• Senior Overreader, HEDIS /Quality…

    Molina Healthcare (MI)
    …and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
    Molina Healthcare (08/21/25)
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  • Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (MI)
    …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
    Molina Healthcare (08/08/25)
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  • Director, Clinical Data Acquisition ( HEDIS…

    Molina Healthcare (MI)
    …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management...Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) * Certified… more
    Molina Healthcare (08/21/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Detroit, MI)
    …in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key ... with key departments within Molina and at Molina plans. + Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance… more
    Molina Healthcare (08/02/25)
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  • Quality Practice Transformation Advisor

    CVS Health (Lansing, MI)
    …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... related role. + 2+ years of process improvement experience related to HEDIS measures. + In-depth knowledge of healthcare regulations, clinical operations, quality… more
    CVS Health (08/23/25)
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  • Population Health Coordinator

    LifePoint Health (Ishpeming, MI)
    …Assurance (NCQA) structure and standards, Health Plan Employer Data and Information Set ( HEDIS ). . Knowledge of how to use computerized statistical methods in CQI ... and process management initiatives. . Skill in consistently meeting requirements of NCQA, HEDIS and other regulators and accreditors. . . Skill in using computer… more
    LifePoint Health (08/27/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (MI)
    …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal… more
    Molina Healthcare (07/31/25)
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