- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Clinical Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer ... difference, join us. The Impact You Will Have The Clinical Consultant works closely with leadership, leads...research and respond to provider inquiries related to best practice guidelines, and serve as a subject matter expert… more
- Highmark Health (Buffalo, NY)
- …in Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- Elevance Health (Richmond, VA)
- …delivery. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : OB Practice Consultant **Virtual:** This role enables associates to work ... within a commuting distance from an office. The **OB Practice Consultant ** is responsible for creating a...practice patterns, assets, and challenges utilizing NCQA Standards, HEDIS audits, site reviews, and medical records reviews. +… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** Applies specialized clinical and industry knowledge and performance improvement best practices to quality ... POSC Council and executive sponsors to advance initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and promotional opportunities. All Levels + Minimum of seven (7) years of clinical practice experience after completion of all graduate medical education ... act as a liaison with local physicians and hospitals and keep abreast of practice patterns, issues, and concerns of their regional medical community, as well as… more
- Covenant Health Inc. (Knoxville, TN)
- …Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of ... staff and patients and serving as a clinical resource and consultant to the health...care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support… more
- CenterWell (Seneca, SC)
- …Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value-based environment + Leveraging Technology: You are ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient...care" model + Willingness and ability to learn/adapt to practice in a value-based care setting + Superior patient/customer… more
- ERP International (Barksdale AFB, LA)
- …to change. Possesses knowledge of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS Measurements. + Teaches patients ... care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical care to… more
- CenterWell (Arlington, TX)
- …an instrumental clinical leader of our primary care team, combining clinical practice experience with leadership and operational management to ensure ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals +… more
- ChenMed (Warren, MI)
- …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each ... Act as a health coach, rather than just a consultant for sickness, by helping patients set short and...of employment is required + A minimum of 1-year clinical experience in geriatric, adult or family practice… more
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …CBOC, or for McHenry CBOC, the s/he has delegated authority from the Clinical Director for Primary Care (DPC) with responsibility for their respective clinic(s), and ... MAJOR DUTIES AND RESPONSIBILITIES: - Responsible for own panel of patients. Clinical / Administrative FTEE allocation will be determined by policy. - Responsible for… more
- ChenMed (Richmond, VA)
- …count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost ... mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and...acts as a health coach, rather than just a consultant for sickness, by helping patients set short and… more
- CenterWell (Phoenix, AZ)
- …+ Valid, unrestricted license in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with ... Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are… more
- Trinity Health (Boise, ID)
- …improvement opportunities, and support performance improvement initiatives. Through collaboration and clinical integration, this position will play a key role in ... experience **.** + Experience working in a health system, hospital, medical practice or payer organization required. + Physician practice management experience… more
- Trinity Health (Boise, ID)
- …partner with our service line directors and network of providers as a consultant in quality measure performance. This role requires attention to detail, intermediate ... healthcare data analysis experience, ability to use critical thinking skills, and leverage clinical expertise. The right fit candidate will have strong clinical … more