- CVS Health (Austin, TX)
- …medical office staff + Recent and related experience working with HEDIS (R) + Health insurance experience + Health care related experience in clinical, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...managed care or quality management + Understanding of CPT/CPTII/ICD9/ICD10 coding… more
- Elevance Health (Grand Prairie, TX)
- …Partners with other health plan/corporate leaders to develop and deliver innovative care management services, root cause analyses and solutions to achieve ... utilization management . + Partners with Provider Relations, Quality Management , Health Promotions, and...**Minimum Qualifications:** + Requires a BA/BS degree in a health care field and a minimum of… more
- Humana (Austin, TX)
- …Clinical Insights (population health , SDOH, behavioral health , pharmacy strategy, care management strategy), and Quality (withhold management , ... behavioral health trends. + Guide pharmacy and care management strategies using data-driven insights to...measurement. ** Quality :** + Oversee quality management , including withhold management , HEDIS … more
- ChenMed (Houston, TX)
- …hospitalist works for ChenMed or not). + Responsible for assessment, diagnosis, treatment, management , education, health promotion and care coordination and ... to function both independently and in collaboration with other health care professionals. The CMD will work...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- Molina Healthcare (TX)
- … Quality , Public Health , or Healthcare + 5 years of experience in health plan quality management + Experience with data reporting, analysis, and/or ... **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements...with a minimum of 2 years of experience in health plan quality improvement, managed care… more