- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical ... HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical ... HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
- Centene Corporation (Columbus, OH)
- …Business Administration or Health Care Administration or equivalent experience. 3+ years of quality improvement , HEDIS project management or health care ... + Supervise the daily activities of staff to promote quality improvement and efficient methods + Assist...reports for each HEDIS measure, including evaluating improvement opportunities + Manager the coordinate … more
- LA Care Health Plan (Los Angeles, CA)
- …considered. Education Preferred Experience Required: A minimum of 3 years of experience in HEDIS abstraction and/or other Quality Improvement , Quality ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Centene Corporation (Jefferson City, MO)
- …(NCQA) and Healthcare Effectiveness Data and Information Sets ( HEDIS ) performance improvement projects. + Oversee quality improvement related activities ... **Position Purpose:** Oversee and manage the functions of the quality improvement program from inception to closure,...Improvement Specialist and Patient Care Advocates during the HEDIS and 5 Star projects. + Oversee Patient Care… more
- VNS Health (Manhattan, NY)
- OverviewLeads the clinical audit team and oversees quality improvement initiatives with a primary focus on Medicare STARS and clinical program performance for ... quality ratings and performance metrics. Implements, monitors, and evaluates quality improvement strategies based on national benchmark data to achieve… more
- CenterWell (Dallas, TX)
- …community and help us put health first** **Job Profile Summary** The Manager , Stars Improvement , Clinical responsible for the development, implementation and ... management oversight of the Primary Care Organization's clinic-based Stars Program. The Manager , Stars Improvement , Clinical works within specific guidelines and… more
- ConnextCare (Pulaski, NY)
- Quality Improvement Analyst Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description Basic Function: To identify areas for ... improvement regarding patient care quality by analyzing...and Social Care Networks Contracts + Complete/Coordinate system wide HEDIS Insurance chart audits + Review Gaps in Care… more
- CenterWell (Miami Beach, FL)
- …represents the scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS and Stars performance ... us put health first** **Job Profile Summary** The Supervisor, Stars Improvement , Clinical is responsible for supporting the development, implementation and oversight… more
- CenterWell (San Antonio, TX)
- …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to… more
- Molina Healthcare (Columbus, OH)
- … Interventions is responsible for developing, implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate ... 3+ years' experience with member/ provider ( HEDIS ) outreach and/or quality intervention or improvement studies (development, implementation, evaluation). +… more
- LifePoint Health (Las Cruces, NM)
- …one-on-one meaningful interactions regarding current performance. Utilize professional, clinical and/or quality improvement experience and expertise to guide the ... volumes in PCP visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to… more
- Independent Health (Buffalo, NY)
- …and Star measures required. + Experience in developing, implementing and evaluating quality improvement programs required. Solid understanding of improvement ... science methods (eg, Model for Improvement , Plan-Do-Study-Act) and quality improvement techniques preferred. + Skill in organizing resources and establishing… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's ... * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk… more
- Centene Corporation (Raleigh, NC)
- …degree in Business, related field or equivalent experience. 3+ years of related quality improvement , HEDIS and/or NCQA experience. Pay Range: $55,100.00 ... a fresh perspective on workplace flexibility. **Position Purpose:** Develop Performance Improvement projects to improve clinical quality and performance measure… more
- Dignity Health (Bakersfield, CA)
- …at a system/national level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement , is responsible for leading ... results for projects that are consistent with the organization's strategic goals. The Manager , Clinical Quality Improvement will oversee the day-to-day… more
- Elevance Health (Cerritos, CA)
- …of company HEDIS performance. Implements strategies that meet clinical, quality , and network improvement goals. + Build positive working relationships ... **Title:** Provider Quality Manager **Location:** Candidates must live...value delivered to Carelon members. Drives BH provider performance improvement year over year through education and data. This… more
- Elevance Health (Woburn, MA)
- …of company HEDIS performance. + Implements strategies that meet clinical, quality , and network improvement goals through positive working relationships with ... **ABA Provider Quality Manager ** _Location: This position will...value delivered to Carelon members. Drives ABA provider performance improvement year over year through education and data. This… more
- Elevance Health (Woodbridge, NJ)
- … quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement , NCQA accreditation and compliance with ... and departmental goals. + Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. +… more
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