- Molina Healthcare (Houston, TX)
- **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 (Austin, TX)
- …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 (Austin, TX)
- **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 (Austin, TX)
- **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 (Austin, TX)
- …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
- ChenMed (Houston, TX)
- …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
- CenterWell (Jourdanton, TX)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English… more
- ChenMed (Houston, TX)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... Meeting (TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for the CMD to increasingly assume responsibilities… more
- Elevance Health (Grand Prairie, TX)
- …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
- CenterWell (Fort Worth, TX)
- …in PCO center + 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