- Molina Healthcare (Phoenix, 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
- Molina Healthcare (Chandler, AZ)
- …appropriate departments and committees on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality / HEDIS project management and HEDIS Audit * Demonstrated… 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
- Centene Corporation (Tempe, AZ)
- …performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. + Completes special projects as ... years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.… more
- Molina Healthcare (Mesa, AZ)
- …data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...issues related to medical care costs. + Work with clinical , provider network and other personnel to bring supplemental… 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
- Adelante (Buckeye, 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 (Peoria, 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 (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 (Phoenix, AZ)
- …relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual (English and Spanish) preferred (not ... 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