- CVS Health (Princeton, NJ)
- …in the office (Tuesday, Wednesday and Thursday) in Princeton, NJ Position Summary The Behavioral Health Quality Management Supervisor is responsible for ... behavioral health quality management and quality ...Monitoring HEDIS and Performance Measures related to Behavioral Health , identifying opportunities for improvement and… more
- Elevance Health (Ashburn, VA)
- …within the state of **Virginia** **Shift:** Monday - Friday; 8am - 5pm The ** Behavioral Health Provider Quality Manager** is responsible for leading ... Behavioral Health (BH) provider engagement, with a focus on leveraging...quality care to members and achievement of company HEDIS performance. + Implements strategies that meet clinical, … more
- Elevance Health (Hanover, MD)
- …Responsible for all KPIs in the contract related to Quality . + Leads Health Employer Data Information Sets ( HEDIS ) reporting and the development of action ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...experience in a Managed Care Organization preferred. + Population health management and/or clinical quality program development… more
- Community Based Care of Brevard, Inc. (Seminole County, FL)
- Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator (BHC) is responsible for c oordination of behavioral health ... children with clinical needs and provides care coordination of behavioral health services. Educates caregivers regarding medications,...to ensure a seven (7) day follow up appointment. HEDIS Care Gap Reports: Review of health … more
- Highmark Health (Charleston, WV)
- …and outcomes strategic plan development + Experience with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management ... skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on,...Experience in Lean, Six Sigma, TQI, TQC or other quality management certification + Experience in health … more
- Highmark Health (Harrisburg, PA)
- …interpret PCP and facility value based reimbursement reports in the areas of National Quality Standards like NCQA, HEDIS , NQF, PQRS etc., and cost and ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value… more
- CVS Health (Frankfort, KY)
- … Management includes, but is not limited to, QM Programs/Infrastructure, behavioral health QM, credentialing, delegation and regulatory accreditation support, ... industry and quality management. Preferred Qualifications + Certified Professional in Health Quality (CPHQ) or other certification a plus. Education +… more
- Zufall Health Center (Dover, NJ)
- …QA processes, including regular assessments and reviews in various departments/domains, such as, Behavioral Health , Dental, Perinatal Health and Ryan White ... Specialist supports and assists in the implementation of Zufall Health Center's overall Quality Assurance and Performance... Health System's ACO and requests received from health plans regarding HEDIS measures and other… more
- Centene Corporation (NV)
- …in Microsoft Office applications. Experience in public sector managed care/managed behavioral health care preferred. Experience with standard statistics software ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....measures, service utilization and member/provider complaint trends + Develop HEDIS measures, service utilization and all quality … more
- Highmark Health (Charleston, WV)
- …to regularly contact. These include physicians, practice administrators, specialists, behavioral health providers, ancillary service providers, hospital ... including NCQA accreditation, and the creation of an accurate HEDIS data set. + Assist in the development of...health care management roles, and involvement with formal quality and/or utilization management programs are required + 5… more
- CenterWell (Kissimmee, FL)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The VSP Medical Assistant assists physicians and...into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital… more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and ... in 1978, is a community-based organization committed to providing quality , comprehensive health , human, housing, educational and...to ensure the collection of all relative clinic forms, quality / HEDIS measures, lab and x-ray reports and… more
- LifePoint Health (Brentwood, TN)
- …healthcare delivery network. Our network includes 60 community hospitals, 60 rehabilitation/ behavioral health hospitals, and 250 additional sites of care ... Health Advisor * *Who we are:* At Lifepoint Health , we provide quality healthcare to rural...* * *Responsibilities:* * Deliver comprehensive MIPS, ACO/MSSP, and HEDIS quality reporting for ACO/CIN contracts. *… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …and Telemedicine. Utilizes Teach and Motivational Interviewing techniques to encourage positive health behavioral change and Health Promotion and Disease ... on an as-needed basis until position(s) are filled. Responsibilities Mental Health Outpatient: Evaluates the patient's progress towards the desired outcomes and… more
- CenterWell (Phoenix, AZ)
- …consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your skills to...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Las Vegas, NV)
- …consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary +… more
- Centene Corporation (Harrisburg, PA)
- …Purpose:** Functions as a program development manager in collaboration with Quality , Health Services and Operations business owners or cross-functional ... implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration. +… more
- Centene Corporation (Latham, NY)
- …organizations. Functions as a lead program development manager in collaboration with Quality , Population Health Services, and all other Operations business ... implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration. +… more
- Conviva (Sarasota, FL)
- …consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator ... and coverage. + Spanish is needed + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CVS Health (Columbus, OH)
- …services that are evidence-based.* Work collaboratively with the Behavioral Health , Pharmacy, member outreach, Care Management, National Quality Management, ... management, reimbursement methods and treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality , and… more