• Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and supporting a ... visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local… more
    LifePoint Health (11/08/25)
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  • Risk & Quality Performance Manager

    Molina Healthcare (GA)
    **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 (11/21/25)
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  • Sr. Manager Medicare Stars Program

    CVS Health (St. Louis Park, MN)
    …it all with heart, each and every day. **Position Summary** As the **Senior Manager of Stars** , you will lead the market-wide strategy, performance improvement, and ... outcomes and program performance. + Collaborate with internal teams ( HEDIS , Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics,… more
    CVS Health (11/09/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Carson City, NV)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
    Centene Corporation (11/14/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Springfield, OR)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization. Pay Range: $55,100.00 - $99,000.00 per year… more
    Centene Corporation (11/09/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Little Rock, AR)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
    Centene Corporation (11/09/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Atlanta, GA)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost (MLR) and utilization. Account management experience strongly preferred.… more
    Centene Corporation (10/30/25)
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  • Quality & Risk Adjustment Specialist

    Avera (Sioux Falls, SD)
    …the Director of Quality and Risk Services, Manager of Risk Adjustment, Manager of Quality, Quality Coordinator - HEDIS , coder(s), claims staff, and primary ... around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets ( HEDIS ). The Quality and Risk Adjustment Specialist will work closely with… more
    Avera (10/28/25)
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  • RN Case Manager - Value Based Service Org…

    University of Southern California (Alhambra, CA)
    In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care...+ Outcomes Management 1. Participates in core measure or HEDIS measure processes in identification of appropriate patients. 2.… more
    University of Southern California (11/19/25)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Puyallup, WA)
    …position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 Nurse ... LPN Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in Puyallup,...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (11/10/25)
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