- Banner Health (AZ)
- …and assists with the analysis of data from medical records in accordance with HEDIS specifications. Actively works with the HEDIS team to ensure understanding of ... for accuracy with attention to detail. Knowledge and understanding of HEDIS specifications; Strong leadership skills (can construct a vision, thinks creatively… more
- MVP Health Care (Schenectady, NY)
- …quality operations. + Possess strong personnel management skills. + Experience with HEDIS , Medicare Stars, and NYSDOH QARR reporting requirements. + Possess strong ... Lead and execute quality analytics to support organizational excellence. + Manage annual HEDIS data submissions, including completion of the HEDIS Roadmap, audit… more
- Humana (Gainesville, FL)
- …of programs. + Provider non-standard supplemental data trending + Provider level HEDIS in service + Develop and implement measure specific strategies + Provider ... establish working relationships + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance… more
- Centene Corporation (Little Rock, AR)
- …plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap ... providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record… more
- CenterWell (Orlando, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and ... and RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years...unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement… more
- The Cigna Group (Bloomfield, CT)
- …and drive improvements in patient outcomes. This data will feed into HEDIS (healthcare effectiveness data and information set) and NCQA (national committee for ... teams such as Data Engineering, Interoperability, Clinical Initiatives, and HEDIS Operations **Qualifications:** + Master's degree preferred, or Bachelor's degree… more
- McLaren Health Care (Flint, MI)
- …specific regulatory and contractual responsibilities including, but not limited to, HEDIS , CAHPS, HOS, and NCQA Standard compliance, performance projects, site ... performing quality management activities in a Medicare managed care organization, including HEDIS , HOS, and CAHPS. **_Preferred_** **:** * Master's degree in health… more
- Health Care Service Corporation (Mobile, AL)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... position (experience can be a combination of LVN/RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. **Preferred Job Qualifications:** + Bilingual… more
- CenterWell (New Smyrna Beach, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more
- CenterWell (North Charleston, SC)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... state + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more