- CenterWell Primary Care (Tampa, FL)
- …work experience as a HEDIS Nurse or similar role in healthcare quality improvement Strong knowledge of HEDIS /Stars/CMS Excellent presentation and ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to… more
- Molina Healthcare (Long Beach, CA)
- …program management meetings, outcomes from these activities are documented, and continuous quality improvement tools are used to highlight the processes, ... Job Description Job Description Job Summary The Manager , Quality Program Management and Performance...performance indicators, process reviews, and gap analyses Utilizes proven quality improvement methods, such as the Plan-Do-Study-Act… more
- EmblemHealth (New York, NY)
- …partners to plan, implement, and oversee ongoing operational execution of quality improvement projects and action plans ( HEDIS , CAPHS, and HOS) to meet ... Summary of Job Oversee and actively participate in quality improvement projects. Contribute to the...initiatives. *Provide subject matter expertise and support on all quality metrics to key stakeholders. *Support NCQA/CMS/ HEDIS /CAHPS/HOS… more
- Sanofi (Richmond, VA)
- …Demonstrated understanding of value-based care models , quality metrics (eg, HEDIS , STAR, CMS), and performance improvement initiatives Proven ability to ... Job Title: Strategic Account Manager - Vaccines Location: US Remote/Field About the Job...or integrated delivery network (IDN), with a focus on quality improvement , population health, or care coordination… more
- CenterWell Primary Care (North Charleston, SC)
- …work experience as a HEDIS Nurse or similar role in healthcare quality improvement Strong knowledge of HEDIS /Stars/CMS Excellent presentation and ... action. The Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement programs designed to increase… more
- Healthmap Solutions (Lexington, SC)
- …for those who need us most. Position Summary The 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
- COMMUNITY HEALTH GROUP (Chula Vista, CA)
- …health care and member advocacy. RESPONSIBILITIES Upholds Community Health Group's (CHG's) quality improvement and health equity program according to standards ... and Information Set ( HEDIS ) file review and clinical oversight, and the quality reporting. Serving in a clinical and operational role, supports the provision and… 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
- Centene Corporation (Salem, OR)
- …project management or healthcare management experience. Advanced working knowledge of HEDIS technical specifications. Quality improvement experience ... + Oversee activities, resources, methods, and procedures to achieve improvement in HEDIS measures + Formulate and...performance measures to senior management + Manage all clinical quality metrics and HEDIS processes and results… 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
- 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
- CVS Health (Tallahassee, FL)
- …all with heart, each and every day. *APPLICANTS MUST RESIDE IN FLORIDA* The HEDIS manager is accountable for Healthcare Effectiveness Data and Information Set ( ... strategies. Position Summary - Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with… 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
- McLaren Health Care (Flint, MI)
- …implementation of policies and procedures that support all aspects of the Quality Improvement Performance Plan (QPIP). Manages the Healthcare Effectiveness Data ... We are looking for a Manager , Quality , to join us in...We are looking for a Manager , Quality , to join us in leading our organization...and Information Set ( HEDIS ) process. Facilitates the delivery of medical care in… more
