- Molina Healthcare (Chandler, AZ)
- …National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor ... **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** + 5 years experience in healthcare Quality / HEDIS specific to medical record review and abstraction + Intermediate… more
- Dignity Health (Phoenix, AZ)
- …per assigned territory. - Serves as subject matter expert in network and clinical quality indicatives, MIPS/MACRA, and other various value based arrangements as ... Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical ...which support our clinicians and their teams on understanding clinical quality measures, network utilization and care… more
- CenterWell (Phoenix, AZ)
- …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and ... and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care… more
- CenterWell (Peoria, AZ)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Proven work experience as a... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality… more
- Adelante (Phoenix, AZ)
- …special projects related to quality improvement as assigned + Leads ( Clinical Quality Improvement) CQI interdisciplinary sessions with sites as needed when ... degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred +...Collaborates with the Quality Director and the Quality Assurance Manager (QAM) on the development… more
- CenterWell (Phoenix, AZ)
- …and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural ... Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation… more
- Adelante (Goodyear, AZ)
- …Care Delivery Integration and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics. + Coordinate outreach ... Continuous Quality Improvement Plans. + Other projects as requested by the Nursing Manager , Quality Improvement Manager , or Director of Quality … more
- CenterWell (Phoenix, AZ)
- …relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding ... and provide medical direction in pursuit of cost effective, quality healthcare. + Plan, organize, manage and supervise the...in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of… more
- CenterWell (Sun City, AZ)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual (English and Spanish) preferred **Additional ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Phoenix, AZ)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more