- Centene Corporation (Raleigh, NC)
- …health insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse ... market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists… more
- Molina Healthcare (Davenport, IA)
- …in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key ... with key departments within Molina and at Molina plans. + Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance… more
- UPMC (Media, PA)
- …of Quality Management. + Responsible for professional and staff development plan. + Licensed Registered Nurse (BSN is a bonus) or Masters Degree (licensure is a ... a combination of time in the office, in the field at provider sites, and working remotely from home....to quality management and improvement in compliance with NCQA, HEDIS , URAC, and the Commonwealth of Pennsylvania Department of… more
- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **This is a Field based role requiring 50% travel with in the state of Florida.** The Practice Transformation ... work both internally and externally with some travel time in the field to assigned provider offices. **Required Qualifications** + Bachelor's degree in healthcare… more
- Humana (Madison, WI)
- …confidentiality. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ), physician or physician's assistant licensed ... the bar for excellence. Key responsibilities include: + Oversees HEDIS , CAHPS, Star ratings, and other State-required measure reporting...from date of hire. + Bachelor's degree in a field related to healthcare quality. These fields may include,… more
- CVS Health (Oklahoma City, OK)
- …experience in clinical, managed care, or health related field . - State of Oklahoma Registered Nurse ( RN ) license in the state of their residence. - ... with heart, each and every day. **Position Summary** The Quality Management, Nurse Consultant has a key role in developing and implementing data-driven… more
- UCLA Health (Los Angeles, CA)
- …work effectively with common office software, coding software, and EMR systems, required + Registered Nurse ( RN ) or clinical qualifications a plus + ... HCPCS coding systems required + Knowledge of Medicare Advantage STARS/ HEDIS program and NCQA technical specifications, required + Six...Bachelor's degree (healthcare or relevant field ) or equivalent experience/training Note: Skills may be subject… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of… more
- CVS Health (Lansing, MI)
- …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... a related role. + 2+ years Process Improvement experience related to HEDIS measures + In-depth knowledge of healthcare regulations, clinical operations, quality… more
- Humana (Little Rock, AR)
- …impact** **Required Qualifications** + Bachelor's Degree in Business, Finance, Health Care/Administration, RN or a related field , or equivalent work experience + ... Time Zone) **Preferred Qualifications** + Master's Degree in Business, Finance, Health Care/Administration, RN or a related field + Experience with Medicare Risk… more
Recent Jobs
-
Nursing Assistant - Inpatient Acute Care Mental Health
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
-
Forklift Driver
- F & S Fresh Foods (Riverside, CA)
-
Senior ETL Developer
- Fairfield University (Fairfield, CT)