- AmeriHealth Caritas (Newtown Square, PA)
- …or Business Management + Minimum 5 years of working experience in the health care industry + Minimum 2 years of HEDIS project management and data collection ... skills Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people… more
- Centene Corporation (Columbus, OH)
- … Care Administration or equivalent experience. 3+ years of quality improvement, HEDIS project management or health care related experience. Working ... functional process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities + Manager the… more
- Centene Corporation (Austin, TX)
- …and data reconciliation analysis + Trend analysis in various functional areas of health care management + Create and generate reports through MS-Excel, ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable... Services Domain experience required. 3 years of Clinical Care and 3 years of HIE, HEDIS … more
- Centene Corporation (Sacramento, CA)
- …meet regulatory and operational requirements. + Coordinate and implement interventions to increase HEDIS , CAHPS and designated health measures for the Health ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....of quality improvement or project management experience in managed care with advanced knowledge of HEDIS and… more
- BlueCross BlueShield of North Carolina (NC)
- …preferred **What You'll Get** + The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community + ... exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than … more
- Centene Corporation (Columbia, SC)
- …meet regulatory and operational requirements. + Coordinate and implement interventions to increase HEDIS , CAHPS and designated health measures for the Plan. + ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....of quality improvement or project management experience in managed care with advanced knowledge of HEDIS and… more
- Praxis Health (Eugene, OR)
- …of medical terminology and managed care . Required Experience + Population health program involvement or leadership + HEDIS metrics tracking and improvement ... and we're searching for an experienced LPN or MA Care Manager to join our advanced primary...healthcare companies in Oregon. We are not "big box" health care , but rather a company of… more
- Apicha Community Health Center (New York, NY)
- …environment for underserved and vulnerable populations. Position Summary The Population Health Manager collaborates with a multidisciplinary staff to meet ... aligned with the mission of Apicha and its strategic goals. The Population Health Manager supports the implementation of strategies to drive clinical… more
- HCA Healthcare (Nashville, TN)
- **Description** **Job Summary and Qualifications** The Value-Based Care (VBC) Program Manager is responsible for developing and maintaining detailed technical ... but not limited to, the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA)/Quality Payment Program (QPP),...Do you want to work as a(an) Value Based Care Program Manager WFH where your passion… more
- Fallon Health (Worcester, MA)
- …addressing high risk members o Educate members on preventative screenings and other health care procedures such as vaccines, screenings according to established ... Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point...continuum of care consistent with the Member's health care goals and needs o Works… more
- Molina Healthcare (OH)
- … care and services by facilitating/building strategic relationships with health care providers. **JOB QUALIFICATIONS** **Required Education** Bachelor's ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible… more
- Elevance Health (Los Angeles, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires ... leaders passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider… more
- LifePoint Health (Las Cruces, NM)
- …of risk and value-based contracting. Demonstrated knowledge and experience with primary health care practice standards and quality performance measures- STARS ... Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on...system, and friendly people. *_Why Choose Us_* * o Health (Medical, Dental, Vision) and 401K Benefits for full-time… more
- Catholic Health (East Amherst, NY)
- …and medical terminology required + Management experience required + Electronic Health Record experience required + Prior experience with computerized scheduling ... + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred + Strong knowledge of Medical Billing...Ability to navigate and retrieve data from an electronic Health Information Management system + Ability to utilize the… more
- Highmark Health (Latham, NY)
- …including ancillary provider networks, independent physician organizations and health systems/integrated delivery networks, to ensure success in value-based ... policies and procedures while increasing provider efficiencies and maximizing quality (STAR/ HEDIS ). The incumbent may participate as a regional representative on key… more
- Elevance Health (Metairie, LA)
- …and accrediting requirements. **Minimum Requirements:** + Requires BA/BS in a clinical or health care field (ie nursing, epidemiology, health sciences) and ... a minimum 5 years progressively responsible experience in a health care environment or any combination of...HEDIS strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Veterans Affairs, Veterans Health Administration (Billings, MT)
- …The Veterans Health Administration, including VISN 19 and the Montana VA Health Care System, will comply fully with the intention and instructions contained ... Summary The Assistant Nurse Manager supports the Nurse Manager with...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Basic Requirements:… more
- CenterWell (Arlington, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …(NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and Clinical Director ... Sea Mar Community Health Centers, a Federally Qualified Health ...is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) -… more
Related Job Searches:
Care,
Care Manager,
HEDIS,
HEDIS Manager,
Health,
Health Care,
Health Care Manager,
Health Manager,
Manager