- State of Indiana (Indianapolis, IN)
- …with three plus three to five years of previous HEDIS or healthcare quality experience with a clinic, hospital, or health plan. Experience with Quality ... HEDIS & Quality Advisor Date Posted:...program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for… more
- CVS Health (Princeton, NJ)
- …in the office (Tuesday, Wednesday and Thursday) in Princeton, NJ Position Summary The Behavioral Health Quality Management Supervisor is responsible for ... behavioral health quality management and quality ...Monitoring HEDIS and Performance Measures related to Behavioral Health , identifying opportunities for improvement and… more
- Community Based Care of Brevard, Inc. (Orange County, FL)
- Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator (BHC)-Post Adoption is responsible for c oordination of ... behavioral health services for adopted children enrolled...to ensure a seven (7) day follow up appointment. HEDIS Care Gap Reports: Review of health … more
- Molina Healthcare (Albuquerque, NM)
- **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 (Charleston, WV)
- …and outcomes strategic plan development + Experience with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management ... skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on,...Experience in Lean, Six Sigma, TQI, TQC or other quality management certification + Experience in health … more
- CVS Health (Frankfort, KY)
- … Management includes, but is not limited to, QM Programs/Infrastructure, behavioral health QM, credentialing, delegation and regulatory accreditation support, ... industry and quality management. Preferred Qualifications + Certified Professional in Health Quality (CPHQ) or other certification a plus. Education +… more
- Zufall Health Center (Dover, NJ)
- …QA processes, including regular assessments and reviews in various departments/domains, such as, Behavioral Health , Dental, Perinatal Health and Ryan White ... Specialist supports and assists in the implementation of Zufall Health Center's overall Quality Assurance and Performance... Health System's ACO and requests received from health plans regarding HEDIS measures and other… more
- Centene Corporation (Jefferson City, MO)
- …Work or related field. required:** 5+ years managed care experience related to HEDIS OR GPRO record review, quality improvement, medical coding or, transferable ... eligible experience. preferred 2+ years Designing, developing and implementing STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- …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
- Highmark Health (Charleston, WV)
- …to regularly contact. These include physicians, practice administrators, specialists, behavioral health providers, ancillary service providers, hospital ... including NCQA accreditation, and the creation of an accurate HEDIS data set. + Assist in the development of...health care management roles, and involvement with formal quality and/or utilization management programs are required + 5… more
- Elevance Health (Columbus, OH)
- …and/or a MS in the health field (ie Nursing) is preferred. + Behavioral health experience, specifically in serious mental illness strongly preferred. + ... nursing, or a related clinical field; 4 years of health care quality or data analysis experience;...HEDIS measure experience strongly preferred. + Project management experience… 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
- 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 VSP Medical Assistant assists physicians and...into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital… more
- Sea Mar Community Health Centers (Aberdeen, 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
- LifePoint Health (Brentwood, TN)
- …healthcare delivery network. Our network includes 60 community hospitals, 60 rehabilitation/ behavioral health hospitals, and 250 additional sites of care ... Health Advisor * *Who we are:* At Lifepoint Health , we provide quality healthcare to rural...* * *Responsibilities:* * Deliver comprehensive MIPS, ACO/MSSP, and HEDIS quality reporting for ACO/CIN contracts. *… more
- CVS Health (Austin, TX)
- …without having a direct reporting relationship with dependent partners. . Must understand how quality programs such as NCQA and HEDIS affect the Plan. . The ... operations, including UM, CM, Care program development and implementation, SDOH programs, Behavioral + Physical Health integration, and the importance of… 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
- 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
- CenterWell (Phoenix, AZ)
- …consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your skills to...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Las Vegas, NV)
- …consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** * Guaranteed base salary +… more