- CVS Health (TX)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...and statistical analysis to Healthcare Quality metrics spanning NCQA HEDIS measures and CMS Clinical Stars + Apply advanced… more
- CenterWell (Houston, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... reminders + Medical record review, retrieval, and submissions to health plans to support HEDIS gap closure....STARs quality measures. . Prior experience in a fast-paced health care setting direct hands-on patient … more
- Centene Corporation (Austin, TX)
- …performance + Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures,… more
- Providence (TX)
- …Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best ... **Description** **Senior Manager Claims \*Remote * Candidates residing in Alaska,...including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life… more
- Elevance Health (Grand Prairie, TX)
- …granted as required by law. **How you will make an impact:** + Coordinates specific health coaching as directed by nurse case manager to address objectives and ... to provide feedback on member goal attainment and clinical issues. + Identify and address HEDIS /STARS gaps in care . + Maintains fidelity to the Coleman Model for… more
- Molina Healthcare (Fort Worth, TX)
- …engagement or payer-provider program management. + Experience working in managed care , health plans, or healthcare networks (Medicaid, Medicare, Marketplace). ... initiatives, manages deliverables, and drives continuous improvement to support value-based care and improved member outcomes. **Job Duties** + Responsible for… more
- CenterWell (Baytown, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... hospital and SNF coordination, durable medical equipment and home health care . + Acts as an active...Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual in English and Spanish… more
- CenterWell (Houston, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... hospital and SNF coordination, durable medical equipment and home health care . . Acts as an active...Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators **Additional Information:** . Base salary +bi-annual… more
- CenterWell (Corpus Christi, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... part of our caring community and help us put health first** Humana's Primary Care Organization (PCO)...Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary… more
- CenterWell (El Paso, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... hospital and SNF coordination, durable medical equipment and home health care . + Acts as an active...Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual in English and Spanish… more