• AVP, Clinical Stars & Quality

    Molina Healthcare (San Antonio, TX)
    **Job Summary** This role oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs supporting ... **Job Duties** The Associate Vice President is a key Clinical Stars & Quality Improvement (QI) leader within the organization enterprise-wide. This position… more
    Molina Healthcare (08/28/25)
    - Related Jobs
  • Director of Quality Improvement

    Baylor Scott & White Health (Grapevine, TX)
    …nursing, business, or related field preferred. + 3+ years of experience in healthcare quality improvement , patient safety, risk management, or related ... a leadership role preferred. + Experience in leading interdisciplinary initiatives in process improvement . + Knowledge of healthcare quality , patient safety… more
    Baylor Scott & White Health (07/24/25)
    - Related Jobs
  • Quality Improvement /HEDIS RN

    CenterWell (San Antonio, TX)
    …experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS/Stars/CMS + Excellent ... Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    CenterWell (09/06/25)
    - Related Jobs
  • Regional Director of Care Coordination RN

    HCA Healthcare (Dallas, TX)
    …years of related clinical and management experience involving care coordination, ambulatory care, quality improvement , leadership, and healthcare quality ... regional care coordination program that supports the delivery of quality healthcare in the most appropriate and...physicians deliver patient-centered healthcare . We support HCA Healthcare 's commitment to the care and improvement more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (San Antonio, TX)
    Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures ... on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use of...SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality /HEDIS project management and HEDIS Audit… more
    Molina Healthcare (08/31/25)
    - Related Jobs
  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Fort Worth, TX)
    …reporting requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. ... outreach. + Serves as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap, timeline and key… more
    Molina Healthcare (08/21/25)
    - Related Jobs
  • Medical Director (Marketplace)

    Molina Healthcare (Austin, TX)
    …and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement , medical utilization ... NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical… more
    Molina Healthcare (08/28/25)
    - Related Jobs
  • Sr. Healthcare Quality Specialist RN

    Kelsey-Seybold Clinic (Pearland, TX)
    …Clinic (KSC). This role combines clinical expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best ... **Responsibilities** Sr. Healthcare Quality Specialist RN is responsible...safety (eg, CPHQ, CPPS). **Special Skills** Required: Knowledge of quality improvement methodologies (eg, Lean, Six Sigma,… more
    Kelsey-Seybold Clinic (08/14/25)
    - Related Jobs
  • Lead Abstractor, HEDIS/ Quality

    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 projects, ... abstracted records as required by specifications. + Assists the quality improvement staff with physician and member...**E/KNOWLEDGE, SKILLS & ABILITIES:** + 5 years experience in healthcare Quality /HEDIS specific to medical record review… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Senior Overreader, HEDIS/ Quality

    Molina Healthcare (Austin, TX)
    **Job Description** **Job Summary** Molina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical ... **N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality /HEDIS specific to abstraction and overreading. **PR** **E** **FE**… more
    Molina Healthcare (08/21/25)
    - Related Jobs