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Elevance Health
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Indianapolis, Indiana
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JR130517 Clinical Quality Program Manager
Leads the behavioral health (BH) HEDIS health ... performance improvement plans and oversees the clinical quality improvement activities/projects to improve the
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Elevance Health
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Florida
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operations training, quality compliance, implementations and initiatives for the Behavioral Health Clinical ... review, quality, audit or clinical compliance; or any combination of education and experience which would
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Elevance Health
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Chicago, Illinois
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support to a clinical team in order to facilitate the administrative components of clinical referrals ... calls initiating appeal requests following established processes, meets quality and production standards
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Elevance Health
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Mason, Ohio
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Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality ... members to promote quality member outcomes, to optimize member benefits, and to promote effective use of
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Elevance Health
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Arlington, Texas
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Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality ... members to promote quality member outcomes, to optimize member benefits, and to promote effective use of
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Elevance Health
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Hanover, Maryland
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Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality ... members to promote quality member outcomes, to optimize member benefits, and to promote effective use of
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Elevance Health
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Hialeah, Florida
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Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality ... members to promote quality member outcomes, to optimize member benefits, and to promote effective use of
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Elevance Health
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Roanoke, Virginia
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components in the prior authorization workflow tool
Participates in quality assurance of non-clinical ... , CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member
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Elevance Health
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Mason, Ohio
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components in the prior authorization workflow tool
Participates in quality assurance of non-clinical ... , CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member
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Elevance Health
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Norfolk, Virginia
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components in the prior authorization workflow tool
Participates in quality assurance of non-clinical ... , CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member
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Elevance Health
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Las Vegas, Nevada
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components in the prior authorization workflow tool
Participates in quality assurance of non-clinical ... , CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member
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Elevance Health
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Nashville, Tennessee
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relationships with multiple vendors that support our clinics. It reports to the national director of clinical standardization within the clinical excellence and enablement portfolio. This team is focused on developing
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Elevance Health
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Indianapolis, Indiana
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relationships with multiple vendors that support our clinics. It reports to the national director of clinical standardization within the clinical excellence and enablement portfolio. This team is focused on developing
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Elevance Health
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Chicago, Illinois
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relationships with multiple vendors that support our clinics. It reports to the national director of clinical standardization within the clinical excellence and enablement portfolio. This team is focused on developing
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Elevance Health
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Overland Park, Kansas
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expert for appeals/grievances/quality of care issues and is a resource for clinical and non-clinical team ... information on relevant tracking systems and mainframe systems.
Generates written correspondence to
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Elevance Health
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Grand Prairie, Texas
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monitoring and prioritizing workflow.
How you will make an impact:
Performs quality ... systems/process enhancements.
Serves as first line contact for conflict resolution.
Participates
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Elevance Health
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Wilmington, Delaware
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Audits charts to ensure integrity and quality of clinical data and HIPAA compliance.
Maintains the ... Research Data Manager
Location: This position will work a hybrid model (remote and
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Elevance Health
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Newton, Massachusetts
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Audits charts to ensure integrity and quality of clinical data and HIPAA compliance.
Maintains the ... Research Data Manager
Location: This position will work a hybrid model (remote and
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Elevance Health
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Chicago, Illinois
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Mason, Ohio
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Grand Prairie, Texas
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Winston Salem, North Carolina
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Columbus, Ohio
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Norfolk, Virginia
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Atlanta, Georgia
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Nashville, Tennessee
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Wallingford, Connecticut
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JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test
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Elevance Health
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Topeka, Kansas
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expert for appeals/grievances/quality of care issues and is a resource for clinical and non-clinical team ... information on relevant tracking systems and mainframe systems.
Generates written correspondence to
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Elevance Health
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Tampa, Florida
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, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The **Pharmacy Data Claims ... identifying cost of care and quality opportunities using pharmacy claims.
Determines specific data needs
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Elevance Health
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Miami, Florida
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, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The **Pharmacy Data Claims ... identifying cost of care and quality opportunities using pharmacy claims.
Determines specific data needs
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