• Pharmacist, Utilization Management (UM)

    Molina Healthcare (Vancouver, WA)
    …and appeals process. + Contributes to projects aimed at improving Star ratings, HEDIS , CAHPS, and other quality metrics. + Assists call center pharmacy ... Manager . + Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization, and adherence. **JOB QUALIFICATIONS**… more
    Molina Healthcare (07/27/25)
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  • Nurse Practitioner w/peds/newborn bilingual…

    CenterWell (Plant City, FL)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional Information** + Base salary + bi-annual ... coding specificity. + Follows policy and protocol defined by clinical leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/11/25)
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  • PRN - Virtual Physician Collaborator (Remote)

    CenterWell (Bismarck, ND)
    …telemedicine/telehealth . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value-based care settings ... Clinical Leadership. . Meet with clinic leaders about quality of care, review of outcome data, policy, procedure,...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (08/02/25)
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  • Nurse Practitioner

    CenterWell (Kansas City, MO)
    …of Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. Additional Information: + Guaranteed base salary + annual ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (08/01/25)
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  • Primary Care Physician

    CenterWell (Belle Glade, FL)
    …environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators **Additional Information:** . Base salary +bi-annual ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/31/25)
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  • Primary Care Physician

    CenterWell (Wichita, KS)
    …of Medicare guidelines and coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Guaranteed base salary + annual ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/30/25)
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  • NP/PA Bilingual Spanish

    CenterWell (North Las Vegas, NV)
    …environment. + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/29/25)
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  • CenterWell - Physician

    CenterWell (Nashville, TN)
    …of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary + annual ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/28/25)
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  • Primary Care Physician

    CenterWell (Greenville, SC)
    …healthcare setting + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual is a plus **Additional Information** **Why ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/28/25)
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  • Primary Care Physician

    CenterWell (Plantation, FL)
    …Medicare guidelines and coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Guaranteed base salary + quarterly ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/26/25)
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