- Molina Healthcare (Yonkers, NY)
- …* Nursing License ( RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap, timeline and key performance… more
- Molina Healthcare (Rochester, NY)
- …+ Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement… more
- CVS Health (Albany, NY)
- …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
- Centene Corporation (New York, NY)
- …degree preferred. 7+ years of healthcare operations experience, including quality improvement experience. **License/Certification:** RN license preferred. ... and streamlined workflow. + Responsible for National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.… more
- Elevance Health (Latham, NY)
- … quality initiatives and activities, including adherence to National Committee for Quality Assurance (NCQA) standards and HEDIS reporting. + Hires, trains, ... health and substance abuse service for cost containment. + Supports program compliance and assists in identifying opportunities to improve the customer service and… more