- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...priorities. - Track provider progress on performance metrics (eg, HEDIS , readmissions, community tenure) and follow up to support… 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 ... focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- GALEN MEDICAL GROUP PC (Chattanooga, TN)
- …The AWV Navigator will work under the direction of the Population Health Manager to satisfy the EMR pre-population of upcoming Annual Wellness Visits on all ... and thorough understanding of evidence based clinical guidelines and HEDIS quality measures as they apply to specific patients...have clear communication with your patients, team members, and manager Must be knowledgeable of the EMR system and… more
- ERP International (Camp Pendleton, CA)
- …the awareness of available electronic resources. - Collaborate with PHP Project Manager /Senior Strategist to construct an annual strategic plan to target DON ... Military Health System beneficiaries. Including, but not limited to, all command specific HEDIS metrics. - Track metrics of success as informed by command for… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject matter ... expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing,... Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and ensuring consistency with company… more
- Centene Corporation (Harrisburg, PA)
- …oversee program initiatives for the Medicaid product line of business encompassing HEDIS , and CAHPS by utilizing cross functional teams to deliver defined ... strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
- CareFirst (Baltimore, MD)
- …engineers, data architects, data analysts, and data scientists. As a Data Product Manager , you will establish and execute the data product operating model, define ... the vision and strategy for data products, implement product management processes, and produce roadmaps for high-quality, high-performing data products. You will also deliver data solutions that enhance the analytical experiences of CareFirsts customers and… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle +...and manage project plans, timelines, and deliverables + Oversee HEDIS operations, including data submission, audits, and hybrid chart… more
- Molina Healthcare (Mesa, AZ)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the ... and reports from provider offices, loads data into the HEDIS application. + Assists the manager /lead and...into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member… more
- TEKsystems (Houston, TX)
- 100% REMOTE JOB OPPORTUNITY FOR HEDIS COORDINATOR- MUST HAVE PRIOR HEDIS EXPERIENCE EQUIPMENT PROVIDED YOU MUST LIVE IN THE STATE OF TEXAS FOR THIS JOB ... - FRIDAY 8AM-6PM $20/HR Qualifications: + 2 years of HEDIS coordinator experience + EMR experience + Medical records...+ Communicate and collaborate with coworkers, team leads and manager . + Follow HIPAA and company guidelines to safeguard… more
- Molina Healthcare (OH)
- …within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...(RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- Molina Healthcare (OH)
- …critical program milestones, deadlines, and/or deliverables + Participates in quality/ HEDIS improvement activities, meetings, and discussions with and between other ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...(RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… 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 ...years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge of HEDIS ,… more
- CVS Health (Springfield, IL)
- …day. **Position Summary** Must Reside in Illinois Must hold a Clinical License** The Manager of Health Care Quality will support the functions of the Illinois Fully ... Integrated Duals Eligible (FIDE) quality program, including regulatory deliverables, HEDIS activities and reporting and other quality improvement activities. Be a… more
- LifePoint Health (Las Cruces, NM)
- *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and supporting a ... visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- Centene Corporation (New Orleans, LA)
- …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
