... equity on a global scale. Join us to start Caring. Connecting. Growing together. Clinical ... we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members ...

... and removing barriers to quality care. The work you do here impacts the lives of millions of people ... promote engagement in clinical/disease management programs, helping to improve member healthcare decisions ...

... quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization ... participates in the Quality Improvement programs for the company. The Medical Director also provides ...

... Clinical Services and UHC initiatives focusing on clinical excellence, quality ratings improvement ... Services VP and Health Plan Quality Director and supports the HEDIS data collection process, STARs clinical ...

... collaboratively with multi-disciplinary team (IT, Clinical Operations, Quality, Risk Adjustment, and Provider ... 's where you come in. As a manager within our network contracting team, you'll guide the development and ...

... function as part of the primary care team, and report to the Clinical Services Manager (CSM). This role ... ) and activities are delegated to the Senior Case Manager by the APC or the team Clinical Services ...

... clinical interventions, counseling, support services, other clinical/medication quality improvement ... systems, tools, processes, protocols, and procedures. Will work approximately 10 hours per week ...