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Provider Quality Consultant Jobs

Provider Quality Liaison Jobs
By Medicare At , Bedford

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Provider Quality Liaison Jobs
By Arizona Complete Health At ,
Must reside in Arizona. 10% travel within the state.
Prepare Quality Improvement (QI) reports and submit for review prior to submission.
Organize and assemble IAD and QOC data for the QM Committee, the Credentialing Committee, and other entities.
Ensure that all departments submit reports timely to the payors.
Participate in the Risk Committee or other appropriate committees as designated.
Conduct audits of the State IAD-QOC database to ensure data integrity and timeliness of portal submissions.
Medicaid Provider Consultant Jobs
By Better Health Group At Jacksonville, FL, United States
Knowledge, Skills, And Abilities Requirements
Work with management to turn negative outcomes into positive outcomes
Knowledge/experience with Medicaid Lines of Business
Excellent written and verbal communication skills
Ability to manage time and identify opportunities to grow and excel as a team
Strong computer skills with an understanding of G Suite - Gmail, Drive, Calendar, Docs, Sheets
Junior Provider Data Consultant - Remote ($56300.00 - $110400.00 / Year)
By Talentify.io At United States
Bachelor’s degree in business, health care management or related field; OR 4+ years of total work experience
Submit, monitor and release payment appendix templates through the Activity Manager application
Knowledge of the health care industry
Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Demonstrated ability to manage multiple high priority projects simultaneously
Knowledge and proficiency of facility and professional contracting process
Provider Quality Liaison Jobs
By Arizona Complete Health At , Tucson, Az

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Provider Quality Assurance Nurse
By Public Health Management Corporation At , Philadelphia, 19107, Pa $70,000 - $75,000 a year
Participate in additional immunization education activities as needed, including training for Medical Assistants, Office Managers, Physicians, Nurses, and internal staff.
Experience implementing education and/or training programs.
Assist in the development of provider education materials using software such as MS Office or CANVA.
Strong written and oral communication skills.
$70,000 - $75,000- Commensurate with experience
Assist providers in development of and implementation of quality improvement plans through the IQIP program.
Provider Quality Consultant Jobs
By BlueCross BlueShield of Tennessee At Chattanooga, TN, United States
3 years - Clinical experience or prior experience in public health, healthcare administration, or community health / outreach required.
Demonstrated presentation and team facilitation skills
Excellent oral and written communication skills
Be organized, reliable, and able to manage multiple tasks with exceptional work ethic.
Knowledge of Provider quality strategies, programs, and services
Prior experience with provider contracting is strongly desired.