- Molina Healthcare (NY)
- **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 (Albany, NY)
- **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
- Apicha Community Health Center (New York, NY)
- …Manager collaborates with a multidisciplinary staff to meet Population Health and quality improvement goals through projects aligned with the mission of ... data is accurate and reliable for use in performance improvement efforts Quality Improvement +...and CPT coding strongly preferred + Understanding of UDS, HEDIS , and NCQA PCMH accreditation quality standards… more
- Centene Corporation (Queens, NY)
- …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
- Datavant (Albany, NY)
- …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 (NY)
- …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
- CenterWell (Albany, NY)
- …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