- HealthCare Support (San Antonio, TX)
- …leading fortune 500 healthcare organization in San Antonio, TX. Daily Responsibilities for HEDIS Abstraction LPN: Job Duties: The Clinical Quality LPN is ... responsible for onsite chart review and tracking, remote data mining in EHR systems, and direct provider...collection and abstraction. They assist with the coordination of HEDIS (R) and STARs data gathering and abstraction… more
- Commonwealth Care Alliance (Boston, MA)
- …have):** + Bachelor's degree or equivalent experience within healthcare project management, HEDIS and STARs measures, population health, and the health plan ... 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality… more
- Insight Global (Minnetonka, MN)
- …and delivery of telephonic and digital engagement strategies designed to close Medicare STARS / HEDIS gaps in care, including medication adherence, care for older ... * Experience with and extensive knowledge of the Medicare HEDIS / Stars measures * Experience managing multiple complex,...York, Oregon 1 or more years of experience in HEDIS /Star programs, preferably in a clinical quality… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and ... oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately complex… more
- Humana (Oviedo, FL)
- …to drive results within a provider network and MSO as it relates to clinical HEDIS measures. + Experience in preparing and delivering training sessions, ... and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to...Medicare experience + 3 or more years of CMS Stars and HEDIS experience + Strong knowledge… more
- Insight Global (Austin, TX)
- …Nurse, * 1+ year of experience in telehealth * 1+ yr in care management/ HEDIS / Stars , women's health, or imaging navigation * Active Registered Nurse (RN) Compact ... Job Description A leading healthcare client is seeking Remote Registered Nurses to support a new program...new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct… more
- Adecco US, Inc. (Houston, TX)
- …& Life Sciences is hiring a Clinical Quality RN! This role is in remote / work from home and equipment is provided. Please read below and apply with an ... to all internal and external customers. . Maintains education/knowledge base of HEDIS / STARs . **Qualifications for the Registered Nurse:** . Active and good… more
- Molina Healthcare (Savannah, GA)
- …wide. These functions include, but may not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance. + ... **JOB QUALIFICATIONS** **Required Education** Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration or equivalent combination… more
- CVS Health (Austin, TX)
- …education and process improvement opportunities + Support complex provider partners with HEDIS (R) gaps in care, digital solutions, and remote medical record ... office staff + Recent and related experience working with HEDIS (R) + Medicare Stars experience or health...health insurance experience + Health care related experience in clinical , managed care or quality management + Understanding of… more
- Centene Corporation (Little Rock, AR)
- …+ Experience in quality healthcare and managed care environments + Strong understanding of HEDIS , STARS , and gap closure strategies + Proven ability to engage ... plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap… more
- Humana (Richmond, VA)
- … management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas ... in quality improvement principles and analyzing quality metrics, such as HEDIS , to drive higher performance + Comprehensive knowledge of Medicaid policies,… more
- Dignity Health (Bakersfield, CA)
- …programs and dual eligible populations, and benefit systems is preferred. - HEDIS / Stars and HCC/Risk adjustment knowledge. \#LI-DH **Where You'll Work** The ... for engaging physicians/APPs across the markets in critical business and clinical initiatives. This role oversees all physician/APP engagement teams as well… more
- Humana (Springfield, IL)
- …mentoring and coaching associates. + Prior experience with healthcare quality measures STARS , HEDIS , etc. and/or clinical program monitoring/evaluation. + ... + Develop reporting tools in collaboration with leadership to identify clinical performance. + Interviews, hires, mentors, evaluates, coaches and manage performance… more
- Geisinger (Danville, PA)
- …We are seeking a healthcare quality improvement professional with 3+ years of hands-on HEDIS experience and 1+ year of direct CMS Medicare Stars experience. This ... improvement teams, conducts data analysis and research, and manages strategic clinical and operational projects. The focus is on multi-platform initiatives that… more
- CenterWell (Durham, NC)
- …Record (EMRs) or Health Information Management (HIMs) systems. + 1+ years of HEDIS / STARs experience **Preferred Qualifications** + Basic knowledge of ... and support personnel who provide outpatient care to patients in a clinical setting. The Manager, Clinic/Center Administration works within specific guidelines and… more
