- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
- CenterWell (Peoria, AZ)
- …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement...scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS … more
- Centene Corporation (Tempe, AZ)
- …years of managed care or medical group experience, provider relations, quality improvement , claims, contracting utilization management, or clinical operations. ... improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. + Completes special projects as assigned… more
- Adelante (Phoenix, AZ)
- …WIC Services Manager and Director of WIC to identify opportunities for quality improvement and oversee performance improvement initiatives. This position ... degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred +...Some roles require experience in managing teams and overseeing quality improvement processes. + Knowledge of WIC… more
- Datavant (Phoenix, AZ)
- …collaboration with those responsible for coder performance management. + Drive quality assurance and performance improvement activities for coding projects. ... vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding...coding and management tools, and ensuring alignment on coding quality . + Oversee the coding phase of client projects… more
- Molina Healthcare (Phoenix, AZ)
- …data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...medical cost trends. With those root causes identified, drives improvement change by recommending actionable initiatives to C-level Suite… more
- CenterWell (Phoenix, AZ)
- …and coding. + Based on one-on-one engagement with clinicians, identify documentation improvement areas and partner with clinical and coding education to deliver ... education related to improvement opportunities + Analyze trends, triage, and answer questions in real-time. + Research and interpret correct coding guidelines and… more
- Adelante (Buckeye, AZ)
- … Quality Improvement Plans. + Other projects as requested by the Nursing Manager , Quality Improvement Manager , or Director of Quality ... patients regarding normal & abnormal labs & diagnostics results. Quality Improvement and Coordination + Collaborate with...and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics.… more
- CenterWell (Peoria, AZ)
- …for patients on appropriate use of medications and self-management + Engage in quality improvement initiatives aimed at enhancing medication safety and efficacy ... or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more