- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Manager, HEDIS Program educates and serves as the HEDIS subject matter expert (SME). ... Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and ensuring consistency with company...+ Bachelor's degree in health care or other related field ; Master's Degree preferred + A minimum of five… more
- Molina Healthcare (St. Petersburg, FL)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... management of training for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors,… more
- Commonwealth Care Alliance (Boston, MA)
- …other states will not be considered at this time._** **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... **Essential Duties & Responsibilities:** + **Conduct weekly tracking of Quality/ HEDIS metrics, specifically focused on Initiation and Engagement of Alcohol or… more
- Molina Healthcare (Las Vegas, NV)
- …Advanced degree in Nursing, Public Health, Health Administration, Social Work, or related field + HEDIS reporting or collection + CAHPS improvement experience + ... Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... coordination services within the scope of practice as a registered nurse meeting all required standards both...or CPHQ OR Bachelors degree in Nursing or related field . Apply/Share Job Title RN CARE COORDINATOR… more
- Molina Healthcare (El Paso, TX)
- …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required; or LMSW;… more
- Centene Corporation (Indianapolis, IN)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN , APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS… more
- CVS Health (Springfield, IL)
- …or health care related field . - 1 year of project management experience. - Registered Nurse ( RN ) license in the state of their residence. **Education** ... to HFS quality strategy and ABHIL population health model. The Quality Management, Nurse Consultant directs analysis and reporting of member and provider data to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in Long Term Support Services (LTSS) or Managed Long-Term Care (MLTC) CHA field RN experience required. + Broad understanding of multiple areas, including ... and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks...Medicaid, and accreditation requirements such as NCQA, URAC and HEDIS functionalities are met or exceeded. Accesses Health Commerce… more