- Hackensack Meridian Health (Edison, NJ)
- …with NCQA PCMH standards and the accreditation process. + Experience with HEDIS , MIPS, and other value-based care quality measures. **Licenses and Certifications ... Required** : + Licensed Practical Nurse or Certified Medical Assistant. + Valid Driver's License from a USA state. **Licenses and Certifications Preferred** : + Patient-Centered Medical Home Certified Content Expert. If you feel that the above description… more
- Trinity Health (Boise, ID)
- …and/or performance/process improvement role preferred. + Knowledge of NCQA and HEDIS standards and Medicare Advantage Star ratings gained through experience strongly ... desired. + Experience analyzing and identifying performance improvement opportunities using quality, cost and utilization data preferred. + Experience working with down-side risk contracts preferred. + Proven ability to complete large, complex projects in an… more
- General Dynamics Information Technology (Falls Church, VA)
- …Infection Control and other quality measures. + Review raw and synthesized data ( HEDIS , ORYX, TJC, NPIC, NSQIP, AHRQ Measures, Carepoint, KSA, Mortality data etc.) ... to create specialized data analysis reports as it affects readiness and operational quality and safety for the Fleet and Marines, with an emphasis on trending and benchmark performance evaluation. + Assist with increasing awareness of regulatory and joint… more
- UNC Health Care (Morrisville, NC)
- …entities. Possesses deep knowledge of payer and other attribution strategies, HEDIS , and CMS measure specifications, including hospital measures in payer contracts. ... Establishes the reporting, delivery, and communication strategic framework necessary to achieve UNC Health, UNCHA, and entity goals for Improvement Collaborative across the domains of clinical quality, access to care, patient engagement, and patient… more
- AmeriHealth Caritas (Manchester, NH)
- …communications that support improved member health outcomes, NCQA accreditation, and HEDIS measures. ; **Education & Experience:** + Bachelor's degree in ... Communications, English, Marketing, or equivalent combination of education and healthcare experience preferred. + 1 to 2 years of experience in member or provider communications, including content creation and communication material development. + 1 to 2 years… more
- Beth Israel Lahey Health (Winchester, MA)
- …two (2) years leading complex projects + Knowledge of and experience with HEDIS quality metrics, electronic medical records such as Epic, Athena, and eCW preferred ... **Experience/Demonstrated Skills** **Required** **:** + Able to work independently and handle multiple priorities + Superb communication skills, both written and verbal + Excellent analytic skills + Excellent problem solving and technical skills + Demonstrated… more
- ChenMed (Berwyn, IL)
- …use, improve patient outcomes, and enhance CMS Star Ratings and HEDIS quality measures. This position requires advanced clinical judgment, effective patient ... engagement strategies, and the ability to implement evidence-based interventions that address adherence barriers, reduce hospitalizations, and improve overall care quality and scores. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Conduct targeted outreach to… more
- Beth Israel Lahey Health (Wakefield, MA)
- …on their high blood pressure, diabetes, and cancer screenings. 2. Learn about HEDIS ambulatory quality measures and uses that knowledge to communicate information to ... the practice teams. 3. In close partnership with the BILHPN Population Health Specialist, acts as a key resource to practice(s) for the management of registries of patients that have chronic diseases (hypertension and diabetes) or due for cancer screenings… more
- CenterWell (Edinburg, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual English/Spanish. Must be able to speak, read ... and write in both languages without limitations or assistance. See Additional Information on testing **Additional Information:** + Guaranteed base salary + bi-annual bonus + Excellent benefit package - _health insurance effective on your first day of… more
- Insight Global (Raleigh, NC)
- …and data interoperability * Experience with quality measurement programs and tools (eg, HEDIS , eCQMs, dQM) * Ability to bridge clinical and technical domains * ... Familiarity with NC HealthConnex or other HIE platforms * Experience with CMS Data Aggregator Validation (DAV) and Primary Source Validation (PSV) programs * Understanding of HL7, FHIR, and other healthcare data standards * Knowledge of SAS tools and analytics… more