7 lead management specialist operational risk management jobs found

Aledade The Health Plan Performance (HPP) Specialist serves as a critical strategic partner and primary liaison between Aledade and our payer partners. This role is responsible for the end-to-end orchestration of health plan performance strategies, ensuring that our Medicare Advantage, Commercial, and Medicaid contracts are meeting and exceeding financial and clinical benchmarks. Beyond mere oversight, the Specialist acts as a bridge between high-level payer data and on-the-ground execution, translating complex analytics into actionable market strategies that drive shared savings, improve quality scores, and lower the total cost of care. As a subject matter expert, you will navigate a high-visibility environment, collaborating with cross-functional leadership and market field teams to solve complex operational challenges and solidify Aledade's position as a leader in value-based care. Primary Duties Establish goals and track key performance indicators (KPIs) related...

Aledade Market Managers serve as dynamic project managers and people leaders who drive transformational change across their healthcare markets, ensuring practices not only meet but exceed quality and savings targets that directly impact patient outcomes. These strategic leaders work in close partnership with their Market President/Executive Director to develop, implement, and execute market-wide strategic initiatives that advance value-based care goals. Through expert guidance and coordination of Practice Transformation Specialist teams, Market Managers create the operational framework that enables practices to thrive in value-based care while delivering measurable improvements in both clinical quality and cost efficiency. This role combines hands-on leadership with strategic vision, positioning Market Managers as the critical bridge between executive strategy and frontline practice transformation success. Please note: only candidates residing in Maryland, Delaware, and...

Sharp HealthCare Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $50.720 - $65.450 - $73.310 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Under the direction of the Manager/Supervisor/Ops Coordinator is responsible for directing day-to-day activities of the department; supervision of the technical and support staff. To perform a wide variety of technical...

UNC Health Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The Performance Improvement Department at UNC Rex Hospital is seeking an experienced nurse to join their team as a Quality Assurance Specialist. This position will lead quality assurance work with a focus on high risk areas. This would include but is not limited to: Clinical chart review and auditing of practice Trending and tracking performance Providing real time feedback to teammates Identifying key priority areas and summarizing opportunities to share with key stakeholders and executive leaders Summary: Oversees data collection and submission programs for public reporting projects, ensuring data integrity, timeliness of submission, and that all regulatory requirements are met. Responsibilities: 1. Provides leadership and consultation for programs of...

Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is also responsible for evaluating detailed facility infusion pharmacy spatial and design requirements for provision of optimum service, based on a moderately complex understanding of strategy and priorities; independently completing support tasks, as directed, for the management team leadership and operational oversight of Pharmacy infusion services including product preparation, Oncology, Home infusion, automated Dispensing Machines (ADM), Clinic Administered Medications (CAMS), USP 797/800 and hazardous drug handling requirements and other compliance and regulatory issues; independently enacting moderately complex guidelines for management of complex patient-use materials and devices at site of use (e.g., TPM compound machine) to ensure delivery to patient and facilitate appropriate use within service area; reviewing and consistently adhering to guidelines regarding collaborative...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...