- Centene Corporation (Oklahoma City, OK)
- …**Position Purpose:** Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position ... providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes + Provide… 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
- Centene Corporation (Atlanta, GA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating ... care services provided to members. + Ensures that clinical and service quality improvement programs and initiatives are compliant with applicable accreditation,… 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 (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
- 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 (Las Vegas, NV)
- … 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 (Savannah, GA)
- **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 (Tucson, 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
- Hackensack Meridian Health (Edison, NJ)
- …and ongoing chronic disease management. This position is vital to our quality improvement initiatives and directly impacts patient outcomes. **Education, ... as a leader of positive change. The **Clinical Outcomes Specialist ** acts as a subject matter expert for key...PCMH standards and the accreditation process. + Experience with HEDIS , MIPS, and other value-based care quality … more
- Beth Israel Lahey Health (Winchester, MA)
- …risk performance/management operations a plus + Knowledge of and experience with HEDIS quality metrics, risk coding, electronic medical records such as ... making a difference in people's lives.** Reporting to the Associate Director of Quality and Performance Improvement , the Senior Project Manager, Performance … more
- Corewell Health (Grand Rapids, MI)
- … and cost savings opportunities. + Supports clinical initiatives related to NCQA, HEDIS , CAHPS, STAR measures, and other clinical quality and programs. Adheres ... services including developing and implementing evidence-based clinical programs and quality -oriented drug management services, instituting practices to ensure patient… more