DIRECTOR PAYER QUALITY PERFORMANCE jobs in UNITED STATES, United Kingdom

patterns and organizes the work of the department. Manages and evaluates performance of supervisors to ensure quality... third-party payer rules and regulations, including Medicare requirements. Ensures related necessary cost reporting/billing...

and evaluation of quality performance measures. They will guide a team that identifies trends and make recommendations for clinical... and operational quality improvement initiatives. Responsible for the management of quality reporting and compliance for multiple payer...

The Director of Payer and Provider Contracting is responsible for developing, strategizing, and negotiating contracts..., including reimbursement rates, utilization, and quality outcomes. Prepare and present reports on contract performance...

, performance guarantees, renewals, and other payer-related activities. Direct involvement in the creation of Fairview Specialty...Job Description: Overview Lead the strategy, planning, and execution of cutting-edge payer programs and services...

position reports directly to the Director, Payer Accounts, East. This role covers the NY/NJ territory. It is required to live... Delivery of all access, value, PHM, quality, and unbranded payer messages and tools Negotiating, with GTN discipline...

Prepare meeting materials and attend monthly payer meetings where performance, challenges and opportunities are highlighted...: Understand regional risk bearing entity strategy, quality incentive model and communicate effectively with contracted provider...

Prepare meeting materials and attend monthly payer meetings where performance, challenges and opportunities are highlighted...: Understand regional risk bearing entity strategy, quality incentive model and communicate effectively with contracted provider...

. Stay for the culture. What You’ll Be Doing: Our Performance Analytics team offers candidates the opportunity to support... empowered by data. Collaboration Opportunities: This individual will serve as a key member Performance Suite Analytics team...

Sr. Director, Clinical Training & Quality of Coding Operations Remote Opportunity POSITION SUMMARY: Reveleer... and execute risk, quality, and member management programs to deliver more value and improved outcomes. As the Senior Director...

Sr. Director, Clinical Training & Quality of Coding Operations Remote Opportunity POSITION SUMMARY: Reveleer... and execute risk, quality, and member management programs to deliver more value and improved outcomes. As the Senior Director...

Essential Job Responsibilities: Assists Director of Specialty Practices by completing required quality documentation... for payers and other agencies. Meets with payer quality initiative representatives to ensure up to date knowledge...

OF RESPONSIBILITY: The Director of Service Order Processing manages daily activities for Service Coordinators based in multiple... and retention. Provides direct coaching (performance and career) routinely. Works cross functionally to coordinate service...

covers over 40% of all Massachusetts’ Medicaid members in exclusive payer-provider partnerships with eight accountable care... and to shape the health system more broadly. The Senior Director, Chief of Staff is a key partner to the Chief Digital...

Become a part of our caring community and help us put health first The Director of State Public Policy role resides... within the Corporate Affairs Department and will serve as an expert in state public payer, Medicaid and dual eligible public...

Oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help... Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation...

Oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help... Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation...

. Audits patient records for accuracy, documentation and compliance in coordination with the Director of Quality. Ensures the... implementation of standard work and LEAN initiatives throughout all areas of responsibility. Participates in quality and performance...