- CVS Health (Trenton, NJ)
- …advanced modeling and statistical analysis to Healthcare Quality metrics spanning NCQA HEDIS measures and CMS Clinical Stars + Apply advanced statistical, machine ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Molina Healthcare (OH)
- …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the… more
- The Cigna Group (Bloomfield, CT)
- **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in ... outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager is responsible for managing complex projects, transforming traditional… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior Manager ...Act as liaison between IT Solution Delivery team and Program /Project Managers for all Enterprise Initiatives. Manage and prioritize… more
- Blue KC (MO)
- …discount program ** **Job Description Summary:** The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome ... off** **Professional development courses, mentorship opportunities, and tuition reimbursement program ** **Paid parental leave and adoption leave with adoption… more
- CVS Health (St. Louis Park, MN)
- …, analytical oversight, and cross-functional leadership to improve health outcomes and program performance. + Collaborate with internal teams ( HEDIS , Clinical ... each and every day. **Position Summary** As the **Senior Manager of Stars** , you will lead the market-wide...performance improvement, and execution of the Medicare Stars quality program for Allina Health | Aetna Medicare membership in… more
- Centene Corporation (Lansing, MI)
- …**Position Purpose:** Oversee and manage the functions of the quality improvement program , including HEDIS reporting and other quality improvement activities. ... progress, and problems encountered, required for planning work function activities, including HEDIS reporting. + Verify data to be submitted in accordance with… more
- The Cigna Group (Bloomfield, CT)
- …and drive improvements in patient outcomes. This data will feed into HEDIS (healthcare effectiveness data and information set) and NCQA (national committee for ... to support digital data acquisition at scale-particularly in Value Based Program (VBP) aligned environments. **Key Functions:** **Data Strategy & Delivery** +… more
- Banner Health (AZ)
- …Shifts Cancelled + Weekly pay + 403(b) Pre-tax retirement + Employee Assistance Program + Employee wellness program + Discount Entertainment tickets + ... tracks Corrective Active Plans (CAPs), in collaboration with the Manager , Supervisor or QM RN and communicates audit results...analysis of data from medical records in accordance with HEDIS specifications. Actively works with the HEDIS … more
- Bon Secours Mercy Health (MI)
- …contracts and gap closure work. This Population Health Clinical Quality Manager will support a broad spectrum of value-based contracts. **Primary Function/General ... Purpose of Position** The Manager of Population Health Clinical Quality is responsible for...data tracking tools and visualization platforms to support value-based program quality performance, support change initiatives, and engage stakeholders… more
- Health Care Service Corporation (Philadelphia, PA)
- …responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, physician ... of providers, and for ongoing provider service. As a manager , this individual will lead a team of Network...stays **Preferred Job Qualifications & Additional Details:** + Previous HEDIS and/or CMS STARs experience + Solid understanding of… more
- Commonwealth Care Alliance (Boston, MA)
- …& Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships ... high-quality, coordinated care for members. In this role, the Program Manager acts as an account ...priorities. * Track provider progress on performance metrics (eg, HEDIS , readmissions, community tenure) and follow up to support… more
- Centene Corporation (Austin, TX)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- Centene Corporation (Springfield, IL)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- Centene Corporation (Atlanta, GA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost (MLR) and utilization. Account management experience strongly preferred.… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... with a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population… more
- Elevance Health (Los Angeles, CA)
- …employment, unless an accommodation is granted as required by law_ The **Clinical Quality Program Manager ** is responsible for serving as a liaison with and ... is preferred. + Intermediate Excel and PowerPoint skills + Prior experience with HEDIS and NCQA Health Plan Accreditations **For candidates working in person or… more
- CenterWell (Orlando, FL)
- …implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Stars Improvement, Clinical Professional 2 work assignments are ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (North Charleston, SC)
- …development, implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Quality RN Professional work assignments are varied and ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (Hampton, VA)
- …implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Stars Improvement, Clinical Professional 2 work assignments are ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more