- Commonwealth Care Alliance (Boston, MA)
- …and reference material. Reporting directly to the Director of Population Health and Quality Analytics, you will closely collaborate with them to ensure that your ... the data and provide operational support for performance improvement. Your expertise in Quality Measures and Star Ratings will be crucial as you consult with key… more
- MyFlorida (Gainesville, FL)
- ADVANCED PRACTICE REGISTERED NURSE OR PHYSICIAN ASSISTANT-CERTIFIED - 64067906 Date: Jul 19, 2025 The State Personnel System is an E-Verify employer. For more ... Requisition No: 854945 Agency: Department of Health Working Title: ADVANCED PRACTICE REGISTERED NURSE OR PHYSICIAN ASSISTANT-CERTIFIED - 64067906 Pay Plan:… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- Summary The Fayetteville VA Medical Center is hiring a Registered Nurse for the PACT Outpatient team located at our Jacksonville CBOC location. The RN ... career today. Responsibilities The Patient Aligned Care Team (PACT) Registered Nurse is a member of the...Care Provider, Nurse Care Manager, Licensed Practical Nurse , Health Technician, and Clerical Associate. The RN… more
- Veterans Affairs, Veterans Health Administration (Elizabeth City, NC)
- …but are not limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …up to 10 pounds and occasionally lift and/or move up to 50 pounds. Requirements: + Registered Nurse , BSN, ADN and licensed to practice nursing in the State of ... - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager (...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …and occasionally lift and/or move up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the ... vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27454 Hourly Rate: $36.04 - ... with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees...health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards.… more
- Centene Corporation (Oklahoma City, OK)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... facing teams to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… more
- Centene Corporation (Augusta, ME)
- …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $26.50 - $47.59 ... education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in… more
- Humana (Sterling Heights, MI)
- …Degree. + CPHQ (Certified Professional in Healthcare Quality ) Certification. + Registered nurse ( RN ), physician or physician's assistant licensed in ... This role requires commitment to cross-functional collaboration that drives continuous quality improvement throughout health plan operations , Provider network,… more
- CVS Health (Lansing, MI)
- …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... domains to achieve improved health outcomes. Facilitate sessions on clinic operations , quality standards, regulatory compliance, member experience and… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** Health Services\ RN - Registered Nurse Active State Licensure and/or ... Management standards, program criteria, policies, and procedures to ensure quality of care and manage health care costs. **We...health care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM… more
- CareFirst (Baltimore, MD)
- …experience with Medicaid line of business and related regulations. **Licenses/Certifications** Health Services\ RN - Registered Nurse - State Licensure and/or ... that week. **ESSENTIAL FUNCTIONS:** + Manages and develops and maintains quality -improvement programs to optimize patient care. + Collaborates with physicians,… more
- Elevance Health (Los Angeles, CA)
- …to ensure high- quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical, quality , and network ... as a liaison between strategic providers and Carelon clinical, quality , provider strategy, operations , and claims, to...+ Current, valid, independent, and unrestricted license such as RN , LCSW, LMFT, LMHC, LPC, or Licensed Psychologist (as… more
- CVS Health (Trenton, NJ)
- …**Preferred Licensure / Certifications** + Licensed Allied Health Professional, or Licensed Registered Nurse + Certified Six Sigma Green Belt + Certified ... domains to achieve improved health outcomes. Facilitate sessions on clinic operations , quality standards, regulatory compliance, member experience and… more
- Centene Corporation (New York, NY)
- …preferred. 7+ years of healthcare operations experience, including quality improvement experience. **License/Certification:** RN license preferred. Certified ... and streamlined workflow. + Responsible for National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge… more
- Humana (Dover, DE)
- …provider or payer. + Strong understanding of value-based care, population health, and quality metrics (eg, Stars, HEDIS , MRA). + Proficiency in quickly ... supporting provider performance, and coordinating with cross-functional teams to drive quality , utilization, and cost-of-care outcomes. At the core, this is a… more
- Dignity Health (Phoenix, AZ)
- …ACN. - Serves as key partner with clinical leaders (such as Directors of Quality , Clinical Operations , Medical Directors and CMOs) through the network to ... metrics commonly tied to performance in value based contracts (CMS ACO, HEDIS , NCQA, etc.) and Medicare Advantage programs (HCC/RAF). In addition these positions… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to assist with coordination of health maintenance screenings/assessments directly related CMS/ HEDIS quality measures and medication adherence measures by ... + Tasked with leading population health initiatives including healthcare quality improvement activities for patients attributed to the Emory Healthcare… more