- CenterWell (Corpus Christi, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary + bi-annual ... bonus incentive + Minimal Call + Comprehensive benefit package - _health insurance is effective on your first day of employment_ + CME Allowance/Time + Occurrence Based Malpractice Insurance + Generous Relocation Assistance + Physician position - based on… more
- Actalent (Santa Barbara, CA)
- …+ Understanding of quality improvement theory and strategy. + Experience with HEDIS medical record abstraction. Additional Skills & Qualifications + Registered Nurse ... (RN) license. + Bilingual skills in Spanish may be required for certain roles. + Experience in case management and working with health plans and providers. Work Environment The role is based in an office setting where the services team works collaboratively.… more
- Highmark Health (Charleston, WV)
- …+ Strong understanding of health care quality programs such as STARS, HEDIS + Understanding dynamics of matrix organization **EDUCATION** **Required** + Bachelor's ... degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree. **Preferred** + Master's degree. **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **Language (Other than English):** None **Travel… more
- Actalent (Chandler, AZ)
- …Experience with quality measures such as care gap closures, pre-visit planning, HEDIS measures, and patient outreach. + Strong ability to follow instructions, ... analyze data, coordinate tasks, and manage workload to meet business goals. + Excellent verbal communication skills. Additional Skills & Qualifications + At least three years of experience as a Medical Office Referral Coordinator, Medical Assistant, or… more
- CenterWell (Greenville, SC)
- …+ Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** **Why CenterWell Senior Primary Care** Humana ... offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Competitive… more
- ChenMed (Memphis, TN)
- …and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + Develops protocols and ... procedures to improve staff productivity. Collaborates with PCPs to coach and manage clinical staff performance; implements progressive improvement plans and disciplinary action when needed. + Manages medical equipment and supply inventory. Ensures… more
- CommonSpirit Health (Phoenix, AZ)
- …financial risk reports, and contract performance monitoring. Ensure systems support HEDIS , STARS, CAHPS, and other regulatory and quality reporting requirements. ... Identify system enhancements to support accurate and timely reporting of key population health and managed care metrics. Project & Vendor Management Manage vendor relationships for care management, analytics, and managed care platforms (eg, EZCap, QNext,… more
- Making Opportunity Count Inc (Fitchburg, MA)
- …action to address identified issues + Contribute to improving the practice's HEDIS metrics through proactive scheduling and appropriate patient follow-up + Maintain ... a professional and organized work area + Receive, sort, and distribute all incoming correspondence and mail + Maintain the waiting room throughout the day + Relay supply-related information and order supplies as needed Required Qualifications and Skills: +… more
- Catholic Health (West Seneca, NY)
- …but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and ... work at other Trinity Medical facilities and/or physician practice offices + May be exposed to infections and contagious diseases + Occasional exposure to unpleasant patient elements + Contact with patients under wide variety of circumstances + May be exposed… more
- Fallon Health (New Bedford, MA)
- …requirements and Program policies and processes Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, ... and actions in conjunction with the Navigator and other members of the Clinical Integration and Partner Teams Performs other responsibilities as assigned by the Manager/designee Supports department colleagues, covering and assuming changes in assignment as… more