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COLUMBUS, Ohio
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evaluate clinical and non-clinical contact between program staff and participants, assessing adherence to ... Quality Evaluator
Location: This position will work a hybrid model (remote and
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Columbus, Ohio
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Medical Director Associates. May be responsible for an entire clinical program.
**This role is a hybrid ... guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with
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COLUMBUS, Ohio
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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Columbus, Ohio
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Clinical Operations Associate Medical Director
Neurosurgery
**Carelon ... clinical domains, including radiology, cardiology and oncology._
The **Clinical Operations
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COLUMBUS, Ohio
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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COLUMBUS, Ohio
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Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ... portfolio projects.
Creates and presents extremely high quality presentations to executive levels
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COLUMBUS, Ohio
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significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... , influencing product strategy and design and medical management approaches that impact healthcare quality, cost
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Columbus, Ohio
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clinical domain and industry changes, as well as company core quality/value programs and solutions ... enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology and
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COLUMBUS, Ohio
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members total health needs and ensures the highest quality of continuity of care.
**How you will ... .
Reviews Home based services for clinical appropriateness of the continued care.
Performs reviews
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Columbus, Ohio
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medical director, and nurse leader. Collaborate with HSO and Carelon on clinical Models of Care to best ... , encounter reporting, quality audits, HEDIS/EPSDT, state relationships for DSNP, and other contract
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COLUMBUS, Ohio
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communications with the medical director, and nurse leader. Collaborate with HSO and Carelon on clinical Models ... regulatory reporting, encounter reporting, quality audits, HEDIS/EPSDT, state relationships for DSNP, and
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