- CenterWell (Marietta, GA)
- …+ Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + bi-annual ... bonus + Excellent benefit package - **_health insurance effective on your first day of employment_** + CME Allowance/Time + Occurrence Malpractice Insurance + 401(k) with Employer Match + Life Insurance/Disability + Paid Time Off/Holidays + Minimal call… more
- Evolent (Atlanta, GA)
- …+ Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **To comply with HIPAA security standards (45 CFR ... sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are… more
- Guidehouse (Atlanta, GA)
- …+ Experience with commercial health datasets, eg, claims, encounters, risk scoring, HEDIS measures, etc. + Knowledge of recent and ongoing public health initiatives ... in surveillance and informatics + Bachelor's degree and 3 years of prior relevant consulting experience (relevant experience may be substituted for formal education or advanced degree) + 3 years of experience in data analytics and data visualizations,… more
- Vatica Health (Alpharetta, GA)
- …distributed teams + Strong understanding of risk adjustment (HCC coding), HEDIS /Stars measures, and quality improvement programs Competencies: Business Insight & ... Organizational Savvy + Aligns tasks and initiatives with company priorities, translating goals into actionable plans with clear milestones. + Navigates organizational dynamics effectively, engaging key stakeholders and leveraging resources to develop strategic… more
- CVS Health (Atlanta, GA)
- …Qualifications** + Bilingual or multilingual candidates heavily preferred. + Experience with HEDIS screening measures + Experience with behavior change + 2+ years' ... experience with call center or outreach involving members/consumers + 3+years' experience in ahealthcare setting + Medical certification (certified nursing assistant, medical assistant, etc.) **Education** High School Diploma or GED **Anticipated Weekly… more
- Elevance Health (Atlanta, GA)
- …members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. + Conducts outreach to members or providers to close ... care gaps and improve outcomes, while also facilitating the scheduling of preventive tests or screenings and providing access to medication resources or assistance programs for members. **Minimum Requirements:** + Requires an active, professional license, if… more
- Molina Healthcare (Augusta, GA)
- …* Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. **JOB QUALIFICATIONS** **Required ... Education** * Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **Required Experience** + 3-5 years of experience working with **healthcare data** in an analytics… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …of compliance with expected clinic operational and quality metrics (SAIL, HEDIS , etc. An integral member of the Interdisciplinary Polytrauma/TBI Team, ... Interdisciplinary Amputee Clinic Team and Rehabilitation Service Team as needed in the delivery of care for patients. Provide physiatry services as specified in his/her clinical privileges. Services include new patient consultation, established (follow up)… more
- CenterWell (Scottdale, GA)
- …of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly bonus + Excellent benefit ... package - **_health insurance effective on your first day of employment_** + CME Allowance/Time + Relocation and sign-on bonus options + 401(k) with Employer Match + Life Insurance/Disability + Paid Time Off/Holidays + Minimal call \#physiciancareers \#LI-DH1… more
- CenterWell (Decatur, GA)
- …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific ... details may vary by market/center at the discretion of local leadership. KEY RESPONSIBILITIES Leadership & Operational/Organizational Management: * Oversee operations within a multi-physician office or clinical group, maintaining an owner-operator mindset and… more