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Remote Clinical Quality Program Administrator Jobs

Program Administrator - 100% Remote
By Jobility Talent Solutions (formerly Samiti Technology) At San Francisco Bay Area, United States
Help our new team build out and maintain new processes and better establish customer relationship management systems, such as Salesforce
FULLY REMOTE - MUST BE FROM SFO BAY AREA
Attend and support virtual meetings and events, and communicate and represent the organization appropriately during business interactions.
In any given week our Program Administrator might:
Clinical Quality Measures Specialist (Remote)
By Talentify.io At United States
Gain valuable experience in healthcare delivery and payment reform research and development
Manage projects, communicate effectively, and provide excellent customer service
4-6 years of relevant experience
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Contribute to the improvement of healthcare quality and cost reduction in Medicare, Medicaid, and CHIP programs
Work with a team focused on shifting the healthcare system towards value-based care
Clinical Program Management Director - Remote
By Prime Therapeutics At , Remote $122,700 - $196,100 a year
1 year of management/people leadership experience
Reports to Sr Director or VP in the Clinical Program Management department
May provide work direction to a Clinical Program Manager or Clinical Program Specialist
Expert negotiation and influencing skills
Exceptional written and verbal communication skills
Coordinate efforts with Prime’s Pharmaceutical Trade Relations team when developing programs and relationships with pharmaceutical companies
Quality Program Manager [Remote/Tarrytown,Ny]
By Siemens Healthineers At , Tarrytown $140,000 - $190,000 a year
Strategic project management skills - with a strong emphasis on regulatory projects and budget experience
Issues monthly regulatory updates to the LS-QT Management Team
Ideal candidate would have 5 years or more of managerial experience
Manage and analyze complex data from multiple sources
Have functional knowledge of GMP, ISO 13485, MDSAP impact on Field Service processes and operations
Responsible for the documentation and reporting requirements of all special project activities
Clinical Quality Measures Specialist (Remote)
By ORAU At , Baltimore, 21244
Strong project management, communication skills, and customer service skills; and
Experience developing and interpreting detailed quality measurement technical specifications and evaluating measure testing, including measure validity and reliability.
Strong analytic and strategic planning skills;
4-6 years of relevant experience.
Deep understanding of operationalizing quality measures, including data collection using claims, clinical registries, and electronic health records;
Patient report outcome measures (PROMS)
Sr. Quality Clinical Analyst - Remote ($67800.00 - $133100.00 / Year)
By Talentify.io At United States
Experience in project management, quality management, and process improvement
Strong problem-solving and time management skills
Knowledge of behavioral/mental health and regulatory requirements
2+ years of experience in a Behavioral Health setting with accreditation and regulatory responsibility
Strong analytical and problem-solving skills
Excellent interpersonal and communication skills
Clinical Administrator Jobs
By The Judge Group At North Carolina, United States
-Assigns and reassigns members to appropriate Care Manager under the direction of the Care Management Supervisor
-Assists with administrative/enrollment activities for special programs e.g., disease management, complex case management, behavioral health referrals
-Documents all member related activities in care management platform
-Utilizes plan software to generate care management reports
Remote, but most be located in North Carolina
-Communicates member Inpatient status to the assigned Care Manager
Program Manager - System Quality - Remote
By Ochsner Lafayette General At Jefferson, LA, United States
Excellent judgement, decision making and time management skills.
Required – 7 Years Of Project Management Experience.
Knowledge Skills And Abilities (KSAs)
Manages the escalation of high priority risk mitigation and change management.
Effective verbal and written communication skills and ability to present information clearly and professionally.
Analytical skills and ability to use a logical through process to formulate practical solutions to problems.
Clinical Program Analyst - Remote
By Prime Therapeutics At Minneapolis, MN, United States
Knowledge or experience with formulary or utilization management
3 years of PBM, Managed Care or Pharmaceutical/Trade experience
Could report to Sr Principal or VP in the Clinical Program Management department
Could report to Manager in the Network Management department
Support the RFP and implementation process by gathering information and requirements and communicating status updates to key business partners
Excellent organizational and communication skills
Clinical Quality Program Consultant
By Elevance Health At Honolulu, HI, United States
Current unrestricted license or certification in applicable field preferred (i.e., CPHQ).
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Co-leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
Works with the clinical intervention team to design studies to identify barriers to medical interventions.
Ensures that study methodology is sound and appropriate reporting is in place.
Develops performance improvement plans and oversees the clinical quality improvement activities to improve the quality of care for members.
Clinical Quality Rn - Remote
By Optum At Minnetonka, MN, United States
Identify members requiring additional follow-up (e.g., referral to Case Management)
Demonstrate knowledge of Medicare and Medicaid benefit products including applicable state regulations
Assesses and interprets customer needs and requirements
Acts as a resource for others with less experience
Maintain HIPAA requirements for sharing minimum necessary information
Demonstrate knowledge of healthcare insurance industry products (e.g., HMO, PPO, ASO)
Clinical Quality Program Manager
By Yuvo Health At New York, United States
Quality Improvement and project management training/experience
Partner closely with health centers and Yuvo performance managers to drive positive outcomes.
Experience using Microsoft Excel for data organization and use of other data platforms
Experience working with federal and state developed metrics to drive health organization improvement
Experience working with various types of health organizations
Experience working in an early-stage startup
Program Administrator - Remote | Wfh
By Get It Recruit - Educational Services At Lake Monticello, VA, United States

You will play a vital role in providing advanced administrative support for our diverse range of academic programs, including professional education, noncredit programs, and various other academic ...

Program Administrator - Remote | Wfh
By Get It Recruit - Educational Services At New York, NY, United States

Join an exciting academic community and make a positive impact on the lives of students as a valued member of our team! We are currently seeking a dedicated and enthusiastic individual to manage the ...

Quality Program Manager I - Remote
By Be The Match At , Minneapolis, 55413, Mn
Apply solid program and project management skills.
Bachelor’s degree or equivalent experience in Business or Quality Management, Engineering, Math, or another related Life Sciences field degree.
Change Management and Project Management best practices in addressing quality improvement and regulatory compliance needs.
Project management and process mapping software, Microsoft tools (SharePoint, Excel, Visio, PowerPoint).
· Project cost analysis and management.
Conducts quality and regulatory risk assessments, and analyses of impacts and cost-benefits to promote programs and justify changes.
Sr. Clinical Quality Rn - Remote
By UnitedHealth Group At , Kansas City, 64116, Mo
Effective presentation skills and experience providing outcomes data to senior leadership
Experience working with Medicaid and/or Medicare populations in a managed care setting
5+ years of clinical experience in any setting
3+ years of quality experience (performance improvement, HEDIS performance measures, chart review, team facilitation, etc.)
Monitoring and reviewing Patient Care Opportunity Reports (PCOR) with providers to facilitate member preventative wellness and closure of care gaps
Representing the health plan at community events when needed
Clinical Program Manager - *100% Remote*
By Providence At California, United States
Experience collaborating with a variety of neuroscience and/or orthopedic management and leadership teams whether contract or private practice.
3 years of Work experience in healthcare or a comparable background with clinical/project leadership experience.
Experience working with financial and clinical data within neuroscience and/or orthopedic or other clinical specialties to discern focus of improvement activity.
Experience co-leading groups of clinicians in support of clinical development to reach timely and effective/efficient outcomes.
Experience within neuroscience and/or orthopedic clinical and/or administrative/operational roles.
Successful experience working with clinicians in a neuroscience and/or orthopedic program.
Director, Pharmaceutical Clinical Quality (Remote)
By Ortho Dermatologics At , Bridgewater, 08807, Nj $190,000 - $220,000 a year
Leads continuous improvement of clinical development processes that include Quality by Design and robust knowledge management principles.
Plans and manages budget for Clinical Quality activities.
To learn more please read Bausch Health's Job Offer Fraud Statement (https://protection.greathorn.com/services/v2/lookupUrl/c29afa19-107c-4ce0-9f8c-cdaacd1f6318/176/6d14a0b2d6ae791286e49cc8358d2a3ef29730f9) .
Secures and utilizes external consultant resources to ensure Clinical Quality activities are completed on time and with excellence.
Designs and deploys global Quality strategy and initiatives for Clinical Quality and as part of the R&D Quality Leadership Team.
Ms or Bs in a scientific discipline such as Biology, Pharmacy, Chemistry or Engineering.
Clinical Services Program Manager (Remote Based)
By Philips At , Nashville, Tn
Montana employees are currently excluded from this requirement at this time.
Monitoring the business cases detailing the outcomes, and benefits, supported by well-defined program/project approaches that are documented in Charters.
Determine clinical education training needs and schedule the appropriate Clinical Services resource to meet department financial, operational and customer satisfaction targets
Educate external customers about features and benefits of the Clinical Services Portfolio to improve related sales.
Monitor increase/decrease in demand for education products and escalate as appropriate.
2+ years of extensive ServiceMax work experience preferred

Are you looking for an exciting opportunity to make a difference in healthcare? We are looking for a Remote Clinical Quality Program Administrator to join our team and help ensure the highest quality of care for our patients. You will be responsible for developing and implementing clinical quality programs, monitoring performance, and providing feedback to ensure compliance with standards. If you are passionate about improving healthcare and have the skills and experience to make a difference, this is the job for you!

Overview A Remote Clinical Quality Program Administrator is responsible for developing, implementing, and managing clinical quality programs and initiatives. This role requires a strong understanding of clinical quality standards and regulations, as well as the ability to effectively communicate with stakeholders and ensure compliance. Detailed Job Description The Remote Clinical Quality Program Administrator is responsible for developing, implementing, and managing clinical quality programs and initiatives. This role requires a strong understanding of clinical quality standards and regulations, as well as the ability to effectively communicate with stakeholders and ensure compliance. The Remote Clinical Quality Program Administrator will be responsible for developing and maintaining clinical quality programs, monitoring and evaluating program performance, and providing feedback and recommendations to stakeholders. The Remote Clinical Quality Program Administrator will also be responsible for developing and maintaining clinical quality metrics, analyzing data, and providing reports to stakeholders. Job Skills Required
• Knowledge of clinical quality standards and regulations
• Excellent communication and interpersonal skills
• Ability to develop and maintain clinical quality programs
• Ability to analyze data and provide reports
• Ability to work independently and as part of a team
• Ability to manage multiple projects and prioritize tasks
Job Qualifications
• Bachelor’s degree in healthcare administration, public health, or related field
• At least 3 years of experience in a clinical quality program administration role
• Knowledge of clinical quality standards and regulations
• Excellent communication and interpersonal skills
• Ability to develop and maintain clinical quality programs
• Ability to analyze data and provide reports
• Ability to work independently and as part of a team
• Ability to manage multiple projects and prioritize tasks
Job Knowledge
• Knowledge of clinical quality standards and regulations
• Knowledge of healthcare administration and public health
• Knowledge of data analysis and reporting
• Knowledge of project management
Job Experience
• At least 3 years of experience in a clinical quality program administration role
• Experience developing and maintaining clinical quality programs
• Experience analyzing data and providing reports
• Experience managing multiple projects and prioritizing tasks
Job Responsibilities
• Develop and maintain clinical quality programs
• Monitor and evaluate program performance
• Provide feedback and recommendations to stakeholders
• Develop and maintain clinical quality metrics
• Analyze data and provide reports to stakeholders
• Ensure compliance with clinical quality standards and regulations
• Communicate effectively with stakeholders
• Manage multiple projects and prioritize tasks