- Elevance Health (Nashville, TN)
- …and departmental goals. Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. Assures ... Anticipated End Date: 2025-08-04 Position Title: Clinical Quality Director - Stars/ HEDIS Job Description:...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- Elevance Health (Walnut Creek, CA)
- …of company HEDIS performance. Implements strategies that meet clinical, quality , and network improvement goals. Build positive working relationships with ... Anticipated End Date: 2025-08-25 Position Title: Behavioral Health Provider Quality Manager - Northern California Job Description: Title: Behavioral Health… more
- CenterWell Primary Care (North Miami Beach, 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
- PacificSource (Springfield, OR)
- …of improvement , and develop actionable plans to address challenges related to quality improvement . Adept in working with and presenting to executive level ... laws, regulations, and standards, especially those related to managed care, quality improvement , and compliance. Competencies Adaptability Building Customer… 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
- Liberty Health (Wilmington, NC)
- …and plan enhancement actions to accommodate those changes Leading and implementing quality improvement initiatives aimed at enhancing STAR ratings from design ... Join us! We are currently seeking an experienced: PROGRAM MANAGER - MEDICARE STARS Full Time, Days JOB SUMMARY:...Stars strategy and performance to include HOS, CAHPS, and HEDIS performance Knowing and understanding CMS regulations that govern… more
- Community Health Centers of the Central Coast (Santa Maria, CA)
- …cultural sensitivity and competence with patients. Demonstrates adherence to Quality Improvement processes such as Meaningful Use, HEDIS , UDS and Regulatory ... for a multitude of state or federal regulatory compliance. Collaborates with the Quality Improvement Department to comply with federal and state regulations 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
- 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
- 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
- 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
- Molina Healthcare (Boston, MA)
- **JOB DESCRIPTION** **Job Summary** Molina's HEDIS / Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in ... of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs the coordination and… more
- Apicha Community Health Center (New York, NY)
- …Manager collaborates with a multidisciplinary staff to meet Population Health and quality improvement goals through projects aligned with the mission of ... data is accurate and reliable for use in performance improvement efforts Quality Improvement +...and CPT coding strongly preferred + Understanding of UDS, HEDIS , and NCQA PCMH accreditation quality standards… more
