- Molina Healthcare (Phoenix, AZ)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy requirements. + Excellent… more
- CenterWell (Peoria, AZ)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... state + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more
- CenterWell (Phoenix, AZ)
- …opportunities. + Perform individual chart research as requested. + Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies. ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Adelante (Phoenix, AZ)
- …to enhance service delivery. This position will work with the Nutrition Services Manager , WIC Services Manager and Director of WIC to identify opportunities ... degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + Quality Assurance...Collaborates with the Quality Director and the Quality Assurance Manager (QAM) on the development and implementation of the… more
- Adelante (Buckeye, AZ)
- …Delivery Integration and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics. + Coordinate outreach efforts to ... Plans. + Other projects as requested by the Nursing Manager , Quality Improvement Manager , or Director of Quality NON-ESSENTIAL SKILLS AND EXPERIENCE: +… more
- CenterWell (Sun City, AZ)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Bilingual is a plus. **Additional Information** + Guaranteed ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CenterWell (Peoria, AZ)
- …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and thorough ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more