- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager ** will be r _esponsible for providing operational/strategic ... but not limited to Somatus staff, vendors, providers, and patients. The Sr. HEDIS Manager shall identify problem opportunities, conduct root cause analysis, and… more
- Somatus (Mclean, VA)
- …ensure optimal processes are effective to address gaps in care. + Support the HEDIS manager to conduct meetings with operations to review performance. + ... + Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to request and evaluate reports for member compliance and improvement… more
- Somatus (Mclean, VA)
- …partner health plan quality programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect data and maintain the ... well-being + Community engagement opportunities + And more! The HEDIS Coordinator I will perform the functions related to...entering of medical records and service data according to HEDIS / Somatus Technical Specifications. The primary focus of… more
- ChenMed (Richmond, VA)
- …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
- Sanofi Group (Richmond, VA)
- **Job Title:** Strategic Account Manager - Vaccines **Location:** US Remote/Field **About the Job** The Strategic Account Management organization is a highly skilled ... + Demonstrated understanding of **value-based care models** , quality metrics (eg, HEDIS , STAR, CMS), and performance improvement initiatives + Proven ability to… more
- Evolent (Richmond, VA)
- …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
- Datavant (Richmond, VA)
- …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
- CenterWell (Richmond, VA)
- …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
- ChenMed (Richmond, VA)
- …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
- Elevance Health (Norfolk, VA)
- …to Medicare, Commercial, and Medicaid providers, focusing on improving quality (STAR and HEDIS ) and cost measures. You will work closely with providers engaged in ... quality by staying up to date on STAR and HEDIS measures. + Provider education to support clinical pharmacy...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more