- Actalent (Dallas, TX)
- …Supervisor to lead and enhance interventions aimed at meeting behavioral health HEDIS and Pay for Performance measures. This role involves collaborating with health ... plans and regional clinical leadership to implement strategies that boost HEDIS rates in behavioral health metrics. Responsibilities + Develop and implement… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. NOTE: This is a hybrid remote role that meets directly with provider groups based in the Chicago area ... to discuss HEDIS performance and strategize ways to improve performance, up...(coding) required **Licenses/Certifications:** One of the following required: CCS, LPN , LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM,… more
- Centene Corporation (Lansing, MI)
- …position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse ( LPN ), Licensed Master ... regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures,...Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor… more
- Centene Corporation (Columbus, OH)
- …preferably in a managed care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN ); Licensed ... OCCASIONAL TRAVEL TO PROVIDERS OFFFICES Ideal candidate will be LPN in Toledo, Ohio area **Position Purpose:** Works with...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred. Pay Range:… more
- Centene Corporation (Little Rock, AR)
- …Driver's License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse , Licensed Practical Nurse , Social Work ... plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap… more
- Centene Corporation (Surfside Beach, SC)
- …including a fresh perspective on workplace flexibility. NOTE: This is a work-from-home, hybrid remote (up to 50% travel) role that meets virtually and in person with ... provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations,… more
- Centene Corporation (Springfield, IL)
- …required up to 75% to assigned providers. The ideal candidate will have HEDIS measures experience. Strong verbal and written communication skills and basic Excel. RN ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
- CVS Health (Harrisburg, PA)
- …outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing ... to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence. -Utilizes influencing/motivational interviewing… more
- Centene Corporation (Austin, TX)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan… more
- Ascension Health (Jenks, OK)
- …Ascension St. John's Medical Center + **Location:** Tulsa, OK - Partially Remote **Benefits** Paid time off (PTO) Various health insurance options & wellness ... of experience in health-care quality, population health, or a payer-side HEDIS audit/abstraction role strongly preferred. + Demonstrated experience with the… more