- Centene Corporation (Austin, TX)
- …associates to interpret and act on financial and quality metrics (eg, HEDIS , STARs) to drive targeted improvement strategies. + **Coach on Engagement Strategies:** ... Educate market teams on building strong provider relationships, optimizing incentive programs, and implementing value-based care models. **_ _** **Position Purpose:** The Regional Provider Engagement Manager will support provider performance and engagement… more
- CenterWell (Tampa, FL)
- …to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines. **Use your skills to make an impact** ... **Compensation & Benefits** + Competitive base salary + annual bonus + Health insurance effective Day 1 + 401(k) with employer match + CME allowance + dedicated CME time + Occurrence-based malpractice coverage + Life & disability insurance + Generous PTO &… more
- Molina Healthcare (Spokane, WA)
- …sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such… more
- Molina Healthcare (Des Moines, IA)
- …Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding ... on health care financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement… more
- Elevance Health (Tampa, FL)
- …initiatives strongly preferred + Government Business Experience strongly preferred + HEDIS /STARS experience preferred + Ability to Develop/code in SQL preferred + ... SAS/Python Experience preferred + Data Analysis experience is a must + Value Based care experience nice to have Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any… more
- CenterWell (Orlando, FL)
- …MA experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Medical Assistant/Phlebotomy Working ... hours:** Monday to Friday 8AM-5PM Scheduled 40 hours per week **Local travel may be required; Mileage is reimbursed** In addition to being a great place to work, CenterWell Senior Primary Care also offers industry leading benefits for all employees, starting… more
- Molina Healthcare (Rockford, IL)
- …License (RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJQA Pay Range: $52,426 -… more
- CenterWell (Atlanta, GA)
- …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific ... details may vary by market/center at the discretion of local leadership. KEY RESPONSIBILITIES Leadership & Operational/Organizational Management: * Oversee operations within a multi-physician office or clinical group, maintaining an owner-operator mindset and… more
- Beth Israel Lahey Health (Brookline, MA)
- …relations/IPA or PO, and a familiarity with standard quality measures, eg, HEDIS . 2. Familiarity with different electronic medical records, including WebOMR. ... **Competencies:** 1. **Written Communications:** Ability to communicate clearly and effectively in written English with internal and external customers. 2. **Oral Communications:** Ability to comprehend and converse in English to communicate effectively with… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …projects, committee work, and participation in programs like EPRP, ORYX, HEDIS , and SAIL. Consult Management and Documentation: Function effectively within the ... VA's consult management systems, utilize order sets, document properly in CPRS (Computerized Patient Record System), and comply with other electronic medical record requirements. Direct Patient Care: Provide hands-on care for both inpatients and outpatients… more