• HEDIS Supervisor

    Somatus (Mclean, VA)
    …physical and mental well-being + Community engagement opportunities + And more! The HEDIS Supervisor will be responsible for providing operational support in ... planning, coordinating, and validating HEDIS , medical record reviews. This role will oversee the...and maintaining all data and process controls for the HEDIS coordinator team + Oversee the HEDIS more
    Somatus (07/29/25)
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  • Senior Medical Records Collector (Remote)

    Molina Healthcare (Houston, TX)
    …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor (s) and/or performs the ... **Job Description** **Job Summary** Molina's HEDIS /Quality Improvement Sr. Medical Records Collector is a...system retrieval and direct onsite pick up, for the HEDIS projects. These team members help mentor other team… more
    Molina Healthcare (09/18/25)
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  • Quality Improvement Supervisor , Clinical

    CenterWell (Port St. Lucie, FL)
    …and help us put health first** **Job Profile Summary** The Supervisor , Stars Improvement, Clinical is responsible for supporting the development, implementation ... oversight of the Primary Care Organization's in-clinic Stars Program. The Supervisor , Stars Improvement, Clinical works within thorough, prescribed guidelines and… more
    CenterWell (08/08/25)
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  • APP, Supervisor - General Internal Medicine…

    University of Miami (Miami, FL)
    …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, Supervisor - General Internal Medicine - Full Time ... The Supervisor , Advance d Practice Providers supervises advance d practice...Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred… more
    University of Miami (09/15/25)
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  • Supervisor , Medical Referrals

    CenterWell (Greenville, SC)
    …part of our caring community and help us put health first** The Supervisor , Medical Referrals schedules and pre-registers patients for exams and procedures with ... and providers outside of the primary care physician's office. The Supervisor , Medical Referrals works within thorough, prescribed guidelines and procedures; uses… more
    CenterWell (09/27/25)
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  • Supervisor , Medical Referrals

    CenterWell (San Antonio, TX)
    …part of our caring community and help us put health first** The Supervisor , Medical Referrals schedules and pre-registers patients for exams and procedures with ... and providers outside of the primary care physician's office. The Supervisor , Medical Referrals works within thorough, prescribed guidelines and procedures; uses… more
    CenterWell (09/25/25)
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  • Supervisor , Provider Engagement

    Humana (Oklahoma City, OK)
    …of our caring community and help us put health first** The Supervisor , Provider Engagement develops and grows positive, long-term relationships with physicians, ... within the contracted working relationship with the health plan. The Supervisor , Provider Engagement works within thorough, prescribed guidelines and procedures;… more
    Humana (09/09/25)
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  • Front Desk Supervisor

    ChenMed (Fort Myers, FL)
    …expanding and we need great people to join our team. The Front Desk Supervisor is dedicated to providing VIP customer service to every patient and customer who ... memorable experience every visit and with every interaction. The Front Desk Supervisor is accountable for precisely entering patient data and setting up accounts,… more
    ChenMed (09/04/25)
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  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Care Management Supervisor supervises, directs and coordinates the activities of Inpatient Management Clinical Navigator ... care principles and concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of the standards of practice for case managers. +… more
    CareFirst (10/01/25)
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  • Clinical Quality Manager - Population Health…

    Bon Secours Mercy Health (Cincinnati, OH)
    …required to perform other job-related duties as required by their supervisor , subject to reasonable accommodation. **Licensing/Certification** + Current RN License ... & Medicaid Services (CMS), Healthcare Effectiveness Data and Information Set ( HEDIS ) (required) + 10 years' experience in business/healthcare leadership, healthcare… more
    Bon Secours Mercy Health (10/03/25)
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  • Case Manager, RN (Commercial)

    Excellus BlueCross BlueShield (Rochester, NY)
    …Case Management staff, members, and providers. + Provides backup for the Supervisor /Manager, whenever necessary by: + Participating in the orientation of new staff ... all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all aspects of… more
    Excellus BlueCross BlueShield (09/30/25)
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  • RN

    Catholic Health Services (Melville, NY)
    …+ Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's condition and reaction to drugs, treatments, ... staff. + Participates in staff meetings and huddles as appropriate. + Participates in Hedis , GPRO, and other quality programs as needed + Enters provider orders into… more
    Catholic Health Services (09/17/25)
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  • Medical Assistant

    Beth Israel Lahey Health (Jamaica Plain, MA)
    …quickly and courteously to phone calls and requests. Seeks assistance from supervisor and others appropriately. Greets patients and escorts to exam rooms. Ensures ... or PO, and a familiarity with standard quality measures, eg, HEDIS . Familiarity with different electronic medical records, including WebOMR. **Competencies:**… more
    Beth Israel Lahey Health (08/31/25)
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  • Manager, Care Management

    Humana (Springfield, IL)
    …a managed care field. + Five (5) or more years of previous management/ supervisor level experience to include hiring, training, mentoring and coaching associates. + ... Prior experience with healthcare quality measures STARS, HEDIS , etc. and/or clinical program monitoring/evaluation. + Knowledge of community health and social… more
    Humana (08/29/25)
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  • Manager Integrated Case Mgmt-SCMG…

    Sharp HealthCare (San Diego, CA)
    …policies and SCMG specific requirements. Works with SCMG Management, HSM lead, supervisor and staff to identify issues and initiate improvements.Works with Director, ... plan incentives targeted at efficiency measures, ie Pay for Performance, 5 STAR, HEDIS and health plan specific programs, etc. and implements processes to achieve… more
    Sharp HealthCare (08/29/25)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    …team building and motivational skills. + Evaluate work performance of the MA supervisor and medical assistant staff as per organizational policy. + Implement nursing ... centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA trainings (Infection… more
    Sea Mar Community Health Centers (07/29/25)
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