- AmeriHealth Caritas (Manchester, NH)
- …AmeriHealth Caritas New Hampshire's substance use disorder and behavioral health care management, utilization management and quality management programs ... **Medical Director Substance Abuse Disorder Behavioral Health (New Hampshire)** Location: Manchester,...quality , especially the performance standards embodied in the HEDIS program. + Reviewing and resolving disputes related to… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Highmark Health (Harrisburg, PA)
- …interpret PCP and facility value based reimbursement reports in the areas of National Quality Standards like NCQA, HEDIS , NQF, PQRS etc., and cost and ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This is...utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value… more
- CVS Health (Oklahoma City, OK)
- …A minimum of two years' experience in a senior QI role in child/adolescent behavioral health managed care is required. Master's degree preferred **Pay Range** ... addressing health equity and Social Determinants of Health . The Quality Director acts as an...accountability for business/financial results related to following as appropriate: HEDIS reporting, quality of care, accreditation activities… more
- AmeriHealth Caritas (Dublin, OH)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... include supporting the annual medical record review activities including HEDIS and Clinical Practice Guidelines. The position also supports...+ Minimum of 3 years in clinical or service quality improvement/ health care delivery or relevant… more
- AmeriHealth Caritas (Columbus, OH)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... the quality improvement plan into all departments and facilitating HEDIS , CAHPS and NCQA accreditation activities. Implements and supports the overall… more
- VNS Health (Manhattan, NY)
- …Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. For Mental Health only: + Conducts psychosocial ... OverviewVNS Health Advanced Practice Team Supervisors bring Nurse Practitioner...two years managerial experience, preferred. + Demonstrated knowledge of Hedis and QARR quality measures, ICD- 10… more
- CVS Health (Oklahoma City, OK)
- …is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. The Chief Medical ... other executive team members in Medicaid driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management in a… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and ... in 1978, is a community-based organization committed to providing quality , comprehensive health , human, housing, educational and...to ensure the collection of all relative clinic forms, quality / HEDIS measures, lab and x-ray reports and… more
- CenterWell (Leesburg, FL)
- …Assists with EKG, wound care, and ear lavage + Assists with documentation of HEDIS quality measures + Experience documenting in the patient's electronic medical ... into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- Highmark Health (Harrisburg, PA)
- …of company policies and procedures while increasing provider efficiencies and maximizing quality (STAR/ HEDIS ). The incumbent may participate as a regional ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...that contract into the programs to reinforce and improve quality , to enrich the patient experience and to reduce… more
- CVS Health (Chicago, IL)
- …Care program development and implementation, Social Determinants of Health programs, Behavioral Physical Health integration, and Quality integration at ... coverage, resources, and care. We are focused on enhancing quality and population health outcomes while integrating...detailed and supportive oversight of the activities of the Quality team to ensure maximal performance with HEDIS… more
- Highmark Health (Camp Hill, PA)
- …and procedures while increasing provider efficiencies, performance, and maximizing quality (STAR/ HEDIS ). Responsible for reporting packages, support, escalated ... service, education on vendor delivered solutions and services, population health capabilities and resources, and alternative reimbursement model. The incumbent will… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …and Telemedicine. Utilizes Teach and Motivational Interviewing techniques to encourage positive health behavioral change and Health Promotion and Disease ... on an as-needed basis until position(s) are filled. Responsibilities Mental Health Outpatient: Evaluates the patient's progress towards the desired outcomes and… more
- CVS Health (Columbus, OH)
- …that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, member outreach, Care Management, National Quality Management, ... management, reimbursement methods and treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality , and… more
- Conviva (Palm Beach Gardens, FL)
- … record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Kissimmee, FL)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Lead Medical Assistant Bilingual in English...into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital… more
- Conviva (Tampa, FL)
- … record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Mesa, AZ)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... Advantage health plans and is committed to providing personalized, high- quality primary care combined with an excellent patient experience. CenterWell Senior… more
- Conviva (Corpus Christi, TX)
- … record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... NAHP, NAHT, NCCT, NHA or AAH + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more