Quality Evaluator

3 weeks ago


Mason, United States Elevance Health Full time

Location: Mason OH, Tampa FL, Miami FLHours: M F Standard Working hoursTravel: Hybrid (1-2 days per week onsite)Position Overview:Responsible to monitor and evaluate clinical and non-clinical contact between program staff and participants, assessing adherence to protocols and appropriate clinical interaction. Evaluates calls for these major areas: safety, clinical effectiveness, productivity and customer service.How You Will Make an Impact:Provides written and/or verbal feedback to program staff to assist with performance improvement and staff developmentDevelops reporting and overall performance trend identificationServes as the subject matter expert in the areas of clinical and non-clinical policies and procedures, use of the HMC software and call processesEnsures each associate meets standard performance criteria and ensures associates are moving program participants toward desired levels of engagement or enrollment, program retention and positive clinical outcomes (i.e. improved health)Analyzes individual and overall trends based on monitoring results and providing recommendations to operations management or learning and DevelopmentProvides quality review process trainingRequired Qualifications:Requires BS/BA in nursing, social work, respiratory therapy or related clinical field and minimum of 3 years of experience in managed care which includes experience in clinical staff development and education, quality; or any combination of education and experience, which would provide an equivalent background.Current unrestricted license in applicable state(s) for designated field (i.e. RN, Social Work, Respiratory Therapy) requiredPreferred Qualifications:Clinically relevant certification (i.e. Certified Diabetes Educator, Certified Case Manager) and a background in quality or performance improvement preferred.HEDIS Experience strongly preferredMedicare Experience strongly preferred#J-18808-Ljbffr

by Jobble



  • Mason, United States BuildSubmarines.com Full time

    Job Title : Supervisor, Quality Management Job Code: 9690 Job Location: Mason, OH Schedule: 9/80 regular Job Description: As a Quality Supervisor you will be responsible for leading a dedicated team of receiving inspectors apart of a bargaining unit. The ideal candidate will be able to advise on daily tasks, priorities, and guide the team through...


  • Mason, United States BuildSubmarines.com Full time

    Job Title : Supervisor, Quality Management Job Code: 9690 Job Location: Mason, OH Schedule: 9/80 regular Job Description: As a Quality Supervisor you will be responsible for leading a dedicated team of receiving inspectors apart of a bargaining unit. The ideal candidate will be able to advise on daily tasks, priorities, and guide the team through problem...


  • Mason, United States L3Harris Technologies Full time

    Job Description: As a Quality Engineer you will contribute to the ultimate success of the team and the business. In this role you will engage in data-driven improvement and sustainment initiatives. Additionally, you will design, write, implement, evaluate, and revise quality assurance procedures, statistical sampling techniques, quality plans,...


  • Mason, United States AtriCure Full time

    Senior Supplier Quality Engineer Cincinnati, OH, USA ● Dayton, OH, USA ● Mason, OH, USA Req #1829 Tuesday, April 2, 2024 AtriCure, Inc. provides innovative technologies for the treatment of Afib and related conditions. Afib affects more than 33 million people worldwide. Electrophysiologists and cardiothoracic surgeons around the globe use AtriCure...


  • Mason, United States WEX Full time

    About the Team WEX is the global commerce platform that simplifies the business of running a business by offering seamlessly embedded, personalized solutions for our customers; automating highly manual processes and reconciliations; and connecting disjointed payments and data exchange through personalized technology solutions and resources. Our applications...


  • Mason, United States WEX Full time

    About the Team WEX is the global commerce platform that simplifies the business of running a business by offering seamlessly embedded, personalized solutions for our customers; automating highly manual processes and reconciliations; and connecting disjointed payments and data exchange through personalized technology solutions and resources. Our applications...


  • Mason, OH, 45040, Warren County, OH, United States L3 Harris Full time

    Job Title : Supervisor, Quality Management Job Code: 9690 Job Location: Mason, OH Schedule: 9/80 regular Job Description: As a Quality Supervisor you will be responsible for leading a dedicated team of receiving inspectors apart of a bargaining unit. The ideal candidate will be able to advise on daily tasks, priorities, and guide the team through...


  • Mason, United States WEX Full time

    About the Team A Quality Engineer role is responsible for functional and regression test planning, design and execution for a project or set of aligned projects. The role is responsible for following the WEX Health test methodology including the production of testing artifacts stored in the test repository. Typical artifacts include product test...


  • Mason, United States WEX Full time

    About the Team A Quality Engineer role is responsible for functional and regression test planning, design and execution for a project or set of aligned projects. The role is responsible for following the WEX Health test methodology including the production of testing artifacts stored in the test repository. Typical artifacts include product test...


  • Mason, United States Premier Health Full time

    Center for Women's Health and Wellness PRN support for office, weekday and weekend call shifts The Nurse Midwife possesses a higher level of expertise in assessment, diagnosis and treatment of complex responses of individuals, families and communities to actual or potential health problems. The Nurse Midwife works as a leader, innovator and change agent in...


  • Mason, United States Premier Health Partners Full time

    Center for Women's Health and Wellness PRN support for office, weekday and weekend call shifts The Nurse Midwife possesses a higher level of expertise in assessment, diagnosis and treatment of complex responses of individuals, families and communities to actual or potential health problems. The Nurse Midwife works as a leader, innovator and change...


  • Mason, United States TriHealth Full time

    Job Overview: This position operates under appropriate supervision on all issues relating to patient care and medical practice as required by the Ohio Board of Nursing. Provides the highest quality direct patient care, medical direction and coordination of professional medical care within the practice in an efficient, cost effective, and accountable manner....


  • Mason, United States The Armor Group Full time

    Position Maintenance TechnicianReq Code MT21623Location US-OH-MASONPrimary Responsibilities JOB SUMMARYThis position is responsible for the management of their respective department, area, or work centers including safety, work schedules, quality and quantity of output, employee performance, record keeping, and meeting all company objectives. They are also...

  • RN Psych

    7 days ago


    Mason, United States APN Consulting Full time

    Job Summary: We are seeking a compassionate and dedicated Registered Nurse to join our psychiatric care team. The ideal candidate will have a passion for mental health nursing and a commitment to providing high-quality care to patients with psychiatric disorders. As a Registered Nurse in our psychiatric unit, you will play a vital role in assessing,...

  • Lead ETL Engineer

    2 weeks ago


    Mason, United States Procom Full time

    Our client is adding a Lead ETL Engineer that will build and maintain the corporate data pipelines. This role will utilize modern data warehouse modeling and tools, particularly Talend, Azure data warehouse, and SQL. The Lead ETL Engineer will report to the Manager of Business Intelligence and work closely with other IT staff, business users, and the...


  • Mason, United States Mason City School District Full time

    PREVENTION & WELLNESS COUNSELOR POSITION DESCRIPTION The Prevention and Wellness Counselor will work in conjunction with the administration, school therapists, school counselors and others as directed to ensure prevention and mental wellness supports are in place and are accessible to the district wellness team. The Prevention & Wellness Counselor will...

  • Director I Compliance

    2 weeks ago


    Mason, United States Elevance Health Full time

    Director I ComplianceLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.The Director I Compliance is responsible for...


  • Mason, United States Centennial CO Full time

    Are you a results-oriented individual with strong leadership capabilities, a strategic vision, and a keen understanding of aftermarket business dynamics? Can you efficiently work with internal departments to ensure timely delivery, achieve accurate forecasts, and address customer concerns effectively? Are you ready to make a significant impact in a dynamic...


  • Mason, United States Elevance Health Full time

    Director I Compliance Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection. The Director I Compliance is...


  • Mason, United States Centennial Full time

    Job DescriptionJob DescriptionAre you a results-oriented individual with strong leadership capabilities, a strategic vision, and a keen understanding of aftermarket business dynamics? Can you efficiently work with internal departments to ensure timely delivery, achieve accurate forecasts, and address customer concerns effectively? Are you ready to make a...