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1 - 10 of 11 matches in 0.009 seconds
Mgr Quality Improvement (JC142568288)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job, with oversight from the Director, is responsible for leading the strategic planning, development, implementation and monitoring of the quality portion of the Quality Improvement/Utilization Management Program and Work Plan Initiate (within all Gateway Health Plan SM Departments) collaborative…

Clinical Quality Management Analyst (JC142568307)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

Clinical Quality Management Analyst (JC141757728)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

Medical Case Manager - GHP (JC143002157)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job assures that members with complex medical and/or psycho-social needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare…

Clinical Care Coordinator - Utilization Management (RN Delaw (JC141757695)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works directly with providers in a variety of health care settings to appropriately identify members with chronic conditions and/or gaps in care that can be positively impacted related to quality and care costs. The incumbent’s responsibilities could include…

Lead Technology Administrator (JC142711467)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Hm Health Solutions Inc.

Job Description :

JOB SUMMARY

This job provides technology administration in support of the enterprise wide use of the technology.

ESSENTIAL RESPONSIBILITIES

+ Advise teams in the planning, designing and utilization of the technology. Consult with project teams on the best use of the…

Clinical Quality Mgt Analyst (JC141757730)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

Medical Case Manager - RN or MSW (Delaware) (JC142942480)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates…

Regional VP Sales & Retention - Delaware (JC142511114)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Highmark Bcbsd Inc.

Job Description :

JOB SUMMARY

This job is responsible for one or more of the following: sale of new business, new business to existing accounts, and/or account retention for a plan or specified geographic area. The incumbent manages client assignments, hires and trains sales staff…

Senior Clinical Quality Management Analyst (JC142568286)
Last Updated: 2019-06-17
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

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