• Lead Abstractor, HEDIS / Quality

    Molina Healthcare (Savannah, GA)
    …National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor ... **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** + 5 years experience in healthcare Quality / HEDIS specific to medical record review and abstraction + Intermediate… more
    Molina Healthcare (08/08/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …to ensure data integrity and chart collection. + Produces routine to moderately complex HEDIS reporting to support clinical Quality initiatives to improve ... more junior-level Analyst. May supervise staff in absence of Manager + Supports HEDIS submission lifecycle processes...certified HEDIS software. + Ability to analyze clinical , claims, pharmacy, encounter, and quality measurement… more
    Medical Mutual of Ohio (08/16/25)
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  • Hedis / Quality Improvement RN

    CenterWell (San Antonio, TX)
    …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Proven work experience as a... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality more
    CenterWell (08/20/25)
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  • Manager , Clinical Data Acquisition…

    Molina Healthcare (Lexington, KY)
    …appropriate departments and committees on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality / HEDIS project management and HEDIS Audit * Demonstrated… more
    Molina Healthcare (08/31/25)
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  • Manager , Senior Health Clinical

    Amazon (San Francisco, CA)
    Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader ... for Clinical Quality , this role will be responsible...for Clinical Quality , this role will be responsible for ...developing QI teams - Strong understanding of CMS and HEDIS quality measures and reporting requirements Preferred… more
    Amazon (08/27/25)
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  • Center Clinical Manager - Duval…

    ChenMed (Jacksonville, FL)
    …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/ Clinical Gaps) and support our core model. ... need great people to join our team. The Center Clinical Manager (CCM) is an active leadership...operations, which may include but is not limited to: clinical quality , compliance, human resources, patient experience… more
    ChenMed (08/27/25)
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  • Quality Improvement Supervisor,…

    CenterWell (Port St. Lucie, FL)
    …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Strong knowledge of HEDIS...attention to detail with a focus on process and quality + Comprehensive knowledge of Microsoft Office applications **Preferred… more
    CenterWell (08/08/25)
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  • Quality Practice Manager (QPM) Las…

    LifePoint Health (Las Cruces, NM)
    *Job Title:* Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and ... volumes in PCP visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to… more
    LifePoint Health (08/09/25)
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  • Behavioral Health Provider Quality

    Elevance Health (Walnut Creek, CA)
    …departments to ensure high- quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical , quality , and ... **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a...engages with BH providers and ensures measurable improvements in clinical and quality outcomes for members. +… more
    Elevance Health (07/04/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …Minimum of 4 years of Health Services Domain experience required. 3 years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge ... Technical Applications Manager II Job Category: Information Technology Department: IT...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
    LA Care Health Plan (08/08/25)
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