- 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
- Banner Health (AZ)
- …3. Monitors and tracks Corrective Active Plans (CAPs), in collaboration with the Manager , Supervisor or QM RN and communicates audit results to providers along with ... compliance issues identified in the audit process to the Manager /Supervisor of QM. Assists in the development of QM...analysis of data from medical records in accordance with HEDIS specifications. Actively works with the HEDIS … more
- Molina Healthcare (Scottsdale, AZ)
- **Job Summary** The Manager , Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare… more
- Molina Healthcare (Tucson, AZ)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and… more
- CVS Health (Phoenix, AZ)
- …experience within Medicare Part D Stars Program Management, Medicare / Medicaid HEDIS measurement or other government quality program management + Experience using ... Microsoft Project + Project Management Professional (PMP) certification preferred **Education** + Bachelor's degree required. Equivalent experience may be considered. **Pay Range** The typical pay range for this role is: $75,400.00 - $182,549.00 This pay range… more
- CenterWell (Peoria, AZ)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and ... 5+ years of clinical nursing experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years of managed care… more
- CenterWell (Phoenix, AZ)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual (English and Spanish) preferred (not required) ... 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 (Phoenix, AZ)
- …years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English ... 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 (Surprise, AZ)
- …years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Molina Healthcare (Scottsdale, AZ)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... Certification, Association** + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more