- Somatus (Mclean, VA)
- …CMS quality metric regulations. **Preferred** + Prior experience as a HEDIS Manager . + Master's degree in Business / Health Administration or advanced ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...+ Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager ** will be r _esponsible for… more
- 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
- CVS Health (Washington, DC)
- …progressive experience in HEDIS data analysis program management in managed care setting. **Preferred Qualifications** Certified Health Data Analyst or other ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...every day. **Position Summary** Manages all internal aspects of HEDIS MRRV and YRMRRV to ensure compliance to corporate… more
- Somatus (Mclean, VA)
- …internal and vendor workflows to ensure optimal processes are effective to address gaps in care . + Support the HEDIS manager to conduct meetings with ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to… more
- Somatus (Mclean, VA)
- …in accordance with HEDIS technical specifications as well as Somatus and health plan specifications. + Remain updated on NCQA HEDIS Technical Specifications ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect… more
- Elevance Health (Atlanta, GA)
- …**Clinical Quality Director** is responsible for working with the regional head of health care management to direct the clinical quality initiatives, including ... **Clinical Quality Director** **- Stars/ HEDIS ** **Location:** Alternate locations may be considered. This...reports. **Minimum Requirements:** Requires BA/BS in a clinical or health care field (ie nursing, epidemiology, … more
- CVS Health (Nashville, TN)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...**Required Qualifications** At least 5 years experience in managed care , hospital, or similar healthcare environment * Must have… more
- McLaren Health Care (Flint, MI)
- …forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health ... Michigan-based health plan dedicated to meeting the health care needs of each of our...(QPIP). Manages the Healthcare Effectiveness Data and Information Set ( HEDIS ) process. Facilitates the delivery of medical care… more
- Praxis Health (Portland, 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
- CVS Health (Springfield, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...clinical and operational performance improvement initiatives to achieve organizational HEDIS and STARs goals + Develops, executes, analyzes and… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- … care for an assigned panel of patients at Fayetteville Coastal Health Care System; Recognizing the age-related cognitive, physical, emotional, and ... vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Basic Requirements: English Language… more
- Elevance Health (Los Angeles, CA)
- Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to be ... 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
- Sanford Health (Sioux Falls, SD)
- …materials to ensure accuracy. Oversees the Badgercare Pharmacy Lock In Program to manager Health Plan Badgercare members on state directed narcotics programs. ... Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Manager works closely with Health Plan providers...of the above preferred. Two years' experience in managed care pharmacy, either working in a health … more
- Amazon (San Francisco, CA)
- …- Lead initiatives to improve the quality of care delivered for Senior Health , as measured by HEDIS , Medicare Advantage Stars, ACO REACH, and other national ... Description We are seeking an experienced Clinical Quality Manager for Senior Health to join...health outcomes, patient satisfaction, and performance on value-based care contracts. - Guide cross-functional teams in the execution… more
- CVS Health (Springfield, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... cost of care and effectiveness of the health care ecosystem + Synthesizes and visually...Oversees all aspects of data and system-based execution for HEDIS MRR and YRMRR projects; analyzes and communicates outcomes… more
- CareFirst (Baltimore, MD)
- …benefits). + Knowledge of managed care principles and concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of ... understanding of the strategic and financial goals of a health care system or payor organization, as...the standards of practice for case manager . **Salary Range** : $96,160 - $178,497 **Salary Range… more
- Providence (WA)
- …Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best ... **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program...including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …They will know the Social Determinants of health , what that means in Community Health Care , and how that is different from other health care ... Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
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