- 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 (Knoxville, TN)
- …per week. Driver's license required. Must reside in Tennessee. Residents in East Tennessee preferred Licensed Practical Nurse ( LPN ); Licensed Master ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN… 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 (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
- Centene Corporation (Columbia, SC)
- …data. + Engaged team player who contributes in meetings and discussions + HEDIS quality abstraction experience (not risk abstraction) + Able to give and receive ... Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. + Assess vendor-delegated… 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