- State of Indiana (Indianapolis, IN)
- …oversee managed care entities' (MCE) quality management and improvement functions, HEDIS data and scoring, NCQA Accreditation, Annual Quality Improvement Plans, and ... member interventions and evaluations. Your role leads and directs all quality management and improvement staff in clinical and non-clinical activities that impact health care quality, equity, and outcomes. This role entails considerable amounts of public… more
- Catholic Health (Williamsville, NY)
- …the department + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: ENVIRONMENT + Ability to ... travel to and work at other Trinity Medical facilities and/or physician practice offices + Normal heat, light space, and safe working environment; typical of most office jobs. + Intermittent exposure to a few unpleasant physical conditions. REQNUMBER: 41617 more
- Catholic Health (West Seneca, NY)
- …certification preferred + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred WORKING CONDITIONS: + Work is demanding and stressful ... at times + Visual and auditory acuity are essential + Works indoors in a well-lit, well-ventilated area + May be exposed to communicable diseases + Possible On-call coverage REQNUMBER: 41765 more
- Elevance Health (Los Angeles, CA)
- …is preferred. + Intermediate Excel and PowerPoint skills + Prior experience with HEDIS and NCQA Health Plan Accreditations **For candidates working in person or ... virtually in the below location(s), the salary* range for this specific position is $95,680.00 to $149,760.00** **Locations: California** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- CenterWell (Las Vegas, NV)
- …years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English ... and Spanish - must pass proficiency exam prior to foreign language communication **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the… more
- Insight Global (Chicago, IL)
- …to clinical or quality measurement problems (eg, HOS, HRA, CAHPS, or HEDIS ). * Proven success communicating complex findings to non-technical business partners and ... influencing decision-making. * Ability to work effectively in a fast-paced, cross-functional environment. * Master's or PhD in Data Science, Statistics, Epidemiology, Public Health, or a related quantitative field. * Familiarity with Medicare Advantage, CMS… more
- CenterWell (Dallas, TX)
- …Phlebotomy experience + Experience with Electronic Medical Records + Experience with HEDIS + Knowledge of primary care medicine requirements (state specific). + ... Working knowledge of clinical operations **Additional Information:** This role is considered patient-facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. **Alert:**… more
- Humana (Indianapolis, IN)
- …provider relations and education + Understanding of healthcare quality measures STARS, HEDIS , etc. + Comprehensive knowledge of Microsoft Office Word, Excel and ... PowerPoint + Proven analytical skills + Excellent communication skills, both oral and written + Strong relationship building skills + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred… more
- CenterWell (Durham, NC)
- …you will be required to be screened for TB **Preferred** + Experience with HEDIS + High school diploma or equivalent GED + Experience with Electronic Medical Records ... + Bilingual English/Spanish- Must be able to speak, read, and write in both languages without limitations or assistance + Active Medical Assistant Certification or Registration from the following: American Association of Medical Assistant (AAMA), National… more
- Finger Lakes Community Health (Sodus, NY)
- …collection, validation, and interpretation of quality-related data for UDS, PCMH, HEDIS , and internal performance measures. + Collaborate with the Data ... Analytics/Reporting team to ensure data accuracy and facilitate data-driven decision-making. Compliance & Accreditation + Support adherence to HRSA, NCQA Patient-Centered Medical Home (PCMH), and other accreditation standards. + Prepare quality-related… more