• Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (St. Petersburg, FL)
    …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 (08/08/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Tampa, FL)
    **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 (07/31/25)
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  • Provider Engagement Account Manager

    Centene Corporation (New Port Richey, FL)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
    Centene Corporation (08/03/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Orlando, FL)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
    Centene Corporation (07/10/25)
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  • Clinical Manager /Supervisor of Medical…

    ChenMed (Delray Beach, FL)
    …expanding and we need great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for the day-to-day management of back ... that help the center meet/exceed organizational goals. The Center Clinical Manager demonstrates thorough knowledge and proficiency in healthcare data analytics,… more
    ChenMed (07/31/25)
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  • Manager , Utilization Management (RN)

    Evolent (Tallahassee, FL)
    …driving results, and collaborating with others. **Collaboration Opportunities:** + The Manager , Client Services oversees daily utilization management and directs the ... global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA - Preferred. + Skilled in inpatient and outpatient utilization… more
    Evolent (08/14/25)
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  • Senior Client Coding Project Manager

    Datavant (Tallahassee, FL)
    …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
    Datavant (06/28/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …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 (08/13/25)
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  • Quality Improvement RN

    CenterWell (Orlando, FL)
    …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... Florida + 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 (08/12/25)
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  • Front Desk Team Member

    ChenMed (Miami, FL)
    …secretarial and administrative support. He/she reports up to an Assistant Center Manager or Center Manager , but could receive occasional instruction/supervision ... comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer… more
    ChenMed (08/01/25)
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