- Molina Healthcare (Fort Worth, TX)
- **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
- CenterWell (San Antonio, TX)
- …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
- Molina Healthcare (Dallas, TX)
- **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
- Centene Corporation (Austin, TX)
- …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 (Austin, TX)
- …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
- CenterWell (Austin, TX)
- …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 (El Paso, TX)
- …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 (Fort Worth, TX)
- …(KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals *Personally deliver ... combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based Care (VBC) principles. This… more
- CenterWell (Arlington, TX)
- …(KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver ... combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based Care (VBC) principles. This… more
- CenterWell (Austin, TX)
- …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