- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** This job will be accountable for the clinical pharmacy operations area, specifically the clinical team of pharmacists who ... support the pharmacy operations team. This job will work closely with the clinical pharmacy strategies and other pharmacy strategy teams to execute on the… more
- Providence (WA)
- …+ Develop and implement strategies to improve Medicare Advantage Star Ratings, driving clinical quality indicators ( HEDIS Star metrics), CAHPS, and HOS ... **Description** ** Quality Program Manager - Medicare Advantage...Stars program oversight, including intervention development and implementation for clinical quality (Stars HEDIS ) measures,… more
- Elevance Health (Richmond, VA)
- …providing pharmacy support to Medicare, Commercial, and Medicaid providers, focusing on improving quality (STAR and HEDIS ) and cost measures. You will work ... pharmaceuticals to assist contracted providers in achieving cost and quality goals. + Evaluate pharmacy quality program... by staying up to date on STAR and HEDIS measures. + Provider education to support clinical… more
- LifePoint Health (Las Cruces, NM)
- …volumes in PCP visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to ... initiate one-on-one meaningful interactions regarding current performance. Utilize professional, clinical and/or quality improvement experience and expertise to… more
- Elevance Health (Los Angeles, CA)
- …departments to ensure high- quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical , quality , and ... 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
- ChenMed (St. Petersburg, FL)
- …overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- Dignity Health (Phoenix, AZ)
- …per assigned territory. - Serves as subject matter expert in network and clinical quality indicatives, MIPS/MACRA, and other various value based arrangements as ... Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical ...which support our clinicians and their teams on understanding clinical quality measures, network utilization and care… more
- Apicha Community Health Center (New York, NY)
- … Manager supports the implementation of strategies to drive clinical transformation toward value-based care delivery and addressing underlying health disparities ... medical terminology, ICD-10, and CPT coding strongly preferred + Understanding of UDS, HEDIS , and NCQA PCMH accreditation quality standards + Excellent verbal… more
- CenterWell (Tampa, FL)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality… more
- CenterWell (Providence, RI)
- …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and ... and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care… more