Healthcare Qa Manager Jobs in Anaheim

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..

Manager, Clinical Quality Review','21003CI',' At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians ..

Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..

... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

The Manager of Physician Services coordinates administrative ... medical group physicians. Also, the manager communicates directly with Hoag Physician ... within the Hoag network. The manager will provide account management..

PRIMARY DUTIES AND RESPONSIBILITIES Collaborates with Hoag Hospital Newport Beach and Irvine laboratory leadership team in setting and achieving combined goals for Hoag Hospital laboratories. Provides support to Laboratory Director, in ..

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..

Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Torrance California Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

PIH Health is a nonprofit regional healthcare delivery network founded over 50 years ago. Our two campuses including a 548-bed facility in Whittier and a 199-bed facility in Downey, help to ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

The dedicated staff, highly-skilled physicians and surgeons, and advanced technology combine to make working at Los Alamitos Medical Center a personally-rewarding work environment. Nursing staff often hold advanced degrees, are dedicated ..

We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multi-specialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency ..

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Torrance California Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..

Job Information Humana Technical Product Manager - Remote in Torrance California ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..