- Elevance Health (Arlington, VA)
- …within the state of **Virginia** **Shift:** Monday - Friday; 8am - 5pm The ** Behavioral Health Provider Quality Manager** is responsible for leading ... Behavioral Health (BH) provider engagement, with a focus on leveraging...quality care to members and achievement of company HEDIS performance. + Implements strategies that meet clinical, … more
- Elevance Health (Hanover, MD)
- …Responsible for all KPIs in the contract related to Quality . + Leads Health Employer Data Information Sets ( HEDIS ) reporting and the development of action ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...experience in a Managed Care Organization preferred. + Population health management and/or clinical quality program development… more
- Elevance Health (Washington, DC)
- …The Mgr II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a ... studies, HEDIS reporting and adherence to National Committee for Quality Assurance (NCQA) standards. + Hires, trains, coaches, counsels, and evaluates… more
- CenterWell (Washington, DC)
- …leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- Centene Corporation (Arlington, VA)
- …28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive ... to provide care coordination to lower acuity members with acute and chronic health care needs. Provides education and support in assisting members to achieve optimal… more