- Elevance Health (Miami, FL)
- **Business Information Analyst II - HEDIS Quality Analytics** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... and formats and utilizing multiple data systems to analyze HEDIS results is preferred. + Experience with relational databases...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Centene Corporation (Tallahassee, FL)
- …performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Present detailed HBR analysis and ... health plan setting. Strong communication and presentation skills Proficient in HEDIS /Quality measures, cost and utilization. Pay Range: $70,100.00 - $126,200.00 per… more
- Centene Corporation (Tallahassee, 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: $56,200.00 - $101,000.00 per year Centene… more
- ChenMed (Largo, 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
- Actalent (Sunrise, FL)
- Job Title: OB RN Case Manager Job Description We are seeking an OB RN Case Manager to coordinate care for maternal and child health populations. This role ... interviewing. + Knowledge of Medicaid/Medicare regulations and maternal health quality measures ( HEDIS ). + Experience in managed care or health plan settings. +… more
- Actalent (Jacksonville, FL)
- …Must be a Licensed Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal and child health populations, ensuring safe, evidence-based ... priorities and hybrid schedules. + InterQual experience. + Certified Case Manager . + Familiarity with Medicaid/Medicare regulations. + Experience with motivational… more
- CenterWell (Jacksonville, FL)
- …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific ... 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 (Delray Beach, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards. ... Assistant experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience… more
- CenterWell (Boca Raton, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards. ... Assistant experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience… more
- ChenMed (Jacksonville, FL)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... or fax. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer service skills and… more