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Quality of care Remote Jobs

15 fresh jobs found

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+

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+

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+

LTSS Service Care Manager
Remote-HI, United States

Centene Corporation

Healthcare outcomes Member education Quality of care Long Term Care Healthcare Provider Interaction Care Plans Resource support Service plans Foster care +15

USD 95K+

Risk Adjustment Auditor Educator
Remote-FL, United States

Centene Corporation

Medical record audits Managed care experience Cms data validation Quality assurance auditing Icd-9 coding Mra data analysis Practice coding patterns Risk Adjustment Coding Quality of care +21

USD 55K+

LTSS Service Care Manager - Behavioral Health
Remote-TX, United States

Centene Corporation

Healthcare outcomes Service coordination Treatment options Quality of care Care Plans Substance use Service plans Service Assessment Foster care +26

USD 52K+

Operations, Data Analyst
Remote

Periscope Quality of care Healthcare Analytics Risk Adjustment Contract negotiations Technology Platform Models Google Sheets BI +22

USD 72K+

Medicare Program Manager II
Remote-FL, United States

Centene Corporation

Business process documentation Program Oversight Quality of care Problem identification Procedures Network Health Insurance Performance Metrics Medicare +14

USD 68K+

Deputy Assistant Director
REMOTE OPTIONS, PHOENIX

State of Arizona

Medicaid programs Quality outcomes Programmatic decisions Procurement initiatives Policy decisions Clinical Initiatives Managed care operations Administrative hearings Quality of care +57

Exec Senior Full Time

USD 110K+

Population Health Director
United States - Remote

Clinical decision support Quality of care Provider engagement Risk Adjustment Population health Value-based care Roadmap Development Clinical operations Resource Management +19

Exec Senior Full Time

USD 110K+

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+

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+

LTSS Service Care Manager
Remote-PA, United States

Centene Corporation

Member support Resource Coordination Long Term Care Quality of care Resource support Foster care Service Assessment Healthcare outcomes Service plans +17

USD 52K+

Public Health Nursing Consultant
REMOTE OPTIONS, PHOENIX

State of Arizona

Health care services Operational reviews Federal and State Statutes Review Medicaid regulations Quality of care Healthcare quality Hybrid Policies and procedures +47

USD 72K+

RN Quality Clinical Management Lead Analyst, Work from Home, Anywhere, USA
Pennsylvania Work at Home

The Cigna Group

Patient Disease Processes Database navigation Ncqa standards Quality of care HEDIS Medical Record Review Quality review Health Services Quality improvement +35

Senior Mid Full Time

USD 73K+

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