• HEDIS - Quality Practice

    Centene Corporation (Springfield, IL)
    …and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for ... enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy… more
    Centene Corporation (09/13/25)
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  • Pediatric RN- Quality Practice

    Centene Corporation (Surfside Beach, SC)
    …and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for ... enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy… more
    Centene Corporation (10/21/25)
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  • Quality Practice Advisor

    Centene Corporation (Springfield, IL)
    …and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for ... enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy… more
    Centene Corporation (10/10/25)
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  • Quality Practice Advisor

    Centene Corporation (Columbus, OH)
    …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...facing teams to improve provider performance in areas of Quality .** **Identifies specific practice needs where Centene… more
    Centene Corporation (10/15/25)
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  • Clinical Program Consultant (Clinical Program…

    The Cigna Group (Bloomfield, CT)
    …across clinical roles + Collaborate with leadership to influence clinical quality measures, HEDIS outcomes and continuous improvement initiatives **Clinical ... to develop educational strategies that enhance employee and customer satisfaction, compliance, quality of care, HEDIS outcomes, and utilization metrics. +… more
    The Cigna Group (10/23/25)
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  • Improvement Optimization Advisor Senior,…

    Geisinger (Danville, PA)
    …seeking a healthcare quality improvement professional with 3+ years of hands-on HEDIS experience and 1+ year of direct CMS Medicare Stars experience. This role ... multi-platform initiatives that enhance patient experience, safety, staff satisfaction, quality , and efficiency, while delivering measurable ROI. Ideal candidates… more
    Geisinger (10/18/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required Qualifications** + Doctor ... of Medicine (MD) - Internal Medicine or Family Practice + **OR** Doctor of Osteopathic Medicine (DO) - Internal Medicine or Family Practice . + 15 or more years… more
    Sharp HealthCare (10/18/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides ... leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that… more
    Sharp HealthCare (08/17/25)
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