- Molina Healthcare (OH)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between ... within the department and/or collaboratively with other departments. Please include any HEDIS / Quality experience on your resume. This experience is important for… more
- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **SUMMARY:** The Performance Improvement Specialist serves as a key member of the Saint ... Alphonsus Health Alliance (Alliance) Quality and Performance Improvement team. This position...sigma and LEAN preferred. **ESSENTIAL FUNCTIONS:** + The Performance Improvement Specialist will function as a consultant… more
- Centene Corporation (Lansing, MI)
- …on workplace flexibility. **Position Purpose:** Plan, develop and track process improvement and operational projects related to clinical outcomes for products and ... for all clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures + Evaluate the analysis and responses on all … more
- Molina Healthcare (Rockford, IL)
- … improvement functions: Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement … more
- Molina Healthcare (NV)
- … Quality Program Management and Performance implements new and existing healthcare quality improvement activities to maintain compliance with quality ... program requirements and reporting and monitoring for key quality program activities. Acts as a lead specialist...quality program management activities, which include preparation for quality improvement audits, surveys, and other federal… more
- Molina Healthcare (Tucson, AZ)
- …to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal quality compliance activities. ... 1 year of behavioral health experience (depends on state/contractual requirements). * Quality auditing, peer review, and process improvement experience. *… more
- US Tech Solutions (Boston, MA)
- …in a meaningful and understandable way. **Experience:** + Experience with quality improvement methodologies preferred. + Strong analytical and problem-solving ... and other healthcare industry metrics used to benchmark performance. + Quality improvement methodologies. **Education:** + Bachelor's degree in health… more
- Good Samaritan (Sioux Falls, SD)
- …to the quality risk and risk score adjustment programs. Assist with the quality improvement review and audit related to potential quality risk issues ... (CPHQ) or medical coding certification preferred, but not required. Quality improvement /assurance personnel with nursing backgrounds can maintain their… more
- Cedars-Sinai (CA)
- …patient care we strive for. **What will you be doing in this role?** The Quality Improvement Coordinator will assess, analyze, and recommend quality and ... Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients,...As healthcare evolves with new models of service delivery, quality improvement activities will strive to ensure… more
- Centene Corporation (Lansing, MI)
- …as newsletter articles, member education, outreach interventions and provider education. + Supports quality improvement HEDIS and program studies as needed, ... work experience within a managed care environment related to HEDIS record review, quality improvement ,...in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social… more
- MyFlorida (St. Petersburg, FL)
- …by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement . Where You Will ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Dec 3, 2025 The...as health education and disease prevention. + Participate in quality assurance activities including meetings and peer review. +… more
- CareFirst (Baltimore, MD)
- …providers. + Participates in strategy and contributes to thought leadership for quality measure capture (NCQA, HEDIS , STARs). Collaborates with internal ... to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT, HCPCS, and ICD 10 codes… more
- Hackensack Meridian Health (Edison, NJ)
- …and ongoing chronic disease management. This position is vital to our quality improvement initiatives and directly impacts patient outcomes. **Education, ... as a leader of positive change. The **Clinical Outcomes Specialist ** acts as a subject matter expert for key...PCMH standards and the accreditation process. + Experience with HEDIS , MIPS, and other value-based care quality … more
- Beth Israel Lahey Health (Winchester, MA)
- …risk performance/management operations a plus + Knowledge of and experience with HEDIS quality metrics, risk coding, electronic medical records such as ... making a difference in people's lives.** Reporting to the Associate Director of Quality and Performance Improvement , the Senior Project Manager, Performance … more
- Beth Israel Lahey Health (Winchester, MA)
- …least two (2) years leading complex projects + Knowledge of and experience with HEDIS quality metrics, electronic medical records such as Epic, Athena, and eCW ... a difference in people's lives.** Reporting to the Associate Director of Quality and Performance Improvement , the Project Manager, Performance Improvement… more
- CenterWell (Jacksonville, FL)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver… more
- Covenant Health Inc. (Knoxville, TN)
- …the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Coordinator II actively seeks ... to identify "best" practices for achieving patient outcomes. + Participates in quality improvement initiatives for assigned population. + Addresses end of… more
- CenterWell (Columbia, SC)
- …such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver ... vary by market needs and by staffing levels throughout the year + Support clinical quality performance improvement in areas such as MRA, Stars, and prevention of… more
- ChenMed (Margate, FL)
- …in a managed care delivery system. + Knowledge of clinical outcomes and quality improvement processes. + Experience of population risk management or complex ... teams to deliver VIP service, standards of care and quality guidelines, HEDIS /STARS, high-risk disease detection and...discretion, which may include:_** + Assists MCMO with market quality and performance improvement initiatives. + Oversees… more
- CenterWell (Fort Worth, TX)
- …(KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals *Personally deliver ... combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based Care (VBC) principles. This… more