Quality Management Consultant

3 weeks ago


Woonsocket, United States CapLeo Global Full time
Position Title: Quality Management Consultant
Duration: 03 Months with possibility of extension
Location: Remote
Shift hours: M-F 8-5

Job Description:
The QM Consultant develops and implements data-driven strategies/interventions that ensure the delivery of time sensitive health benefits and services for members.
The QM Consultant directs coordination of care between the member, clinical care team, and providers and takes part in the analysis and reporting of member data to monitor outreach effectiveness.
The QM Consultant conducts targeted member/provider education and outreach initiatives and supports the development of HEDIS interventions and initiatives within the Quality Management Team.
The QM Consultant reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with HEDIS, regulatory, and accreditation requirements for member and/or provider issues.
This position independently coordinates the clinical resolution for members with health needs with internal/external clinician support as required.

Qualification:
5 years' experience in a clinical role or health related field, license and master's degree preferred.
Bachelor's degree, Nursing degree, or other comparable healthcare experience.

  • Woonsocket, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionPosition: Healthcare Quality Improvement ConsultantLocation: RemotePay Range: $45-$50 per hourWork Schedule:Monday to Friday, 8:00 AM to 5:00 PMJob Description:We are seeking a highly motivated and experienced Practice Transformation Advisor to join our dynamic team. As a Practice Transformation Advisor, you will play a critical...


  • Woonsocket, United States Greenlining Management Full time

    Do you enjoy working with people? Are you looking for an opportunity to challenge yourself and learn new skills? If you answered yes to these questions then you may just be the person our firm is looking for! We are actively searching for a dedicated Entry Level Customer Service Consultant to add to our diverse team of professionals. Our company works as...


  • Woonsocket, United States Healthcare Staffing Plus Full time

    Compensation : $31 - $31 Hourly Client Job Ref ID : 140352 Shift Description : Day shifts - 36 hours (weekends rotating) Travel Healthcare Consultant Woonsocket, Rhode Island, United States - 02895 Job Title: Travel Nurse - Healthcare Consultant Number of positions: 1 Shift: Day shifts- 36 hours (weekends rotating) Duration: 13 weeks Start Date:...


  • Woonsocket, United States FM Global Full time

    FM Global is one of the worlds largest risk management and industrial property insurance organizations. With 76 office locations in over 60 countries worldwide, FM Global provides specialized property protection to over one third of the FORTUNE 1000 companies as well as leading international corporations. A new Field Engineer at FM Global will learn to...


  • Woonsocket, United States FM Global Full time

    FM Global is one of the worlds largest risk management and industrial property insurance organizations. With 76 office locations in over 60 countries worldwide, FM Global provides specialized property protection to over one third of the FORTUNE 1000 companies as well as leading international corporations. A new Field Engineer at FM Global will learn to...

  • Manager, Marketing

    2 days ago


    Woonsocket, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...


  • Woonsocket, United States Manufacturing llc Full time

    Job DescriptionJob DescriptionBenefits:Competitive salaryOpportunity for advancementTraining & developmentAs an Inspector, you will play a crucial role in maintaining the quality and integrity of our products. You will be responsible for conducting thorough inspections of materials, components, and finished products to ensure compliance with company...

  • Workday Consultant

    4 weeks ago


    Woonsocket, United States Tata Consultancy Services Full time

    •10+ years of extensive experience years in implementation and operations of Workday, requirements gathering, configuration, testing and troubleshooting. •Minimum 5+ years of Architect experience in implementing, integration, managing, and optimizing Workday systems in a live environment, including proficiency in Workday HCM, recruitment, Advanced...

  • Workday Consultant

    1 week ago


    Woonsocket, United States Tata Consultancy Services Full time

    •10+ years of extensive experience years in implementation and operations of Workday, requirements gathering, configuration, testing and troubleshooting. •Minimum 5+ years of Architect experience in implementing, integration, managing, and optimizing Workday systems in a live environment, including proficiency in Workday HCM, recruitment, Advanced...


  • Woonsocket, United States AutoZone Full time

    AutoZone, Inc. Commercial Sales Manager Woonsocket , Rhode Island Apply Now The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM develops and maintains positive relationships with commercial customers by managing the acquisition and delivery of products, providing ongoing customer service, and...


  • Woonsocket, United States AutoZone Full time

    AutoZone, Inc. Commercial Sales Manager Woonsocket , Rhode Island Apply Now The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM develops and maintains positive relationships with commercial customers by managing the acquisition and delivery of products, providing ongoing customer service, and...


  • Woonsocket, United States AutoZone Full time

    AutoZone, Inc. Commercial Sales Manager Woonsocket , Rhode Island Apply Now The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM develops and maintains positive relationships with commercial customers by managing the acquisition and delivery of products, providing ongoing customer service, and...


  • Woonsocket, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

  • Senior Manager

    3 weeks ago


    Woonsocket, United States CVS Health Full time

    Job Description CVS Health is embarking on a bold digital agenda to transform health care and empower millions of customers on their path to better health. We are creating innovative digital solutions that will make health care more accessible, more integrated, and more reliable for more people, online and in our stores. We are looking for passionate, driven...

  • Senior Manager

    2 weeks ago


    Woonsocket, United States CVS Health Full time

    Job Description CVS Health is embarking on a bold digital agenda to transform health care and empower millions of customers on their path to better health. We are creating innovative digital solutions that will make health care more accessible, more integrated, and more reliable for more people, online and in our stores. We are looking for passionate, driven...


  • Woonsocket, United States Thundermist Health Center Full time

    Thundermist's Mission - To improve the health of our patients and communities by delivering exceptional health care, removing barriers to that care, and advancing healthy lifestyles. Please note, effective September 1,2021, all Thundermist employees are required to have an initial dose of vaccine to prevent Covid-19. Effective October 1, 2021, all employees...


  • Woonsocket, United States US Tech Solutions, Inc. Full time

    Job Summary:• Support day-to-day management of advertising and marketing communications programs on behalf of our Marketing Strategy partners. Campaigns will include all holidays/seasons at (Valentine's Day, Easter, Summer, Halloween, and Holiday). Campaigns will encompass paid and owned assets including display, SMS, email, digital, and social.•...


  • Woonsocket, United States NTT DATA Full time

    HYBRID- ONSITE 3 DAYS PER WEEK (WOONSOCKET, RI)NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market dynamics with flexibility...


  • Woonsocket, United States LanceSoft Full time

    Primary Role Responsibility Build in-store signage strategy for campaign, planogram, vendor, and other in-store programs across categories. Responsible for identifying solution options and providing recommendations on proposed solutions for in store signage. Apply lessons learned and continuously improve the way that work is developed and delivered,...

  • Marketing Manager

    6 days ago


    Woonsocket, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionTitle: Marketing Manager – Front Store Seasonal MarketingLocation: RemotePay Rate: $40.75/hr Note: This position is a contract on W2, and is NOT open to C2C The Marketing Manager – Front Store Seasonal Marketing, will provide account management support for increased scope of work on our Front Store Marketing Team. Job...