- Catholic Health (Orchard Park, NY)
- …but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and ... work at other Trinity Medical facilities and/or physician practice offices + May be exposed to infections and contagious diseases + Occasional exposure to unpleasant patient elements + Contact with patients under wide variety of circumstances + May be exposed… more
- Elevance Health (Latham, NY)
- …adherence to National Committee for Quality Assurance (NCQA) standards and HEDIS reporting. + Hires, trains, coaches, counsels, and evaluates performance of ... direct reports. **Minimum Qualifications:** + Requires BA/BS and minimum of 5 years of experience in Health Care Management; or any combination of education and experience, which would provide an equivalent background. + Current active unrestricted RN, PA,… more
- Catholic Health (Niagara Falls, NY)
- …certification preferred. + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred WORKING CONDITIONS: + Work is demanding and stressful ... at times. + Visual and auditory acuity are essential. + Works indoors in a well-lit, well ventilated area. + May be exposed to communicable diseases. + Possible On-call coverage REQNUMBER: 33502 more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Quality and HEDIS data analysis and reporting experience preferred.** **Position Purpose:** Plans, ... organizes, and monitors quality related projects to deliver defined requirements and meet company strategic objectives. + Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan… more
- Catholic Health (West Seneca, NY)
- …communication skills + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred WORKING CONDITIONS: + Ability to travel to and work ... at other Trinity Medical facilities and/or physician practice offices. + May be exposed to infections and contagious diseases + Occasional exposure to unpleasant patient elements + Contact with patients under wide variety of circumstances + May be exposed to… more
- Saratoga Hospital (Saratoga Springs, NY)
- …to ensure the accuracy and completeness of work-measure/project instructions, NCQA/ HEDIS (R) specifications, coding documents, and quick reference guides. + ... Prioritize daily work to meet various quality reporting deadlines and requirements. + Communicate quality performance, barriers, and improvement strategies both internally and with customers. + Follow all established policies and procedures for various QI… more
- Evolent (Albany, NY)
- …+ 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
- Molina Healthcare (NY)
- …(CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V \#PJCorp \#LI-AC1 Pay Range: $54,922 -… more
- Molina Healthcare (Buffalo, NY)
- …operations. + Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. REQUIRED EDUCATION: + ... Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **REQUIRED EXPERIENCE / SKILLS:** + 3-5 years of experience working with **healthcare data** in an analytics or… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and other high-risk issues. * Conducts targeted phone calls for compliance, HEDIS initiatives and health risk assessments. * Collaborate with Case Management on ... the status of high-risk member referrals. * Assists in finding and connecting members to community social services and agencies. Enroll or refer qualified members in a health home. * Communicates health insurance program options, fundamentals of all the health… more