- CenterWell (Peoria, AZ)
- …preferred, not required, unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Excellent ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and… more
- Banner Health (AZ)
- …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... analysis of data from medical records in accordance with HEDIS specifications. Actively works with the HEDIS ...with HEDIS specifications. Actively works with the HEDIS team to ensure understanding of performance measures, methodology… more
- CenterWell (Phoenix, AZ)
- …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (VSP/PRN) provides health promotion and maintenance through the diagnosis ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- CVS Health (Phoenix, AZ)
- …related role. + 2+ years of process improvement experience related to HEDIS measures. + In-depth knowledge of healthcare regulations, clinical operations, quality ... VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six Sigma Green Belt… more
- Molina Healthcare (Tucson, AZ)
- …investigations, preferably in a managed care setting, or equivalent experience * Registered Nurse . License must be active and unrestricted in state of practice. * ... improvement experience. * Knowledge of Healthcare Effectiveness Data Information Set ( HEDIS ) and National Committee for Quality Assurance (NCQA). * Strong attention… more
- CenterWell (Surprise, AZ)
- …you'll be part of a collaborative, multidisciplinary team that includes nurse practitioners, pharmacists, care coaches, behavioral health specialists, and more-all ... DEA license and/or Medicaid and Medicare numbers. + Familiarity with HEDIS quality indicators and Medicare guidelines. **Compensation & Benefits** + Competitive… more
- Molina Healthcare (Mesa, AZ)
- …Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial ... policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more