- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager ** will be r _esponsible for providing operational/strategic ... but not limited to Somatus staff, vendors, providers, and patients. The Sr. HEDIS Manager shall identify problem opportunities, conduct root cause analysis, and… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject matter ... expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing,... Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and ensuring consistency with company… more
- Somatus (Mclean, VA)
- …ensure optimal processes are effective to address gaps in care. + Support the HEDIS manager to conduct meetings with operations to review performance. + ... + Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to request and evaluate reports for member compliance and improvement… more
- AmeriHealth Caritas (Newtown Square, PA)
- …+ Assist as necessary in the review of medical records. + In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the ... Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the… more
- Centene Corporation (Harrisburg, PA)
- …oversee program initiatives for the Medicaid product line of business encompassing HEDIS , and CAHPS by utilizing cross functional teams to deliver defined ... strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
- Centene Corporation (Frankfort, KY)
- …flexibility. Kentucky Residency Required **Position Purpose:** Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
- Medical Mutual of Ohio (OH)
- …reviews work of more junior-level Analyst. May supervise staff in absence of Manager + Supports HEDIS submission lifecycle processes such as data compilation, ... specification for the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) lifecycle processes for all lines of business (Commercial, Marketplace,… more
- Molina Healthcare (Cambridge, MA)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
- CenterWell (Pinellas Park, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more
- CenterWell (San Antonio, TX)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... state + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more
- CVS Health (Hartford, CT)
- …AM** Aetna Clinical Enablement (ACE) has an exciting opportunity for an Informatics Manager to join our HEDIS Data Enablement Team. The Healthcare Effectiveness ... Data and Information Set ( HEDIS ) is one of the most widely used healthcare...widely used healthcare quality data sets in the country. HEDIS reporting is a requirement for NCQA Health Plan… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** The Senior Manager , Health Quality is responsible for HEDIS related health care quality projects ... + Serves as a resource and subject matter expert (SME) on HEDIS , regulatory HEDIS quality measures of the quality program to develop and influence business… more
- Molina Healthcare (Lexington, KY)
- …the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review. + Manages ... annual HEDIS data collection activities. Responsibilities include responding to RFP(s)...include responding to RFP(s) as needed, development of the HEDIS measures matrix, HEDIS work plans, and… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle +...and manage project plans, timelines, and deliverables + Oversee HEDIS operations, including data submission, audits, and hybrid chart… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior Manager ...years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge of HEDIS ,… more
- CVS Health (Lansing, MI)
- …improvement to senior health plan management + Helps to evaluate the Plans HEDIS Strategy and makes recommendation for improvement in closing gaps in care, to ... achieve NCQA HEDIS metric benchmarks + Helps to develop strategy and...- Tableau Dashboards/Analytics -Medicare / Medicaid experience -Experience with HEDIS Metrics, CAHPS Member Satisfaction Surveys, NCQA Accreditation, Compliance… more
- LifePoint Health (Las Cruces, NM)
- *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and supporting a ... visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local… more
- Amazon (San Francisco, CA)
- Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for ... of care delivered for Senior Health, as measured by HEDIS , Medicare Advantage Stars, ACO REACH, and other national...developing QI teams - Strong understanding of CMS and HEDIS quality measures and reporting requirements Preferred Qualifications -… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- McLaren Health Care (Flint, MI)
- We are looking for a Manager , Quality, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... Performance Plan (QPIP). Manages the Healthcare Effectiveness Data and Information Set ( HEDIS ) process. Facilitates the delivery of medical care in a cost efficient… more