- PopHealthCare (Rochester, NY)
- …to revolutionize in-home care and become the premier employer in the in-home healthcare industry. Our commitment to quality patient care, employee well-being, ... effectiveness and make necessary adjustments. Quality Assurance: Participate in quality improvement initiatives and adhere to healthcare regulations and… more
- PopHealthCare (Rochester, NY)
- …to revolutionize in-home care and become the premier employer in the in-home healthcare industry. We are committed to delivering quality patient care, fostering ... patients to assess treatment effectiveness and make necessary adjustments.Participate in quality improvement initiatives and adhere to healthcare regulations and… more
- Honor Community Health (Pontiac, MI)
- …Set ( HEDIS ), Centers for Medicare and Medicaid Services - HEDIS Star rating program, Patient-Centered Medical Home (PCMH) certification standards, ... ) + Centers for Medicare and Medicaid Services - HEDIS Star rating program + Patient-Centered Medical...improvement and risk management Eg The Certified Professional in Healthcare Quality (CPHQ) and Certified Professional in… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: At least 5 years experience in a health plan specializing in healthcare quality , informatics, QI initiatives and analytics. Experience in implementing ... to quality excellence in Centers for Medicare and Medicaid Services (CMS) Five- Star Rating System and Marketplace Exchange Quality Rating Systems (QRS). The… more
- The Cigna Group (Westerville, OH)
- …CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + Strongly preferred experience with EMR implementations, ... needs identified. + Function as a Risk Adjustment and Quality SME to support engagement with market and matrix...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- The Cigna Group (Charlotte, NC)
- …engaging with providers and internal stakeholders to drive high performance in quality and cost efficiency, designing and implementing programs to maintain positive ... Performance initiatives. Developing and implementing programs to achieve enhanced quality and affordability through physician education, training and provision of… more
- The Cigna Group (Mobile, AL)
- …and manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR / CAHPS performance measures. Develop and maintain ... monitor and evaluates options and services in order to facilitate appropriate healthcare outcomes for customers. **Responsibilities:** + Identifies Quality gaps… more
- VIP Care (Orlando, FL)
- …(ie: data mining relevant to appointments, referrals, etc.) + Assist with closing identified HEDIS gaps and achieving specified Star measures + Work with the ... a reliable team that shares their mission of providing 5- star service that always puts patient care and outcomes...healthy. Be part of a team that is transforming healthcare one patient at a time. We take great… more
- CVS Health (Springfield, IL)
- …Advocate p rovides support for Healthcare Effectiveness Data and Information Set ( HEDIS ) quality initiatives by performing the following: + Work on one or ... outbound calls to members who would benefit from designated services including healthcare visits/ screenings , vaccination, or medication refill. + Effective capture… more
- The Cigna Group (Philadelphia, PA)
- …and manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a ... process to ensure all customers in participating provider practices meet all quality metrics. Responsible for coordinating the delivery of cost-effective, quality… more
- Cleveland Clinic (Cleveland, OH)
- …of ACO, Medicaid, and Medicare Advantage quality measures, NCQA and HEDIS standards, and Medicare Advantage star ratings gained through experience preferred. ... Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is recognized as one of the top hospitals in… more
- Healthfirst (New York, NY)
- …help the organization achieve top quality performance on key indicators like HEDIS , QARR, and Medicare Advantage Star ratings. The Manager of Population ... coaching, or team lead experience. Experience leading cross-functional work groups Healthcare experience associated with population health outcomes, quality … more
- Stanford Health Care (Menlo Park, CA)
- …with Federal and State laws, regulations, standards, TJC, OSHA, CABOP, CMS Star Measures, HEDIS , and departmental policies and procedures. + Administers ... opportunities to optimize patient health outcomes and contribute to Stanford Healthcare 's overarching performance and priority goals. **This is a Stanford Health… more
- Elevance Health (Atlanta, GA)
- …medical directors by way of studying designs, analytics and reporting for clinical quality that drives improved healthcare outcomes. + Provides an end-to-end ... 50% UM support and 50% working on West Region Star related work.** Primary duties may include, but are...provider performance that drive cost of care and improve HEDIS /Stars where applicable. Minimum Requirements: + Requires MD or… more
- VIP Care (Port Richey, FL)
- …building their careers with a reliable team that shares their mission of providing 5- star service that always puts patient care and outcomes first. At VIPcare, it's ... healthy. Be part of a team that is transforming healthcare one patient at a time. We take great...and clinical role and is responsible for providing 5 Star Service in assisting physicians in the management of… more
- EasyHealth (Eureka, NV)
- …have license/certification: APRN, Certified Nurse Practitioner + Knowledge of the HCC model, HEDIS , and STAR quality measures + Effectively communicate with ... technology and compassion. At EasyHealth, we believe in advancing healthcare with a member-first approach. We're shaping the future...with a member-first approach. We're shaping the future of healthcare , one Annual Wellness Visit at a time. About… more
- EasyHealth (PR)
- …Must have license/certification: APRN, Certified Nurse Practitioner + Knowledge of HCC model, HEDIS and STAR quality measures + Effectively communicate with ... technology and compassion. At EasyHealth, we believe in advancing healthcare with a member-first approach. We're shaping the future...with a member-first approach. We're shaping the future of healthcare , one Annual Wellness Visit at a time. About… more
- EasyHealth (Hanover, NH)
- Elevate Healthcare as a Nurse Practitioner - Transform Patient...adult medicine specialty + Familiarity with HCC model and quality HEDIS and other STAR ... balance with Easy Health's innovative and flexible approach to healthcare . As a Nurse Practitioner at Easy Health, you...in performing comprehensive assessments such as Annual Wellness & Quality Gap Care visits for our members in their… more
- CareFirst (Baltimore, MD)
- …pharmacy government programs to reduce pharmacy spend, total cost of care, improve Star and HEDIS scores, and improve health outcomes, Support programs from ... committee's including but not limited to Pharmacy &Therapeutics Committee, Quality Improvement Committee, and Vendor Management Committee. Prepares for annual… more
