- CVS Health (Springfield, IL)
- …supports the development of HEDIS interventions and initiatives within the Quality Management Team. The QM Consultant reviews documentation and interprets ... evidence-based care and services for members according to HFS quality strategy and ABHIL population health model. The QM... clinical records or systems to apply appropriate clinical criteria and policies in line with HEDIS… more
- CVS Health (Springfield, IL)
- …engagement and promote increased access to health care and services and to close quality and health equity gaps. The QM Consultant drives value through driving ... patterns, population outcomes and to support the achievement of organizational quality goals. Required Qualifications-3+ years experience in clinical , managed… more
- Elevance Health (Virginia Beach, VA)
- …to determine and improve factors contributing to variations in health care cost and quality . **Team Scope:** The RVP Clinical Officer will have approximately 5 ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality ...and develops opportunities for innovation to increase effectiveness and quality . + Serves as a resource and consultant… more
- Highmark Health (Pittsburgh, PA)
- …expert and consultant to the internal organization and providers in clinical quality matters. + Identifies opportunities to streamline and rationalize ... The incumbent will work collaboratively across matrixed teams with Clinical and Quality Leadership at AHN, Highmark...footprint provider landscape. + Oversee and ensure compliance with quality regulations, including NCQA, HEDIS , CMS and… more
- ChenMed (Louisville, KY)
- …teams to deliver VIP service, standards of care and quality guidelines, and HEDIS /STARS + Inspire seamless coverage of clinical staff for each other (eg, ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical...his/her assigned center towards being accountable for maximizing overall clinical value by improving clinical quality… more
- Highmark Health (Charleston, WV)
- …communications with practitioners. + Become familiar with the principles of continuous quality improvement and apply them in clinical and management functioning. ... familiar with network issues and how to act as consultant to physicians at hospitals and health care management....approach to clinical management. + Monitor the clinical program initiatives in achieving desired quality … more
- ChenMed (Gretna, LA)
- …overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- ChenMed (Richmond, VA)
- …count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- ChenMed (Detroit, MI)
- …overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- ChenMed (Columbia, SC)
- …overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. ... CG CAHPS and net promoter score (patient experience surveys), HEDIS and clinical gaps closures, and medical...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- ChenMed (Nashville, TN)
- …overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- Henry Ford Health System (Troy, MI)
- …strategic initiatives related to value-based payment models, working closely with clinical , operational, population health, and financial stakeholders to ensure the ... payment. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Working with key clinical , operational, population health, and payer stakeholders, develops and executes… more
- ERP International (Eglin AFB, FL)
- …healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness. * Ensure compliance with ... inter-departmentally, to provide for total needs of the patient. * Act as a consultant and clinical resource for personnel through the use of evidence-based… more