- Christus Health (Santa Fe, NM)
- …limited to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared ... CMS, Transition of Care Programs, PCMH, VBP via cloud based data applications. Manager is responsible for compilation and preparation of data results related to all… more
- Mindlance (Syracuse, NY)
- …and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members ... and accreditation requirements such as NCQA , URAC and HEDIS functionalities are met or exceeded. Process Management and...to assist with workflow coordination within the department. Assists manager or director with projects. Mentors other staff &… more
- Elevance Health (Columbus, OH)
- …send you a check, or ask you for payment as part of consideration for employment. ** HEDIS Quality Program Manager ** + Job Family: QLT > Clinical Quality ... Monday - Friday; 8:00am - 5:00pm ET The **Clinical Quality Program Manager ** is responsible for serving...you will make an impact:** + Leads plan level HEDIS strategy to drive improvement in behavioral health … more
- Elevance Health (Columbus, OH)
- …and reporting encompasses a much higher level of complexity. + Use tools to enable HEDIS to measure deep dives and data quality review to improve HEDIS ... you for payment as part of consideration for employment. ** HEDIS Business Information Consultant** + Job Family: RDA >...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, OH)
- …** HEDIS Lead** is responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company ... you for payment as part of consideration for employment. ** HEDIS Lead** + Job Family: BSP > Business Support...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, GA)
- …a check, or ask you for payment as part of consideration for employment. ** HEDIS Business Information Consultant** + Job Family: RDA > Business/Health Info + Type: ... + DC, WASHINGTON + MA, WOBURN + MN, MENDOTA HEIGHTS **Description** ** HEDIS Business Information Consultant** **Location:** This position will work in a hybrid… more
- Elevance Health (Tampa, FL)
- …Certified Diabetes Educator, Certified Case Manager ) and a background in quality or performance improvement preferred. + HEDIS Experience strongly preferred ... you for payment as part of consideration for employment. ** Quality Evaluator (Post Acute HEDIS Measures)** +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Point32Health (Canton, MA)
- …the direction of the Senior Manager , Quality Informatics, the Analytic Manager will support HEDIS and quality measurement reporting and data analysis ... for internal and external customers. + Participates in annual updates to HEDIS and quality improvement processes through analysis, application development, user… more
- Ventura County (Ventura, CA)
- …two (2) years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review. NECESSARY SPECIAL REQUIREMENTS ... Utilization Management and tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in line with the… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Quality Program Manager II (CAHPS) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... Work closely with Stars Core Team (Stars Lead and Manager Stars Analytics) to lead quality reporting...Survey (HOS) Skills Required: Thorough knowledge of health plan quality ratings and Stars. Familiarity with HEDIS … more
- VIP Care (Tampa, FL)
- …patients and achieve: Better Care. Better Outcomes. Better Health. Regional Practice Manager (emote from home/extensive local travel) THE OPPORTUNITY This is an ... others and thrives on fast-paced change. The Regional Practice Manager will lead our current primary care physician clinics...identification of members to be scheduled for appointments + Quality Program + Accessing various office EMRs to review… more
- CVS Health (Hartford, CT)
- …Records (EHRs) + In depth knowledge of Healthcare Effectiveness Data and Information Set ( HEDIS ) and National Committee for Quality Assurance (NCQA) + 3 - 5 ... health care more personal, convenient and affordable. Position SummaryAs a Senior Manager , you will be part of the Clinical Platform Solutions Interoperability team… more
- CVS Health (Hartford, CT)
- …and state specific contractual requirements. The ideal candidate will possess strong HEDIS knowledge and/or Quality experience. Required Qualifications + 3+ ... Preferred Qualifications + Clinical degree (RN) or previous work in Risk Adjustment, HEDIS or quality . + 2+ years in of Medicaid or relevant health care industry… more
- Elevance Health (Woodland Hills, CA)
- …with the regional head of quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement, NCQA ... or ask you for payment as part of consideration for employment. **Government Business Quality Management Health Plan Director-CA** + Job Family: QLT > Quality … more
- Centene Corporation (Trenton, NJ)
- …on a regular basis.** **Position Purpose:** Functions as a program development manager in collaboration with Quality , Health Services and Operations business ... of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs...implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:**… more
- Apex Health Solutions (Houston, TX)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Builds trusting ... and transition to Value Based Healthcare processes. The PTS reports to the Manager , Practice Transformation. The PTS is responsible for providing on-site and remote… more
- The Cigna Group (Charlotte, NC)
- The Provider Performance Enablement (PPE) Senior Manager is an integral part of a cross-functional, collaborative organization (which includes Market Provider ... network for the assigned to the Carolina's market. The Provider Performance Senior Manager 's responsibilities include: + Leading and managing the PPE team in the… more
- UCLA Health (Culver City, CA)
- …approach for outreach activities in support of enhancing and maintaining performance on quality measures; this includes HEDIS and other value-based care ... Venice Family Clinic is a leader in providing comprehensive, high- quality primary health care to people in need with...a difference in the community as a Population Health Manager with our Venice Family Clinic team. In this… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY:* To be fully engaged in providing No Harm / Quality , Customer Experience, and Stewardship by: identifying members with complex medical needs and ... Care as needed, and determining clinical and financial outcomes. The Case Manager promotes and evaluates the effective utilization of resources using current… more
- Western Sierra Medical Clinic Inc (Grass Valley, CA)
- JOB TITLE: RN/NP/PA Quality Improvement Manager REPORTS TO: Chief Medical Officer LOCATION: Grass Valley, CA GENERAL STATEMENT OF DUTIES: Under the direction of ... the Chief Medical Officer, the RN/NP/PA Quality Improvement Manager is responsible for the...of Operations and Chief Information Officer in regards to Quality measures of the health insurances, HEDIS ,… more
