• Sr. Manager HEDIS

    Somatus (Mclean, VA)
    …mental well-being + Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager ** will be r _esponsible for providing operational/strategic ... but not limited to Somatus staff, vendors, providers, and patients. The Sr. HEDIS Manager shall identify problem opportunities, conduct root cause analysis, and… more
    Somatus (08/01/25)
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  • HEDIS Supervisor

    Somatus (Mclean, VA)
    …ensure optimal processes are effective to address gaps in care. + Support the HEDIS manager to conduct meetings with operations to review performance. + ... + Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to request and evaluate reports for member compliance and improvement… more
    Somatus (07/29/25)
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  • HEDIS Coordinator I & II

    Somatus (Mclean, VA)
    …partner health plan quality programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect data and maintain the ... well-being + Community engagement opportunities + And more! The HEDIS Coordinator I will perform the functions related to...entering of medical records and service data according to HEDIS / Somatus Technical Specifications. The primary focus of… more
    Somatus (07/25/25)
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  • Medical Records Collector - Must Reside in…

    Molina Healthcare (Boston, MA)
    …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
    Molina Healthcare (06/29/25)
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  • Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Bowling Green, KY)
    …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
    Molina Healthcare (08/08/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior Manager ...years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge of HEDIS ,… more
    LA Care Health Plan (08/08/25)
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  • Quality Program Manager - Medicare…

    Providence (WA)
    **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as a** ... strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and implement strategies to improve Medicare Advantage Star… more
    Providence (07/19/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... The QPM establishes and maintains practice/provider relationships, presenting, practices HEDIS , STARS, and RAF training and planning, and contract performance… more
    LifePoint Health (08/09/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Bellevue, WA)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
    Molina Healthcare (07/31/25)
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  • Managed Care Quality Manager , Michigan…

    McLaren Health Care (Flint, MI)
    We are looking for a Manager , Quality, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... Performance Plan (QPIP). Manages the Healthcare Effectiveness Data and Information Set ( HEDIS ) process. Facilitates the delivery of medical care in a cost efficient… more
    McLaren Health Care (07/16/25)
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