• Commonwealth Care Alliance (Boston, MA)
    …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
    DirectEmployers Association (10/17/25)
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  • ERP International (Camp Pendleton, CA)
    …and strengthen the awareness of available electronic resources. - Collaborate with PHP Project Manager / Senior Strategist to construct an annual strategic ... beneficiaries. Including, but not limited to, all command specific HEDIS metrics. - Track metrics of success as informed...posters, flyers, and social media. - Collaborate with PHP Project Manager / Senior Strategist to periodically… more
    DirectEmployers Association (09/11/25)
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  • Senior Project Manager

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle + Facilitate the CMS Star Ratings Workgroup to… more
    UCLA Health (08/21/25)
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  • Manager HEDIS Program - Remote

    Martin's Point Health Care (Portland, ME)
    …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject matter ... expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing,...health plan. Job Description Key Outcomes: + Manages the HEDIS Program including requirement gathering, creation of project more
    Martin's Point Health Care (08/29/25)
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  • Senior Medical Records Collector (Remote)

    Molina Healthcare (Mesa, AZ)
    …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 ... team members and take the lead on process and project improvement. These team members act as the subject...and reports from provider offices, loads data into the HEDIS application. + Assists the manager /lead and… more
    Molina Healthcare (10/18/25)
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  • Senior Provider Engagement Account…

    Centene Corporation (Sacramento, CA)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Leveraging data, presents detailed HBR ... relations, quality improvement, claims, contracting, utilization management, or clinical operations. Project management experience at a medical group, IPA, or health… more
    Centene Corporation (10/03/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …purpose. Job Summary The Technical Application Manager II reports to the Senior Manager Information Technology IT Solutions Delivery. This role acts as the ... Technical Applications Manager II Job Category: Information Technology Department: IT...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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  • Senior Specialist, Quality Interventions/QI…

    Molina Healthcare (Chicago, IL)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (10/18/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (OH)
    …departments. **Job Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for other specialists within ... by facilitating/building strategic relationships with community-based organizations + Evaluates project /program activities and results to identify opportunities for improvement… more
    Molina Healthcare (10/19/25)
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  • Delegation Partnerships Performance Manager

    Commonwealth Care Alliance (Boston, MA)
    …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
    Commonwealth Care Alliance (10/18/25)
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  • Primary Care Physician Lead

    CenterWell (Savannah, GA)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state… more
    CenterWell (09/25/25)
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  • Primary Care Physician

    CenterWell (Corpus Christi, TX)
    …Care Organization (PCO) is the largest and fastest growing value-based care, senior -focused primary care network in the country. The Primary Care Physician (PCP) ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
    CenterWell (09/29/25)
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  • Physician S. Rainbow

    CenterWell (Las Vegas, NV)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (08/14/25)
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  • Primary Care Physician

    CenterWell (Daytona Beach, FL)
    …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Bilingual (English and Spanish) is...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
    CenterWell (10/18/25)
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  • Primary Care Physician - VSP

    CenterWell (Greenville, SC)
    …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** **Why CenterWell Senior Primary ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
    CenterWell (09/12/25)
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  • Epic Training Analyst II

    AdventHealth (Woodridge, IL)
    …Develop project scopes, objectives, and deliverables in collaboration with senior management and stakeholders. Monitor and report on project progress, ... Group. The Analyst will collaborate with the Physician Enterprise Training Delivery Manager and medical group leadership to identify, assess, prioritize, and address… more
    AdventHealth (08/07/25)
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  • Learning Facilitation Professional - Certified…

    CenterWell (Orlando, FL)
    …+ Proficiency in Microsoft Office applications including Outlook, PowerPoint, Excel, Microsoft Project + This role is considered patient facing and is part of ... + Value Based Care / Managed Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience **Preferred Qualifications** + Experience… more
    CenterWell (08/29/25)
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