- BlueCross BlueShield of North Carolina (NC)
- …SMART on FHIR Applications and strategies, + Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS , FHIR Implementation Guides, ... Domain expert in Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that… more
- CenterWell (Jacksonville, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals ... clinical teams to staff and develop a high- quality clinical team with strong engagement, patient-first...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed… more
- Molina Healthcare (Cleveland, OH)
- …with Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality , Public Health or Healthcare. **Preferred Experience** + ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- CVS Health (Indianapolis, IN)
- …and every day. This is an individual contributor role The Senior Manager of Value-Based Contracting is responsible for establishing and maintaining productive ... partners to develop innovative value-based solutions to meet total cost and quality goals. + Responsible for developing alternative payment models, identifying and… more
- CenterWell (Myrtle Beach, SC)
- …partner to achieve optimal patient outcomes and company initiatives, including Quality , HEDIS /STARs, AHCA, optimal patient scheduling, financial management, ... plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing,… more
- CenterWell (Royal Palm Beach, FL)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop...experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience… more
- CenterWell (Daytona Beach, FL)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop...experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. + Bilingual… more
- CenterWell (Jourdanton, TX)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop...experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Work Schedule:**… more
- CenterWell (New Albany, IN)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Assistant** , you will be a part of the Clinical Care Team engaging with our patients to develop...experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual… more
- Sharp HealthCare (San Diego, CA)
- …provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other ... assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer.… more