remote ncqa quality director jobs in Phoenix

TEEMA seeks a board-certified pediatric Medical Director to provide executive clinical leadership and policy guidance across a national healthcare network. This 100% remote, long-term role focuses on quality governance, peer reviews, and utilization management while partnering with clinical and operational leaders to improve patient outcomes.The candidate...

TEEMA seeks a board-certified pediatric Medical Director to provide executive clinical leadership and policy guidance across a national healthcare network. This 100% remote, long-term role focuses on quality governance, peer reviews, and utilization management while partnering with clinical and operational leaders to improve patient outcomes. The candidate...

You’ve built and run 24/7 service operations across multiple service centers where every second of response time matters. You’ve taken an organization from a few thousand clients to more than 10,000 across all United States timezones and know exactly what breaks along the way: staffing models, queues, quality, and the management layers holding it all...

Job TitleDirector, Quality Programs (PMO)-Ambulatory Monitoring & DiagnosticsJob DescriptionThe Director, Quality Programs (PMO)-AM&D is responsible for strategic leadership and execution of global quality vision, by leading critical quality programs and coordinating activities across multiple disciplines, ensuring alignment with business objectives and...

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion,...

UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on clinical coverage determinations and medical necessity reviews. You will collaborate with leadership to maintain processes and assure cost-effective high-quality care.The role involves remote work from anywhere in the United States,...

Overview:TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better...

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion,...

What You’ll Do  Position SummaryThe Specialist, Quality will work closely with our clinic staff to identify gaps in care, capture HEDIS documentation, perform chart audits, track patient engagement in care gap, and notify clinics of time sensitive care caps. They will also work with the Director of Quality to report low clinic engagement, opportunities...

Job Description - Associate Director, Behavioral Health Value Creation - Remote (2386373) Associate Director, Behavioral Health Value Creation - Remote - 2386373 Improve the lives of others while Caring. Connecting. Growing together. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The...

AHCCCS Arizona Health Care Cost Containment SystemAccountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, TeamworkThe Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start...

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion,...

TEEMA is partnering with a leading organization to recruit a Clinical Quality Reviewer (RN or LCSW) for USA-remote work in approved states. The role focuses on reviewing clinical cases, identifying quality, safety, and utilization concerns, and supporting improvement across a complex healthcare network.You will collaborate with Medical Directors, participate...

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: Must be a Board Certified Physician and licensed in the state of Arizona. - Provides medical leadership of all for utilization management, cost containment, and medical...

Director Of Operations Strivector Corp is a National Recruiting and Staffing agency established in 2012 and headquartered in Austin, Texas. Elevate your professional journey with us. Strivector's premier client (a well-known market leader in their space) is hiring for the following full-time direct hire position. POSITION OVERVIEW As the Director of...

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion,...

MB2 Dental, a first-of-its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton, TX, is actively hiring a Director of Operations!The Director of Operations’ primary responsibility is to provide strategic oversight and mentorship of Operations while being directly responsible for the operational and financial success of...

VERDE ACCOUNT DIRECTOR A Verde Account Director (AD) is the single point of contact for the delivery of facilities services to an assigned Fortune 500 Client account. As a Verde Account Director, you own everything from customer experience, scope and KPI management, team engagement, and financial performance. More importantly, you exemplify Verde Vibes...