- Sea Mar Community Health Centers (Tacoma, WA)
- …meet Sea Mar's standards, philosophy, and governmental regulations. Perform monthly audits ( quality improvement audits, etc ) and demonstrate knowledge of State ... is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) -...health centers Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… more
- Athari (New York, NY)
- …Quality Management Department, and collaborates with Quality Management on HEDIS , STAR ratings and CAHPS score improvement initiatives and strategies. ... and annual review of the Integrated Care Management and Quality Management/ Quality Improvement Plan. *Provides...professional healthcare management *Minimum 5 years in leadership role, Manager and above *A minimum of 5 years of… more
- Blue Shield of California (Rancho Cordova, CA)
- …greater FEP team with mail and care management referral support. The CSC Program Manager , Senior will report to the Manager FEP Non-Clinical Operations. In this ... care management team. This leadership position is essential in driving improvement in outreach efforts and initiatives, ensuring effective operations, and supporting… more
- Hearst (South San Francisco, CA)
- …Allscripts, or payer-side systems). Familiarity with value-based care initiatives and healthcare quality metrics (eg, HEDIS , MACRA, MIPS). Excellent verbal and ... challenge? The First Databank (FDB) is currently seeking a Strategic Account Manager in the Customer Operations department. The Strategic Account Manager … more
- CareOregon (Portland, OR)
- …efficiency and effectiveness. Engages the organization and participates in continuous quality improvement initiatives, events and programs. In partnership with ... plan operations, such as claims payment, customer service, medical management, and quality improvement Understanding of Columbia Pacific CCO, including its… more
- AltaMed Health Services Corporation (Anaheim, CA)
- … of clinical care services/programs, which include patient experience, patient safety, HEDIS quality measures, financial goals, etc. The Supervisor also ... of clinical care services/programs, which includes patient experience, patient safety, HEDIS quality measures, financial goals, etc. The Supervisor also… more
- FoundCare, Inc. (West Palm Beach, FL)
- …teams to enhance patient outcomes in underserved communities. Key Responsibilities: 1. Quality Improvement & Patient Safety Develop, implement, and monitor ... Quality Improvement (QI) programs aligned with FQHC objectives. Analyze clinical...3. Data Collection, Analysis & Reporting Work the clinical quality manager to track and report clinical… more
- Healthmap Solutions (Lexington, SC)
- …those who need us most. Position Summary The RN Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, ... engaged in Healthmap's Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** Manages Healthcare Effectiveness Data and Information Set ( HEDIS ) planning, data collection, quality control, analysis, and reporting to meet ... NCQA submission requirements + Ensures all data sent to HEDIS software vendor has Quality Assurance protocols...Serves as a team member for activities focused on HEDIS performance improvement + Analyzes HEDIS… more
- Centene Corporation (Phoenix, AZ)
- …Business Administration or Health Care Administration or equivalent experience. 3+ years of quality improvement , HEDIS project management or health care ... + Supervise the daily activities of staff to promote quality improvement and efficient methods + Assist...reports for each HEDIS measure, including evaluating improvement opportunities + Manager the coordinate … more
- Somatus (Mclean, VA)
- …ensure optimal processes are effective to address gaps in care. + Support the HEDIS manager to conduct meetings with operations to review performance. + ... the HEDIS coordinator team + Oversee the HEDIS project for quality and timeliness regarding...Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to… more
- Somatus (Mclean, VA)
- …plan quality programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect data and maintain the various ... and changes + Calls patients to schedule appointments, developing recommendations for quality improvement activities for our providers and collaborating with… more
- Elevance Health (Atlanta, GA)
- …and departmental goals. + Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. + ... **Clinical Quality Director** **- Stars/ HEDIS ** **Location:** Alternate...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Tampa, FL)
- …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to… more
- CenterWell (Kissimmee, FL)
- …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Improvement Clinical Professional (RN): + Collaborates with market leadership, and quality improvement team to developand implement programs designed to… more
- Molina Healthcare (Las Vegas, NV)
- …program management meetings, outcomes from these activities are documented, and continuous quality improvement tools are used to highlight the processes, ... **Job Description** **Job Summary** The Manager , Quality Program Management and Performance...indicators, process reviews, and gap analyses + Utilizes proven quality improvement methods, such as the Plan-Do-Study-Act… more
- LifePoint Health (Las Cruces, NM)
- …one-on-one meaningful interactions regarding current performance. Utilize professional, clinical and/or quality improvement experience and expertise to guide the ... volumes in PCP visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to… more
- Providence (WA)
- **Description** ** Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as ... strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and...strategies to improve Medicare Advantage Star Ratings, driving clinical quality indicators ( HEDIS Star metrics), CAHPS, and… more
- Molina Healthcare (Akron, OH)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
