• HEDIS Program Manager

    Centene Corporation (Harrisburg, PA)
    …of PA Health & Wellness, a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS , ... strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
    Centene Corporation (10/23/25)
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  • Technical Applications Manager II

    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 ...Act as liaison between IT Solution Delivery team and Program /Project Managers for all Enterprise Initiatives. Manage and prioritize… more
    LA Care Health Plan (09/16/25)
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  • Community Connections Representative I/ II

    Excellus BlueCross BlueShield (Buffalo, NY)
    …community-based organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME) ... and outreach. * Educates and assists members with accessing care, Case Management program and benefits and government cell phone programs. * Coordinates, plans and… more
    Excellus BlueCross BlueShield (11/19/25)
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  • Epic Training Analyst II

    AdventHealth (Woodridge, IL)
    …travel between clinics) **The role you'll contribute:** The Training Analyst II is responsible for implementing standardized clinical, revenue cycle, and practice ... Group. The Analyst will collaborate with the Physician Enterprise Training Delivery Manager and medical group leadership to identify, assess, prioritize, and address… more
    AdventHealth (11/06/25)
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  • Case Manager , RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA)...+ Performs other functions as assigned by management. Level II (in addition to Level I Essential Accountabilities) +… more
    Excellus BlueCross BlueShield (11/20/25)
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  • Manager Clinic/Center Administration

    CenterWell (Jacksonville, FL)
    …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific ... Job is considered patient facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required to be screened for… more
    CenterWell (10/25/25)
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  • Manager , Quality Improvement Analytics

    Centene Corporation (Olympia, WA)
    …+ Monitor data/information to assist QI department staff members in improving HEDIS and Department of Community Health (DCH) required measures + Research and ... coding issues and practices, including ICD-9, CPT4, HCPCS Level II . Previous experience as a lead in a functional...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
    Centene Corporation (11/15/25)
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  • Center Medical Director

    ChenMed (Warren, MI)
    …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... (TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for...Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance +… more
    ChenMed (09/20/25)
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  • Primary Care Physician

    ChenMed (Lakeland, FL)
    …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... (TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for...Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance +… more
    ChenMed (09/16/25)
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  • Center Administrator

    CenterWell (Gulfport, MS)
    …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific… more
    CenterWell (10/10/25)
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  • Center Administrator

    CenterWell (Frankfort, KY)
    …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific… more
    CenterWell (11/19/25)
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