- CVS Health (Austin, TX)
- …experience within Medicare Part D Stars Program Management, Medicare / Medicaid HEDIS measurement or other government quality program management + Experience using ... Microsoft Project + Project Management Professional (PMP) certification preferred **Education** + Bachelor's degree required. Equivalent experience may be considered. **Pay Range** The typical pay range for this role is: $75,400.00 - $182,549.00 This pay range… more
- Centene Corporation (Olympia, WA)
- …+ Monitor data/information to assist QI department staff members in improving HEDIS and Department of Community Health (DCH) required measures + Research and ... establish benchmarks and statistics for quality measures + Develop, prepare and present reports on quality programs and issues to both internal and external stakeholders + Evaluate and test new or modified programs and procedures used to verify that QI… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …cash controls. + Responsible for monitoring and reporting impact program has to hospital HEDIS measures + Report directly to KPH leadership on the progress of the ... minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14934/ manager -of-kinney-home-services/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East Syracuse_ **Posted… more
- Molina Healthcare (Las Cruces, NM)
- …areas such as the quality Healthcare Effectiveness Data Information Set ( HEDIS ) measures, and collaborates with community-based organizations on joint disparity ... reduction projects. * Works collaboratively with internal and external partners, stakeholders, community organizations and agencies to develop, deploy and/or promote health equity programs that include addressing identified priority disparities and improving… more
- AmeriHealth Caritas (Washington, DC)
- …the Quality Management Department and Company-wide Quality Initiatives such as HEDIS , CAHPS and NCQA/URAC: + Reviews Quality indicators and makes recommendations ... for improvement + Compiles documentation regarding quality Reports and provider utilization platforms. + Will partner with medical management team to identify and measure methods to improve process and workflows + Participates in Plan and physician committees… more
- Ascension Health (Tulsa, OK)
- …Tableau, or Power BI + Strong understanding of quality measurement frameworks (eg, HEDIS , Stars, QPP/MIPS, ACO eCQM measures) + Experience working with payer data, ... EHR systems, and performance reporting + Proven ability to lead cross-functional initiatives and drive performance improvement + Demonstrated experience developing efficient operational work-flows, especially around medical record retrieval + Excellent… more
- CenterWell (Covington, LA)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... combination of LPN and RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years of managed care… more
- CenterWell (Orlando, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and ... combination of LPN and RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years of managed care… 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
- ChenMed (Morrow, GA)
- …secretarial and administrative support. He/she reports up to an Assistant Center Manager or Center Manager , but could receive occasional instruction/supervision ... comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer… more