- TEKsystems (Houston, TX)
- HEDIS Quality Improvement Specialist Location: Remote (Texas) About the Role Actalent is seeking HEDIS Quality Improvement Specialists to ... season. Qualifications + High School Diploma or GED + Experience in HEDIS quality improvement and medical record retrieval + Strong attention to detail… 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
- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **SUMMARY:** The Performance Improvement Specialist serves as a key member of the Saint ... Alphonsus Health Alliance (Alliance) Quality and Performance Improvement team. This position...sigma and LEAN preferred. **ESSENTIAL FUNCTIONS:** + The Performance Improvement Specialist will function as a consultant… more
- Centene Corporation (Baton Rouge, LA)
- …LPC, LMFT, or LMHC.** **Position Purpose:** Plan, develop and track process improvement and operational projects related to clinical outcomes for products and ensure ... for all clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures + Evaluate the analysis and responses on all … more
- Centene Corporation (Lansing, MI)
- …on workplace flexibility. **Position Purpose:** Plan, develop and track process improvement and operational projects related to clinical outcomes for products and ... for all clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures + Evaluate the analysis and responses on all … 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 (Rockford, 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
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... , Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality … 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
- Molina Healthcare (Mesa, AZ)
- …to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal quality compliance activities. ... 1 year of behavioral health experience (depends on state/contractual requirements). * Quality auditing, peer review, and process improvement experience. *… 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
- Cedars-Sinai (CA)
- …patient care we strive for. **What will you be doing in this role?** The Quality Improvement Coordinator will assess, analyze, and recommend quality and ... Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients,...As healthcare evolves with new models of service delivery, quality improvement activities will strive to ensure… more
- Centene Corporation (Lansing, MI)
- …as newsletter articles, member education, outreach interventions and provider education. + Supports quality improvement HEDIS and program studies as needed, ... work experience within a managed care environment related to HEDIS record review, quality improvement ,...in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social… 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
- Helio Health Inc. (Syracuse, NY)
- …manner. + Provides support to the Health Information Technology, Continuous Quality Improvement , Compliance, and Grant Writing departments regarding any ... To support the mission of Helio Health, theData Analytics and Decision Support Specialist II enhances Helio Health's efforts to gather, analyze and report on… more