Clinical Quality Manager
New Yorkonsitemanager$73K – $108K
Posted 6 days ago · via Workday
About this role
The Clinical Quality Manager with members and providers to ensure members receive appropriate services. This role emphasizes improving the quality of care with a focus on HEDIS, QARR and Medicare Advantage Star measures. - Interacts with hospitals, providers, and members to improve quality of care, monitor progress, and recommend changes - Reviews billing codes, medical records, and claims submission process to ensure accuracy - Attends and facilitates any initiative meetings (studies, partnerships) that involve targeted providers and/or measures. - Completes on-site visits on a regular basis to implement the work plan and to conduct provider education sessions regarding appropriate coding practices and chart documentation.…
Read the full description on HFMS HF Management Services's site →
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: outreach
2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in New York. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
outreach
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