- Centene Corporation (Springfield, IL)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… more
- Centene Corporation (Springfield, IL)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… more
- Molina Healthcare (Chicago, IL)
- …License ( RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality … more
- CVS Health (Springfield, IL)
- …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... to achieve improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance , member experience and patient-centered… more
- AdventHealth (Woodridge, IL)
- …valid drivers license and reliable form of transportation. EPIC Credential (EPIC CRED) preferred Registered Nurse ( RN ) preferred This facility is an equal ... of quality reporting and physician practice regulatory programs (eg, HEDIS , MIPS). Displays advanced knowledge and skills necessary to deliver quality… more
- Humana (Springfield, IL)
- …+ **Must reside in the state of Illinois** + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker **(LCSW)** ... Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to...mentoring and coaching associates. + Prior experience with healthcare quality measures STARS, HEDIS , etc. and/or clinical… more