- Molina Healthcare (GA)
- **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
- Centene Corporation (Atlanta, GA)
- …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 (MLR) and utilization. Account management experience strongly preferred.… more
- Centene Corporation (Atlanta, GA)
- …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 (Atlanta, GA)
- …associates to interpret and act on financial and quality metrics (eg, HEDIS , STARs) to drive targeted improvement strategies. + **Coach on Engagement Strategies:** ... care models. **_ _** **Position Purpose:** The Regional Provider Engagement Manager will support provider performance and engagement efforts within a specific… more
- Molina Healthcare (Atlanta, GA)
- **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 (Columbus, GA)
- **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
- ChenMed (Morrow, GA)
- …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
- CenterWell (Atlanta, GA)
- …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
- Elevance Health (Atlanta, GA)
- …to accomplish end results + Works side by side with their program manager **Required Qualifications:** + Requires BA/BS degree in Mathematics, Statistics or related ... initiatives strongly preferred + Government Business Experience strongly preferred + HEDIS /STARS experience preferred + Ability to Develop/code in SQL preferred +… more
- ChenMed (East Point, GA)
- …sanitized and visually appealing. + Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. + Supports ... co-payments, reconciles charges and submits them to the Center Manager for deposit. + Prints Patient Check-in Board for...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + This is… more