- MyFlorida (St. Petersburg, FL)
- …+ Participate in quality assurance activities including meetings and peer review . + Ensure cooperation and coordination between Clinical Services Division, Disease ... Control and other divisions regarding clinical issues. + Comply with HEDIS measure, Meaningful Use standards, productivity standards, and selected goals for quality… 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 ... for healthcare insurance/payer (within last 3 years) Fivetran or Matmillon experience HEDIS experience null We are a company committed to creating diverse and… more
- 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/ . ... insurance domains, with knowledge of Medicare programs and clinical quality measures (eg, HEDIS , STAR ratings) null We are a company committed to creating diverse… 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 (Smyrna, TN)
- …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 **Compensation & Benefits** + Competitive base salary + quarterly… 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