- Molina Healthcare (Albuquerque, NM)
- **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 (Roswell, NM)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement activities...on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use of… more
- LifePoint Health (Las Cruces, NM)
- …meaningful interactions regarding current performance. * Utilize professional, clinical and/or quality improvement experience and expertise to guide the ... *Job Title:* Quality Practice Manager (QPM) *Job Type:*Full-time...issue resolution Identify and provide recommendations for provider participant's quality and utilization improvement plans and assist… more
- Molina Healthcare (NM)
- **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
- Magellan Health Services (Albuquerque, NM)
- …outpatient providers, forming collaborative partnerships to drive measurable performance and quality improvements ( HEDIS ). + Shares performance and quality ... cadence to develop and build collaborative partnerships. Presents performance and quality metrics with strategic providers and highlight actionable insights to drive… more
- Datavant (Santa Fe, NM)
- …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 (Rio Rancho, NM)
- …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 (Santa Fe, NM)
- …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
- Molina Healthcare (Santa Fe, NM)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between ... organizations + Evaluates project/program activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps… more