Clinical Quality Leader jobs in Chicago, IL

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BH CLINICAL QUALITY ANALYST SR

Performs monthly audits of UM denials, UM approvals, and case management files against contractual and regulatory requirements. Prepares cases for customer review. Defines opportunities for improvement through trend analysis and c...

CompanyElevance Health
AddressNew York, United States
CategoryManufacturing
Job typeFull-Time
Date Posted 7 hours ago See detail

BH Clinical Quality Analyst SR New

Elevance Health

New York, United States

Performs monthly audits of UM denials, UM approvals, and case management files against contractual and regulatory requirements. Prepares cases for customer review. Defines opportunities for improvement through trend analysis and c...

Senior Clinical Quality Management Analyst - (Remote, Delaware) Performance Improvement Project Leader

Highmark Health

Remote - Delaware, United States

Develop and manage process improvement initiatives from the Organization for member and providers to include detailed data analysis, process analysis, report generation, medical record documentation, and HCC Coding.. Conduct, c...

Quality Laboratory Leader

Johnson & Johnson

San Lorenzo, PR

Coordinates the deployment and utilization of resources for tactical day to day work. This includes but not limited to working with Operations, Materials Management and Quality Assurance to facilitate testing and release scheduli...

(Sr.) Clinical Operations Leader - US or Canada

Parexel

Remote - Oregon, United States

Successful candidates possess a degree in a life science, nursing qualification or relevant experience Minimum of 2 years of experience leading the Clinical Operations of clinical trials in a COL, CTM, CPM role within a CRO (prefe...

PROGRAM MANAGER QUALITY IMPROVMNT - HOAG CLINIC QUALITY IMPROVEMEN

Hoag Memorial Hospital Presbyterian

Irvine, CA

Bachelor's degree in Industrial Engineering, Business/Healthcare Administration, Life Sciences or equivalent Medical Foundation, Physician Practice or Health Plan related experience. Advanced training or experience in performing s...

Director/Sr. Director, Clinical Quality

Telix Pharmaceuticals

Remote

$167K - $211K a year

Lead and provide Quality strategy and oversight to ensure compliance with Good Clinical Practices (GCPs) Good Pharmacovigilance Practices (GPV), and Good Clinical Laboratory Practices (GLPs). Assure appropriate oversight of the Ve...

Chief Medical Officer & Clinical Innovation Leader

Tesio Health

Remote

From $20,000 a year

Provide strategic medical leadership and oversight to ensure the delivery of high-quality, patient-centric care through Guide Health's virtual and in-person services. Collaborate closely with cross-functional teams, including clin...

Clinical Quality Specialist

Payor Solutions

Remote

$66.4K - $84.1K a year

Bachelor's degree in healthcare administration, nursing, or a related field. Minimum of 3 years of experience in healthcare quality management, clinical auditing, or a similar role. Strong knowledge of clinical documentation stand...

Clinical Quality Program Manager II (CAHPS)

L.a. Care Health Plan

California, United States

$88,854 - $115,509 a year

Paid Time Off (PTO). Tuition Reimbursement. Retirement Plans. Medical, Dental and Vision. Wellness Program. Volunteer Time Off (VTO). 401(k). 401(k) matching. Dental insurance. Employee discount. Flexible spending account. Health...

Clinical Quality Management Consultant

Highmark Health

Remote - Pennsylvania, United States

Develop, oversee and manage large projects targeting members and/or network providers to improve clinical care provided to health plan members, including data analysis; visualizing and resolving complex issues and developing and i...

Vice President, Clinical Quality

Neumora

Remote

$276,194 - $306,552 a year

Oversee the development, implementation, and management of GCP-related QMS SOPs and policies in compliance with all applicable laws and regulations. Ensure clinical trials are performed in accordance with applicable study protocol...

Clinical Quality Registered Nurse

Humana

Remote

30% Reviews medical records, creates case summaries, and presents potential quality issue (PQI) cases to Medical Director for review. 20% Review PQIs from all sources to determine the need for medical record review. 15% Provides...

Quality Improvement Specialist, Clinical

Vns Health

New York, United States

Referral bonus opportunities. Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability....

Technical Leader - Engineering Software Quality (Remote Eligible, U.S)

Ge Power Portfolio

Remote

$112,000 - $158,000 a year

Proven technical expertise, executing project support/leadership within a particular technical area of application and infrastructure support. Use Lean principles to drive continuous improvement, create visible work flow, establis...