• Lead Abstractor, HEDIS / Quality…

    Molina Healthcare (Orlando, FL)
    **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 (08/08/25)
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  • Quality Improvement Professional…

    CenterWell (Tallahassee, FL)
    … improvement best practice initiatives designed to improve Medicare quality measures ( HEDIS ), patient safety and patient experience (CAHPS-HOS). QIP ... caring community and help us put health first** The Quality Improvement Professional implements quality ...implementation of practice specific strategies designed to improve Medicare quality measures ( HEDIS ), patient safety and patient… more
    CenterWell (08/22/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to… more
    CenterWell (08/13/25)
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  • Quality Improvement RN

    CenterWell (New Smyrna Beach, FL)
    …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Improvement Clinical Professional (RN): + Collaborates with market leadership, and quality improvement team to developand implement programs designed to… more
    CenterWell (08/12/25)
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  • Quality Improvement Supervisor,…

    CenterWell (Port St. Lucie, FL)
    …represents the scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS and Stars performance ... us put health first** **Job Profile Summary** The Supervisor, Stars Improvement , Clinical is responsible for supporting the development, implementation and oversight… more
    CenterWell (08/08/25)
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  • Risk & Quality Performance Manager…

    Molina Healthcare (FL)
    **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
    Molina Healthcare (07/31/25)
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  • Provider Engagement Account Manager

    Centene Corporation (New Port Richey, FL)
    …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
    Centene Corporation (08/03/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Orlando, FL)
    …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
    Centene Corporation (07/10/25)
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  • Center Clinical Manager - Duval County

    ChenMed (Jacksonville, FL)
    …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + ... great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for...which may include but is not limited to: clinical quality , compliance, human resources, patient experience and direct team… more
    ChenMed (08/27/25)
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  • Senior Client Coding Project Manager

    Datavant (Tallahassee, FL)
    …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
    Datavant (06/28/25)
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