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Online Resumes with "NCQA "
Senior Director Healthcare Quality and Safety- 20+ years experience-Providence, RI
Senior healthcare leader with proven experience in oversight and leading performance improvement in clinical quality, preventive health, service and patient safety processes towards top decile performance. Experienced in healthcare regulatory standards compliance and interpretation and ability to engage staff in reliable process adherence towards safe and optimal patient outcomes. I am interested in the north east (RI. MA. ...
Ideal Companies: CVS CAREMARK, Hospitals, HCA, CareNew England, UnitedHealth Care
Tags for this Online Resume: Performance Improvement, Patient Safety, Patient Experience, Data analysis, Facilitate project teams, Healthcare regulation expertice, Medical staff peer review, Physician engagement, System integration, Accreditation expert(DNV, TJC, CMS, NCQA), Root Cause Analysis, Taproot facilitator, Patient Engagement, Health and Wellness, Community Outreach
Manager Quality Assurance- 12 years experience
Managed Care Healthcare Reform in a Director of QA role, helping with implementation of ACA and different models, NCQA & HEDIS measures, Lean Six Sigma project management, Regulatory Mgmt,Healthcare Consultant
Tags for this Online Resume: director quality assurance, healthcare consultant, Managed Care- NCQA & HEDIS, project management (Certified Lean Six Sigma), Staff management & Professional Development, Clinical Laboratory Management, Compliance & Safety
Nursing Administrator
To ensure, in collaboration with the Team Leader, that each Neighborhood provide safe, appropriate and goal-directed care and to provide support, supervision and guidance to direct nursing staff. To ensure communication regarding communication of resident status is consistent, objective and current. To assess resident care issues and collaborate with physicians in emergent and acute circumstances. To effectively maintain re...
Tags for this Online Resume: Reliable, competent, smart, effecient, organized, thorough, attention to detail, meticulous, promot, prompt
RN Executive / Director - 18 years of clinical and operational expertise - Washington DC Metro area
I believe that my skills and background are an asset for any healthcare organization. I am excited about the possibility of contributing to my employer's organizational success. My career has been built on success in providing exemplary healthcare management and administrative services, strengthened by a strong background in field-level patient care and staff supervision. If hired, I will also bring with me a compelling bl...
Ideal Companies: Not for profit organizations that have societal goals as their mission
Tags for this Online Resume: Washington DC Metro area, Disease Management , Multiple Program Leadership, Strong Accreditation Record, Quality Assurance, Clinical and Case Management Expertise, Hospice-Palliative Care Expertise, Pain Management Monitoring Expertise, Change Agent/Clinical Transformation
Director of Provider Relations, Physiscian credentialing, contract negotiations
Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.
Tags for this Online Resume: Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer
Director
Tags for this Online Resume: NCQA, HEDIS, Six Sigma, Quality, NCQA experience, Six Sigma training, CPHQ training, C-suite level
Medical or Health Services Manager - 8 Years of Experience - Near 68134
I am a Director of Clinical Quality that has over 8 years experience, with combined knowledge of hospital, clinic, pathology and Managed care quality programs. Subject matter expert with CMS core measures, HEDIS, CAHPS, NCQA and quality performance improvement.
Tags for this Online Resume: Six Sigma, NCQA, HEDIS , Medicare, Medicaid, Clinical Quality , QI, Provider Network
Medical or Health Services Manager - 18 Years of Experience - Near 10954
I am an experienced Healthcare specialist, with many years of medical and administration background in a clinical setting and managed care environment, who is interested in obtaining a challenging administration position in the Healthcare industry.
Tags for this Online Resume: Quality Improvement , Disease State Management , Utilization Review , Medical Management, Case Management, HEDIS, QARR, JCAHO., NCQA, JCAHO.
Director - 20 Years of Experience - Near 21093
With over 25 years of experience in health care, I have established significant expertise in rehabilitation and medical practice redesign. Throughout my career, I have managed clinical staff, provided oversight for business, financial and clinical aspects of medical offices and rehabilitative services. In addition, I have facilitated several practices with the transformation to NCQA recognized patient centered medical homes...
Tags for this Online Resume: Operations, Baltimore metro area, Director, Physician Practices, Ambulatory Settings , Leadership, Quality
Clinical Director (Pharmacist), Raleigh NC - 15+ year experience - managed care, health policy, clinical services, URAC, NCQA, regulatory - PBM, GPO, academic and exrce
I am a health care professional looking for challenging opportunities within a dynamic organization. I enjoy leading teams and initiatives and know how to achieve results. I am looking for an organization that will value my diverse background and foster opportunities for professional growth.
Tags for this Online Resume: Pharmacy, managed care, health policy, management, regulatory, clinical services, drug information, formulary, clinical communications, academic programs, PBM, clinical pharmacist
Experienced research scientist with unsurpassed analytic and writing skills
My ideal employer would leverage my wide experience as a Ph.D. psychologist who has conducted and managed research studies in a host of healthcare environments. Equally important would be for that company to provide opportunities for me to employ my skills as a direct service provider--someone who has worked directly with people suffering from mental and substance use disorders.
Ideal Companies: Medical University of South Carolina; The Mentor Network; Palmetto Summerville Behavioral Health
Tags for this Online Resume: Comunity Action, Health Outcomes, Program Evaluation, Statistical Analysis, quality of care, Substance abuse treatment, Logic Models
Quality Manager - 20 Years of Experience - Near 85028
I have experience in multiple aspects of the healthcare industry most recently with national level quality measures related projects for the federal government. Additional, I have eight years’ experience in managed care quality, nine years in managed care finance. My experience in quality includes HEDIS data collection and project administration, preparation of quality improvement project documentation for NCQA and CMS. I h...
Tags for this Online Resume: quality, HEDIS, Medicare, qulaity improvment, measures, managed care, quality reporting, accreditation
