- CenterWell (Houston, TX)
- …improvement best practice initiatives designed to improve Medicare quality measures ( HEDIS ), patient safety and patient experience (CAHPS-HOS). QIP assignment may be ... experience working with clinical quality measures in particular medication adherence and HEDIS . + Utilize approved avenues to outreach to patients with medication… more
- Centene Corporation (Austin, TX)
- …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
- Providence (TX)
- **Description** **Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or New Mexico are encouraged to ... apply.** The Senior Manager , Claims role is responsible for management and supervision...Lean, Change Acceleration Process (CAP) experience. + Experience with HEDIS , CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation.… more
- CenterWell (San Antonio, 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
- CenterWell (Corpus Christi, TX)
- …and Improved Patient Care** **:** responsible, internally,forcompleting/closingall quality metrics ( HEDIS , STARS, EDAPS)for their panel of patients. + **Participate ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + **Board certification in geriatric medicine is highly… more
- CenterWell (Corpus Christi, 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)
- …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
- 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)
- …an impact:** + Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as identified during assessment. + Implements ... overcome those barriers. + Coordinates with the nurse case manager to provide feedback on member goal attainment and...goal attainment and clinical issues. + Identify and address HEDIS /STARS gaps in care. + Maintains fidelity to the… more
- Molina Healthcare (TX)
- …NCQA-related) requirements are documented during the year + Works with the Manager and/or Director to maintain up-to-date addendums to quality policies and ... to identify opportunities for improvement + Surfaces to the Manager and/or Director any gaps in processes that may...be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more