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better Director Quality Management RN - OH
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Amerigroup Corporation-Cincinnati, OH, 45201
The Director of Quality Management is responsible in conjunction with the plan QM leader, the Plan Medical Director and CEO for developing, coordinating, and implementing quality initiatives within the health plan; to include indicators for monitoring and evaluation of quality of care/service, appropriateness, continuous improvement, member satisfaction, and results of actions across the continuum of care to members. Coordinates the quality management program activities throughout the functional areas of the health plan and provides education in the area of quality management. Collaborates ...
Director Quality Assurance Jobs in Cincinnati, Ohio Jobs
MRINetwork | Cincinnati, OH | >8
**IMPORTANT: TO APPLY FOR THIS ROLE YOU MUST SUBMIT AN ATTACHED RESUME IN EITHER WORD OR PDF FORMATS TO THE E-MAIL ADDRESS PROVIDED UNDER 'TO APPLY', BELOW. ONLY CANDIDATES SENDING AN ATTACHED RESUME CAN BE CONSIDERED. **Candidates must either be U.S. Citizens or have Permanent Resident Status (Green Card) for consideration for this role. ** It is our strict company policy that all communication is confidential, without exceptions. Your resume, interest and information WILL NOT be shared with any hiring company without your expressed permission and approval, provided in advance-by you perso...
Amerigroup Corporation Jobs
AMERIGROUP Corporation | Tampa, FL, 33603, USA | >5
Job Title: Claims Analyst III Job ID: 10768 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 14 JOB SUMMARY: Under general supervision, evaluates advanced level claims to determine the type and amounts of benefits payable. Performs all authorized duties in the processing of claims allocated to the assigned market consistent with all applicable company and departmental policies. PRIMARY RESPONSIBILITIES: 1.Responsible for processing all advanced level claim transactions. 2.Accurately interprets, understands and applies Medicaid contracts. 3.Meets or exceeds esta...
AMERIGROUP Corporation | Atlanta, GA, 30309, USA | 5
Job Title: Medical Director / Chief Medical Officer - Georgia Job ID: 10757 Location:Atlanta, Georgia Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Oversees all medical care for AMERIGROUP products and services. Oversees the health care needs of the membership and serves as the principal medical manager and policy advisor to the company and health plan CEO or COO. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface...
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