement Growth Strategies Retention strategies Growth Quality improvement Team Management Software Engineering +3

Senior Mid Full Time

USD 170K+

Market Clinical Quality Specialist II
Florida WFH, United States

Microsoft Access Accreditation Utilization Review Clinical Experience Certification Visio Quality improvement RN Technical Writing +27

USD 70K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance data analysis RN licensure URAC Member education Internal Auditing Focus Groups Member Outreach Provider education +40

USD 55K+

Deputy Program Manager
USA, Houston, 2450 NASA Parkway, Houston, TX, Texas, United States

Civilian behavioral health Military treatment facilities Military mission activities Employee assistance programs Financial Oversight Clinical Supervision Proposal Writing Quality improvement Proposal Development +12

Senior Full Time

USD 116K+

Utilization Management Nurse
Renton, WA, United States

Cambia Health Solutions

DO Disease Management Clinical Care Utilization management Clinical expertise Quality improvement Care management Nursing Auditing +15

USD 83K+

Head Start Grantee Specialist- Region VI- REMOTE
Nationwide Remote Office (US99), United States

ICF Remote-first

Computer software systems Head start operations Fiscal operations Family Engagement Program operations Virtual platforms Training and Technical Assistance Management systems HOME +40

Exec Mid Full Time

USD 67K+

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

ICF Remote-first

Classroom assessment scoring system School readiness Building relationships Skype Family Engagement Research-based practices Virtual platforms Early Childhood Education Training and Technical Assistance +46

Exec Mid Full Time

USD 67K+

Director, Training and Quality
United States

Cohere Health Remote-first

Strategic operations Business practices Performance assessment Clinical Intelligence Customer loyalty KPI Tracking Quality Standards Training Programs Instructional Design +23

Exec Senior Full Time

USD 120K+

Senior Vice President, Health Care Economics
Remote, USA, United States

Benchmarking tools Cost and utilization management Evidence-based healthcare delivery Analytical leadership Vbc strategy Payer contracting Healthcare economics Population health management Financial Oversight +28

Exec Senior Full Time

USD 225K+

Business Operations Analyst
Remote, United States

Cross-functional planning Operational Metrics Qualitative analysis Exchange Requirements Gathering Quantitative analysis Quality improvement Science Business strategy +31

Entry Mid Full Time

USD 57K+

Manager Audit Operations (Retail Payment Accuracy)
Remote, United States

Retail Payment Accuracy Audit concepts Payment accuracy Customer Orientation Revenue Optimization Payment Staff training Knowledge Sharing Audit Management +41

USD 115K+

Clinical Education Specialist - Remote with travel
Fort Smith, AR, US, 72903

STERIS Remote-first

Perioperative Practice Reprocessing Sterile Processing Infection Prevention Cleaning Consultative Approach Clinical Education Clinical expertise Quality improvement +18

Senior Mid Full Time

USD 110K+

Clinical Education Specialist: Remote with travel
St Louis, MO, US, 63110

STERIS Remote-first

Perioperative Practice Reprocessing Sterile Processing Infection Prevention Cleaning Consultative Approach Clinical Education Clinical expertise Quality improvement +18

Senior Mid Full Time

USD 110K+

Business Area Manager
CAN - BC - Remote, Canada

AmerisourceBergen

Clinic Growth Nursing Standards Compliance Teleconferencing Infusion Therapy IV initiation HRIS management Budget control Training & Education ACLs +53

CAD 79K+

Clinical Education Specialist remote with travel
Chicago, IL, US, 60611

STERIS Remote-first

Perioperative Practice Reprocessing Sterile Processing Infection Prevention Cleaning Consultative Approach Clinical Education Clinical expertise Quality improvement +18

Senior Mid Full Time

USD 110K+

Configuration Management Leader - Wisconsin or Chicago
Remote, United States

Apttus Product Quality Improvement Product life cycle management Closure Problem Analysis Product quality Compliance training ISO FDA +46

Senior Mid Full Time

USD 112K+

Informatics Nurse - Pre-Payment Reviewer
REMOTE OPTIONS, PHOENIX

State of Arizona

Program Integrity Federal and State Statutes Report creation Medicaid programs Interdisciplinary Collaboration Medicaid regulations Cognos Policies and procedures System Implementation +59

USD 71K+

Region Senior Development Consultant
Irving, TX, United States

American Heart Association

Corporate Relations Fundraising Strategies Donor Engagement Health Equity Community Health Revenue Generation Event Management Fundraising Quality improvement +22

Senior Mid Full Time

USD 81K+

Coder 2
Remote, United States

Anatomy and physiology HCC coding Risk Adjustment Coding Payment accuracy Clinical coding Payment ICD Physiology ICD-10-CM +41

USD 42K+

PhD Senior Scientist - Trauma Research
Intermountain Health Intermountain Medical Center, United States

Intermountain Health

Healthcare services improvement Database Applications Grant Writing Statistical techniques Organizing Electronic Medical Records Collection Data Reporting Medical Records +20

Senior Full Time

USD 108K+

Provider Performance Manager
Remote-IL, United States

Centene Corporation

Clinical improvements Value-based contracting Clinical outcomes Field Work Psychology Clinical Psychology Population health Performance Indicators Social Work +26

USD 55K+

National Therapy Development Specialist - Lead Management
United States of America - Home Based

Payor operations Medical quality assurance Sales team collaboration Managed healthcare systems Workflow Mapping Clinical processes Economic analysis Project Implementation CT +29

Senior Mid Full Time

USD 122K+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Dayton WFH, United States

Change resiliency Clinical care review Registered Nursing Proper grammar usage Medical Necessity Review Phone Etiquette Discharge planning Clinical Care Accreditation +35

USD 61K+

Payment Integrity Clinician - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Medical Policies Medical Documentation Payment Integrity Health care services Claims analysis Provider education Utilization management Quality improvement +11

Senior Mid Full Time

USD 57K+

Supv Referral Management
Working Virtually, United States

MultiCare Health System

Authorization Management Good judgment Referral management Authorization processes Authorizations Financial counseling Registration Insurance Verification Clinical Care +48

USD 70K+

Senior LTSS Service Care Manager (RN)
Austin-13620 FM 620 Building C Suite 300 (11121), United States

Centene Corporation

Medicaid health assessments Personalized care plan Member advocacy Service authorization Continuum of care Service plan Quality care Long Term Care Health Assessments +38

Senior Full Time

USD 127K+

HCA Ops Manager
Remote - United States

Datavant Remote-first

Data logistics Financial metrics Staff training Health data Operational Management Data Exchange Medical Records Health Technology Operations Management +21

USD 57K+

Environmental Program Manager, Sr
REMOTE OPTIONS, PHOENIX, TUCSON

State of Arizona

Air Quality Standards Emissions Modeling Rule Development Emissions Inventory Analysis Pollution Control Strategy Environmental Regulation Lean concepts Toxicology Lean management +44

Senior Full Time

USD 100K+

Senior LTSS Service Care Manager (RN)
Corpus Christi - 711 N. Carancahua St., Ste 600 (Superior) (10086), United States

Centene Corporation

Rehab Personalized care plan Member advocacy ICU Service authorization Service plan Continuum of care Long Term Care Service coordination +44

Senior Full Time

USD 70K+

Head Start Grantee Specialist - Region X
Washington Remote Office (WA99), United States

ICF Remote-first

Fiscal operations Head start operations Computer software systems Family Engagement Program operations Virtual platforms Training and Technical Assistance Organizational Change Management systems +40

Exec Mid Full Time

USD 67K+

Sr Clinical Consultant - Remote
Remote - CA

Altera Digital Health Remote-first

Health informatics Clinical Consultation Altera Opal TouchWorks Health IT Solutions DbMotion EHR systems Health IT Healthcare Regulations +27

Senior Full Time

USD 91K+

Senior Manager Engineering
Remote, United States

Oracle SQL Agile Environment Collection Healthcare Data Data Architecture Client Services Quality improvement SDLC Science +34

Senior Full Time

USD 135K+

Market Medical Director- North Carolina Based
NC - Remote, United States

Cityblock Health

Cost of care Substance use disorder treatment Quality Initiatives Clinical Oversight Clinical quality improvement Chronic Disease Management Patient Safety Palliative Care Clinical Care +20

Exec Senior Full Time

USD 275K+

Territory Manager - Hartford, Connecticut
United States of America : Remote

Continuous quality improvement Profitability Management Operating procedures Best business practices Quality Management Systems Market Penetration CRM Products Medical technologies Direct Sales +41

USD 78K+

UM Coordinator
Work From Home (HB), United States

Health Care Service Corporation

Medical claims review Ancillary services UM Medical Necessity Review Medical claims Healthcare Management Report Preparation Medical necessity Registered Nurse +20

USD 56K+

Vice President, Data Strategy & Operations
Remote-MN, United States

Centene Corporation

Data Quality Improvement Data Stewardship Interoperability Data Strategy Performance Indicators Data Transformation Key Performance Indicators Advanced Analytics Resource Allocation +33

USD 182K+

Field Case Manager- 12 Month Contract
CAN - BC - Remote, Canada

AmerisourceBergen

Bilingual English and French Performance Standards Adverse event reporting Registered Nurse CAD Bilingualism Pharmaceutical sales Quality improvement Medical terminology +25

CAD 65K+

Patient Care Advocate
Remote-AR, United States

Centene Corporation

Member advocacy Quality Initiatives Provider experience Health coaching Health administration Telephonic Outreach NCQA HEDIS Provider Relations +35

USD 52K+

Supervisor, Clinical Grievance and Appeals
Remote-MO, United States

Centene Corporation

Appeals management Grievance Grievances Ncqa standards Quality Metrics NCQA Regulatory reporting Medical necessity Appeals +31

USD 68K+

Care Facilitator
LOUISVILLE, KY, United States

BrightSpring Health Services

Treatment coordination Patient Engagement Electronic Medical Records Triage Performance Improvement Care Coordination HIPAA Compliance Quality improvement Nursing +11

USD 34K+

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