- Community Based Care of Brevard, Inc. (Orlando, FL)
- …ensure that the enrollee attends a seven (7) day follow up appointment. . HEDIS Care Gap Reports: Review of health and wellness reports (ie, HEDIS ... Care Coordination: serve as a liaison between Sunshine Health and case management , Operations, Adoptions, Post-Adoption.... Quality Management : Review case management reports/data, available within the Sunshine Health … more
- CVS Health (Tallahassee, FL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing quality healthcare data, and applying… more
- Highmark Health (Tallahassee, FL)
- …industry, healthcare administration in primary care , or healthcare consulting in primary care or population health management . + 3 years of experience ... with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management . **Preferred** + 7 years of experience in managed care… more
- CVS Health (Tallahassee, FL)
- …DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality , and care management . * Actively participate in meetings and ... with the Behavioral Health , Pharmacy, Member Outreach, Care Management , National Quality ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more
- CVS Health (Tallahassee, FL)
- …Collaborate closely with internal teams, including clinical and operational leadership, value-based care , quality management teams and provider relations ... guidance, feedback, and support to facilitate their success.7. **Data Management and Reporting** : Utilize data management ... quality . Support population health and health equity initiatives to improve care gap… more
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