11 jobs found in monterey

Job Description The Clinical Program Manager, Quality Improvement is responsible for the development and execution of targeted, quality improvement initiatives in support of the Medi-Cal line of business. This includes the design and development of contract language, pilots, toolkits and spread plans. The incumbent also has accountability for aligning quality improvement initiatives with other lines of business (PPO, Medicare) and for ensuring that current and future QI programs align with long-term organizational strategies. In a results-oriented environment, the clinical program manager will execute data improvement efforts, incentive strategies and new improvement tactics to bring additional value to integrated health benefits. To do this, the Clinical Program Manager is expected to coordinate with internal, cross-functional matrix teams, as well as with clinical leadership and staff in provider organizations. The Clinical Program Manager will be responsible...

Job Description All positions at Blue Shield of California support our mission: to ensure all Californians have access to high-quality health care at an affordable price. The Quality Improvement Coordinator enables the success of the Quality Improvement team, and has primary accountability for coordinating the day-to-day operations of a diverse, fast-paced internal team. This includes accountability for the creation and maintenance of project timelines, small corporate databases, agendas, presentations, graphs and reports, as well as complex calendaring and meeting management. The coordinator is responsible for communicating with a wide variety of stakeholders within Blue Shield of California, as well as with vendors and partner Provider Organizations. Coordinators in Quality Improvement deliver results-oriented, data-driven solutions, crisp and professional communications, and are expected to be ambassadors of improvement throughout the company. They have...

Job Summary The Clinical Program Manager, Quality Improvement is responsible for the development and execution of targeted, quality improvement initiatives in support of the Medi-Cal line of business. This includes the design and development of contract language, pilots, toolkits and spread plans. The incumbent also has accountability for aligning quality improvement initiatives with other lines of business (PPO, Medicare) and for ensuring that current and future QI programs align with long-term organizational strategies. In a results-oriented environment, the clinical program manager will execute data improvement efforts, incentive strategies and new improvement tactics to bring additional value to integrated health benefits. To do this, the Clinical Program Manager is expected to coordinate with internal, cross-functional matrix teams, as well as with clinical leadership and staff in provider organizations. The Clinical Program Manager will be responsible...

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and...

HumRRO, a nonprofit organization, consults with and conducts research and analysis for a wide range of federal agencies, commercial businesses , professional associations , state and local government and agencies within the national security community. We are an industry leader in developing high-stakes operational assessments used for both hiring and promotion , and leadership evaluation . We have a rich history of conducting research regarding educational achievement and accountability , supporting human capital initiatives and credentialing programs , conducting personnel research and policy analysis , and conducting survey research . Our corporate headquarters is located in Alexandria, Virginia. We seek an experienced psychometrician who is a United States citizen to participate in various research studies and projects and serve as a member of a small, close-knit research team. The position requires...

Job Summary The  Clinical   Program Manager, Quality Improvement  is responsible for the development and execution of targeted, quality improvement initiatives in support of the Medi-Cal line of business. This includes the design and development of contract language, pilots, toolkits and spread plans. The incumbent also has accountability for aligning quality improvement initiatives with other lines of business (PPO, Medicare) and for ensuring that current and future QI programs align with long-term organizational strategies. In a results-oriented environment, the clinical program manager will execute data improvement efforts, incentive strategies and new improvement tactics to bring additional value to integrated health benefits. To do this, the Clinical Program Manager is expected to coordinate with internal, cross-functional matrix teams, as well as with clinical leadership and staff in provider organizations. The Clinical Program Manager will be responsible for...

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and...

Description: Administrative Support Coordinator (Administrative Support Coordinator II) Apply Today! Open until filled. Application Screening Begins: Tuesday, February 16, 2021 Powered by an inspiring Founding Vision Statement, California State University, Monterey Bay () is a comprehensive, mid-sized four-year university whose staff and faculty help transform student lives by emphasizing project-based learning, requiring service learning, and promoting multicultural and global perspectives on and beyond the campus community. CSUMB is both an MSI and HSI and has a vibrant, diverse student body of nearly 7000 students and growing. Our faculty and staff, many of whom live in campus housing, appreciate living and working about one mile from the shores of the beautiful Monterey Bay. As one of the 23 campuses in the California State University (CSU) system, we offer excellent benefits, including housing, and competitive salaries for our faculty and staff. During...

Job Summary At Blue Shield of California, we are committed to creating a healthcare system that is worthy of our family and friends and sustainably affordable. We realize that achieving this mission will require a complete transformation of the care delivery system. In order to jump start this transformation, we have created an innovation program within our Health Care Quality & Affordability function called Healthcare and Community Health Transformation (HCHT) where we will be piloting bold transformations in select ecosystems in California in service of our mission. Learning from comprehensive evaluation of these interventions is critical to making decisions on potential for launch and scale. Blue Shield of California’s Innovation Learning and Impact Team conducts evaluations of the transformative pilots, and uses evaluation findings to support program improvement. The Innovation Learning and Impact Team is seeking a Consultant – Evaluation & Scalability to...

Job Summary All positions in the Quality Improvement (QI) team at Blue Shield of California support our mission: to ensure all Californians have access to high-quality health care at an affordable price. The Operational Program Manager, Strategy and governance has primary accountability for developing and managing the day-to-day operations of complex, multi-stakeholder strategy and governance program across multiple lines of business and programs. This includes end-to-end program implementation and the execution of program requirements, financial systems, quality outcomes measurement, and contract launch in partnership with provider organizations, vendors and internal healthplan teams. The Operational Program Manager is also responsible for aligning programs and initiatives to the Quality department’s long-term strategy for other lines of business. Program Managers in Quality Improvement deliver results-oriented, data-driven solutions, crisp and professional...

​​​​​Job Description All positions in the Quality Improvement team at Blue Shield of California support our mission: to ensure all Californians have access to high-quality health care at an affordable price. The Senior Manager of Quality Improvement, MediCal Interventions, is responsible for health plan-wide oversight of clinical quality improvements for MediCal members statewide. In a results-oriented, environment the Senior Manager is accountable for developing, implementing and monitoring a data-driven quality improvement strategy. Senior Managers are expected to drive system-wide improvements that impact member care and simplify processes. The Senior Manager is accountable for setting priorities and will draw upon cross-functional teams within Blue Shield of California to achieve results. The individual in this role must be able to work within large, multi-disciplinary teams to monitor milestones and deliverables. The Senior Manager is expected to partner...