- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... with a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population… more
- Commonwealth Care Alliance (Boston, MA)
- …& Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships ... high-quality, coordinated care for members. In this role, the Program Manager acts as an account ...priorities. - Track provider progress on performance metrics (eg, HEDIS , readmissions, community tenure) and follow up to support… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... on fostering strong clinical and programmatic collaboration, effectively communicating program performance to delegated providers, and supporting the implementation… more
- ERP International (Camp Pendleton, CA)
- …cessation classes or appointments consistent with the MTF tobacco cessation program ; and nutrition education and weight management. - Develop population-based ... a hospital setting, train hospital and Naval staff in health promotion program protocols and processes to ensure sustainability, develop educational seminars and… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject ... matter expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and… more
- Centene Corporation (Harrisburg, PA)
- …of PA Health & Wellness, a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS , ... strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
- TEKsystems (Houston, TX)
- 100% REMOTE JOB OPPORTUNITY FOR HEDIS COORDINATOR- MUST HAVE PRIOR HEDIS EXPERIENCE EQUIPMENT PROVIDED YOU MUST LIVE IN THE STATE OF TEXAS FOR THIS JOB ... - FRIDAY 8AM-6PM $20/HR Qualifications: + 2 years of HEDIS coordinator experience + EMR experience + Medical records...+ Communicate and collaborate with coworkers, team leads and manager . + Follow HIPAA and company guidelines to safeguard… more
- Molina Healthcare (OH)
- …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the… more
- Molina Healthcare (OH)
- … program milestones, deadlines, and/or deliverables + Participates in quality/ HEDIS improvement activities, meetings, and discussions with and between other ... quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key… more
- The Cigna Group (Bloomfield, CT)
- **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in ... outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager is responsible for managing complex projects, transforming traditional… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior Manager ...Act as liaison between IT Solution Delivery team and Program /Project Managers for all Enterprise Initiatives. Manage and prioritize… more
- CVS Health (Lansing, MI)
- …the functions of the Michigan Highly Integrated Duals Eligible (HIDE) quality program , including regulatory deliverables, HEDIS activities and reporting and ... and contract compliance. + Develop the annual quality workplan to include program activities. + Support population health management and health equity activities to… more
- CenterWell (Lutz, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and ... and RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- LifePoint Health (Las Cruces, NM)
- *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and supporting a ... of 8 primary care-based clinics and 15 Clinicians including a Family Residence program . In 2019 and 2020, insurance payers have been establishing databases and… more
- Commonwealth Care Alliance (Boston, MA)
- …& Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships ... high-quality, coordinated care for members. In this role, the Program Manager acts as an account ...priorities. * Track provider progress on performance metrics (eg, HEDIS , readmissions, community tenure) and follow up to support… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- Centene Corporation (New York, NY)
- …**Position Purpose:** Oversee and manage the functions of the quality improvement program , including HEDIS reporting and other quality improvement activities. ... progress, and problems encountered, required for planning work function activities, including HEDIS reporting. + Verify data to be submitted in accordance with… more
- Centene Corporation (New Orleans, LA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- Centene Corporation (Atlanta, GA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost (MLR) and utilization. Account management experience strongly preferred.… more
- Centene Corporation (Carson City, NV)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. + Proficient in HEDIS /Quality measures, cost and utilization. Pay Range: $55,100.00 - $99,000.00 per year Centene… more
