- CenterWell (Orlando, FL)
- …achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, optimal patient scheduling, financial management, patient engagement, ... providers, and expected outcomes collaboratively. *Focus on utilization management and review provider schedules to meet patient access goals, with biannual reviews… more
- Insight Global (Chicago, IL)
- …collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . ... completion Experience working in healthcare or health insurance domains, with knowledge of Medicare programs and clinical quality measures (eg, HEDIS , STAR ratings) more
- Insight Global (Beaverton, OR)
- …keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills ... SSIS, data modeling, and Snowflake Previous experience working for healthcare insurance/payer (within last 3 years) Fivetran or Matmillon experience HEDIS experience more
- CenterWell (Portsmouth, VA)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary + annual bonus +… more
- CVS Health (Columbus, OH)
- …Care monitoring, critical incident reporting, collaboration and coordination with plan HEDIS teams on OhioRISE specific measure reporting, education, and monitoring; ... projects; and assistance with OhioRISE related NCQA deliverables including review and evaluation of clinical information and documentation. **Required… more
- CenterWell (Leesburg, FL)
- …defined by clinical leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional Information** + Base salary + bi-annual incentive… more
- Humana (Washington, DC)
- …+ **Organizational Alignment** - Ensure strategic alignment across the Stars HEDIS , CAHPS and HOS portfolio. Create structure to properly prioritize ... to develop materials, ensuring materials are high quality, owning end-to-end content review prior to the meeting, and capturing and making any necessary edits.… more
- CenterWell (Henderson, NV)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + quarterly… more
- Elevance Health (Independence, OH)
- …+ Conduct project close-out activities and prepares and participates in quality review checkpoints. + Obtain/secure and archive necessary approvals. + Manage and ... + Medicaid Experience, IHI Model for Improvement experience strongly preferred. + HEDIS and CAHPS experience strongly preferred. + Certification in applicable field… more
- CenterWell (Columbia, SC)
- …protocol defined byClinical Leadership. + Meets with RMD about quality of care, review of outcome data,policy, procedure and records issues. + Participates in ... of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly bonus + Excellent benefit… more