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MASON, 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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Mason, 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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Mason, Ohio
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independently with oversight from immediate manager.
May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical
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Mason, Ohio
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manager.
May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to
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Mason, Ohio
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manager.
May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to
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Mason, Ohio
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independently with oversight from immediate manager.
May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical
...
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Mason, Ohio
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Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and
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Mason, Ohio
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clinical program and/or independently performs clinical reviews.
The Medical Director typically has program management responsibilities including clinical policy development, program development
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Mason, Ohio
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.**
Training will be provided for 4 weeks during regular business hours.
The Clinical Care Manager is ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a
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Mason, Ohio
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Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and
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MASON, 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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Mason, Ohio
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designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ... , performance measurement, and quality improvement, and the clinical understanding for clinical quality programs
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MASON, Ohio
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development, management, review and reporting of program outcomes for clinical quality programs.
Assures ... Quality Program Director**
This is an Individual Contributor Role.
Location: **This
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MASON, Ohio
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, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and
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Mason, 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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MASON, 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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MASON, Ohio
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activities and quality management program activities. *Internal facing title: Process Improvement Consultant ... quality and operational processes as a result of opportunities identified through CAPA program
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Mason, 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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MASON, Ohio
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clinical services, quality of service and quality of care issues to include executive and regulatory ... clinical and non clinical services, quality of service, and quality of care issues to include executive and
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Mason, 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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MASON, 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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MASON, 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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MASON, Ohio
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, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and
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