- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards ... staff and Health Plans to facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS...+ Provide education and training to internal staff on quality management practices and regulatory requirements +… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …ensure that the enrollee attends a seven (7) day follow up appointment. . HEDIS Care Gap Reports: Review of health and wellness reports (ie, HEDIS ... Care Coordination: serve as a liaison between Sunshine Health and case management , Operations, Adoptions, Post-Adoption.... Quality Management : Review case management reports/data, available within the Sunshine Health … more
- CVS Health (Oklahoma City, OK)
- …analysis **Preferred Qualifications** - Certification in project management and / or health care quality - Masters Degree in related field **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...that support the delivery of high quality health benefits and services for members. The QM… more
- UPMC (Pittsburgh, PA)
- …Community Care Behavioral Health is hiring full-time Quality Management Specialists! This position involves extensive travel throughout Pennsylvania, ... responsible for performing functions related to quality management and improvement, in compliance with NCQA, HEDIS...HEDIS , URAC the Commonwealth of Pennsylvania Department of Health quality assurance regulations, and all other… more
- CVS Health (Midlothian, VA)
- …of experience with Managed Care - direct patient care , social work, quality improvement or health coaching, preferably in a managed care environment ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...practices to implement quality strategies that improve quality and cost of care , member, and… more
- CVS Health (Phoenix, AZ)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing quality healthcare data, and applying… more
- CVS Health (Springfield, IL)
- …**-** 3 years Vendor Contracting and Performance Management - 3 years Managed Care and/or Healthcare Quality Experience - 2 years Project Management - ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- CVS Health (Lansing, MI)
- …prioritizes recommendations for quality improvement to senior health plan management + Helps to evaluate the Plans HEDIS Strategy and makes ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...activities aligned with program goals and objectives; linking the quality management activities to business goals; advance… more
- McLaren Health Care (Flint, MI)
- …years' experience performing quality management activities in a managed care organization, including HEDIS , NCQA, including at least two (2) years' ... Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent...( HEDIS ) process. Facilitates the delivery of medical care in a cost efficient and quality … more
- McLaren Health Care (Indianapolis, IN)
- … care setting with at least two (2) years' experience performing complex quality management activities including HEDIS , NCQA etc. **Preferred:** + ... Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent...with at least three (3) years' experience performing complex quality management activities including HEDIS ,… more
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