- Molina Healthcare (AZ)
- …are being considered at this time.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Analyst, Quality Improvement (QI) Interventions/Compliance contributes to either ... or both critical Quality functions: Clinical Quality Interventions and Quality Improvement Compliance. + History...or other key stakeholders; input from Molina employees and senior leaders, etc. + Produces reports and analyses that… more
- Commonwealth Care Alliance (Boston, MA)
- …in consideration of our performance in publicly reported measures and align with the clinical and quality strategy and HEDIS , CAHPS, HOS measures. + Establishes ... collaboration with, the Vice President, Population Health & Network Quality, the Senior Director, Quality Performance and Value Based Care is responsible for leading… more
- Molina Healthcare (Albuquerque, NM)
- …limited travel to health fairs and community events._ **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** + 1 year… more
- Ventura County (Ventura, CA)
- …providing health care services to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from ... tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in...amount of supervision commensurate with their experience. PAYROLL TITLE: Senior Registered Nurse - Ambulatory… more
- The Cigna Group (Hattiesburg, MS)
- …case-management or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to… more
- Highmark Health (Dover, DE)
- …a Healthcare-related field **Substitutions** + 6 years of combined experience with RN /LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS , and/or ... + None **EXPERIENCE** **Required** + 5-10 years of combined experience with RN /LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS , and/or health… more
- Honor Community Health (Pontiac, MI)
- …looking for? + Licensed Practical Nurse (LPN), Associates Degree in Nursing (ADN), Registered Nurse ( RN ) or Bachelor's degree in nursing or related field ... Description Reporting to the Chief Medical Officer, the full-time, exempt Director, Clinical Quality is an essential member of a high-performing team that monitors… more
- Western Sierra Medical Clinic Inc (Grass Valley, CA)
- …laws. * Other duties as assigned by CMO. MINIMUM QUALIFICATIONS: * California License as Registered Nurse * BSN and Master's degree preferred * A minimum of 5 ... JOB TITLE: RN /NP/PA Quality Improvement Manager REPORTS TO: Chief Medical...multiple improvement projects simultaneously. * Works closely with the Senior Director of Operations and Executive Team for Federal… more
- Centene Corporation (Omaha, NE)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior ...with physicians/physician staff to find ways to encourage member clinical participation in wellness and education. + Provides resources… more
- Sea Mar Community Health Centers (Seattle, WA)
- …the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse ( RN /LPN) Floor Supervisor - Posting #25734 Hourly Range: $38.50 - ... RN /LPN is responsible for leading, collecting, and performing Clinical Quality Measures for every patient at an average...maintained and locked when clinic is closed. + The RN /LPN will work closely with the Nurse … more
- Molina Healthcare (Albuquerque, NM)
- …contributes to either or both of these critical Quality functions: Clinical Quality Interventions and Quality Improvement Compliance. + Collaborates with other ... or other key stakeholders; input from Molina employees and senior leaders, etc. + Produces reports and analyses that...of quality metric data, including, but not limited to, HEDIS , STARS, etc., the analysis of medical records data,… more
- Commonwealth Care Alliance (Boston, MA)
- …Rhode Island Market Medical Director is an integral part of a mission-driven clinical and market team. The Medical Director's primary responsibilities are to ensure ... that the clinical processes that contribute to the Massachusetts Duals (SCO/OneCare)...including care management, health plan operations, quality improvement, and HEDIS . The incumbent will also contribute to network strategy,… more
- Highmark Health (Pittsburgh, PA)
- …and patients. The incumbent will work collaboratively across matrixed teams with Clinical and Quality Leadership at AHN, Highmark Health, and Highmark Inc. to ... landscape. + Oversee and ensure compliance with quality regulations, including NCQA, HEDIS , CMS and state specific requirements. + Foster collaboration and build… more
- Centene Corporation (St. Louis, MO)
- …Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set ( HEDIS ) performance + Responsible for quality improvement aspects of risk ... STARS team to improve overall STARS ratings for Medicare products (including HEDIS , CAHPS, HOS) + Oversee provider satisfaction surveys and implement action plans… more