- TEKsystems (Dallas, TX)
- Quality Improvement Specialist Contract - 3 month w/potential for extension or to go permanent Must be a Resident of Texas Job Description The Quality ... Specialist will support the development and maintenance of quality improvement related projects and reporting. Respond...and provider addresses, and/or collect medical records for the HEDIS project + Data entry of change of addresses… more
- TEKsystems (Austin, TX)
- …8-5 (OT available as needed) The HEDIS non-clinical team falls under the Quality Improvement Department of Superior HealthPlan in Texas. Most of our projects ... center on monitoring HEDIS rates all throughout the year, medical record retrieval,...season. Position Purpose: Support the development and maintenance of quality improvement related projects and reporting. Respond… more
- TEKsystems (Austin, TX)
- Job Posting: Quality Improvement Specialist - HEDIS Non-Clinical (REMOTE) Start Date: 5 January 2026 (Trainer already assigned - hard start) Duration: 3 ... available as needed) Location: Remote (Texas-based role) Department: Quality Improvement , Superior HealthPlan Position Overview Join the HEDIS Non-Clinical… more
- 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
- Molina Healthcare (OH)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality / HEDIS improvement activities, meetings, and discussions with ... **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and...Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business… more
- Molina Healthcare (Worcester, MA)
- …quality performance through provider engagement, practice transformation, managed care quality improvement , or equivalent experience * Experience with various ... **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality … more
- TEKsystems (Austin, TX)
- Quality Improvement Specialist 100%...The HEDIS non-clinical team falls under the Quality Improvement Department of Superior HealthPlan in ... Texas. Most of our projects center on monitoring HEDIS rates all throughout the year, medical record retrieval,...Excel Position Purpose: Support the development and maintenance of quality improvement related projects and reporting. Respond… more
- AmeriHealth Caritas (Manchester, NH)
- … Specialist is responsible for the coordination and ongoing monitoring of Quality Improvement (QI) program objectives, including the delivery of performance ... improvement projects for service and clinical activities, integrating the quality improvement plan into all departments, and facilitating Healthcare… more
- Adelante (Phoenix, AZ)
- …Manager, WIC Services Manager and Director of WIC to identify opportunities for quality improvement and oversee performance improvement initiatives. This ... WIC Quality Assurance Specialist Job Details Job...Some roles require experience in managing teams and overseeing quality improvement processes. + Knowledge of WIC… more
- Molina Healthcare (Chicago, 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 (MA)
- … 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
- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **SENIOR QUALITY SPECIALIST ** **SUMMARY:** The Senior Quality Specialist is ... of the project, may manage the project budget. + Develops and establishes quality improvement measures and testing standards for new applications, products,… more
- UPMC (Pittsburgh, PA)
- …Quality Management Specialist is responsible for performing functions related to quality management and improvement , in compliance with NCQA, HEDIS , ... and participating providers. + Responsible for minute taking at the Board Quality Improvement Committee and other quality committees as assigned. +… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Sr. Healthcare Quality Specialist RN is responsible for evaluating and improving quality of care and patient safety at Kelsey-Seybold ... Clinic (KSC). This role combines clinical expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best… 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
- AmeriHealth Caritas (Columbia, SC)
- …required + 3 to 5 years Managed Care experience. + 3 to 5 years quality improvement experience required. + 2 to 4 years experience in project ... organizing, analyze and refine data to identify trends to create reports to support quality improvement . + Knowledge and understanding of QI functions in an MCO… more
- ConnextCare (Pulaski, NY)
- Quality Improvement Analyst Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description Basic Function: To identify areas for ... improvement regarding patient care quality by analyzing...and Social Care Networks Contracts + Complete/Coordinate system wide HEDIS Insurance chart audits + Review Gaps in Care… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …. This position supports the team with primary accountabilities related to quality improvement , Medical Records Review (MRR), and provider outreach and ... to develop relationships and update information. * Participate in clinical quality improvement projects, including implementation and execution of interventions… 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