- Molina Healthcare (Chandler, AZ)
- …member/ provider ( HEDIS ) outreach and/or quality intervention or improvement studies (development, implementation, evaluation) and Director level experience. ... subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap,...at least 4 years in health plan quality or process improvement or equivalent/related experience. * Operational… more
- Molina Healthcare (Phoenix, AZ)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
- Molina Healthcare (Chandler, AZ)
- …nature of the performance measurement data collection, reporting and monitoring process , including HEDIS , state-based measure reporting and medical record ... the soundness and correctness of data used to create HEDIS results. Manages state's annual CAHPS survey process...Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement activities… more
- Adelante (Phoenix, AZ)
- …position will work closely with WIC training Coordinator and WIC operations to implement process improvement and monitor process improvement changes. ... Director of WIC to identify opportunities for quality improvement and oversee performance improvement initiatives. This...degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + Quality Assurance… more
- Adelante (Buckeye, AZ)
- … Plans. + Other projects as requested by the Nursing Manager, Quality Improvement Manager, or Director of Quality NON-ESSENTIAL SKILLS AND EXPERIENCE: + ... vaccine). + Perform PPD placement, Flu and COVID testing. + Support referral process as needed per AHC standing orders and procedures. + Develop Self-Management… more