- Molina Healthcare (Orlando, FL)
- …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
- ChenMed (Jacksonville, FL)
- …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/ Clinical Gaps) and support our core model. ... need great people to join our team. The Center Clinical Manager (CCM) is an active leadership...operations, which may include but is not limited to: clinical quality , compliance, human resources, patient experience… more
- CenterWell (Port St. Lucie, FL)
- …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 + Strong knowledge of HEDIS...attention to detail with a focus on process and quality + Comprehensive knowledge of Microsoft Office applications **Preferred… more
- AdventHealth (Altamonte Springs, FL)
- …Data and Information Set ( HEDIS ), Merit Incentive Based Programs (MIPS) and Clinical Quality Measures (CQM). The QOM also offers support regarding recent ... ** Quality Outcomes Manager AdventHealth PHSO Resources**...each position may vary based on geographical location. **Category:** Quality / Clinical Effectiveness **Organization:** AdventHealth PHSO Resources **Schedule:**… more
- CenterWell (Tallahassee, FL)
- …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 (Tampa, FL)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality… more
- ChenMed (Miami, FL)
- …improve patient outcomes, and enhance CMS Star Ratings and HEDIS quality measures. This position requires advanced clinical judgment, effective patient ... our team. The Medication Adherence Pharmacist is an innovative and patient-focused clinical pharmacist embedded within a defined market of primary care clinics. This… more
- CenterWell (New Smyrna Beach, FL)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... and help us put health first** The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality… more
- Centene Corporation (New Port Richey, FL)
- …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
- Centene Corporation (Orlando, FL)
- …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