• Sr . Manager HEDIS

    Somatus (Mclean, VA)
    …teammates physical and mental well-being + Community engagement opportunities + And more! The ** Sr .** ** HEDIS Manager ** will be r _esponsible for providing ... limited to Somatus staff, vendors, providers, and patients. The Sr . HEDIS Manager shall identify...expert to operational and leadership teams. + Oversee the HEDIS project for quality and timeliness regarding… more
    Somatus (08/01/25)
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  • Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Bowling Green, KY)
    …auditors regarding quality and HEDIS review and results. + Mentor entry and Sr . level abstractors. + Works with the Manager to monitor accuracy of abstracted ... Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The… more
    Molina Healthcare (08/08/25)
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  • Sr . Specialist, Member & Community…

    Molina Healthcare (Austin, TX)
    **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
    Molina Healthcare (06/19/25)
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  • Senior Client Coding Project

    Datavant (Providence, RI)
    …educational and life experiences to realize our bold vision for healthcare. As a Sr . Client Coding Project Manager , you will plan, forecast, and ... phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner with Customer Success… more
    Datavant (06/28/25)
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  • Senior Provider Engagement Account…

    Centene Corporation (Sacramento, CA)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Leveraging data, presents detailed HBR ... of provider engagement account management and /or provider quality improvement experience. Project management experience at a medical group, IPA, or health plan… more
    Centene Corporation (08/01/25)
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  • Health Care Quality Senior Manager

    CVS Health (Atlanta, GA)
    …plans . Evaluates and prioritizes recommendations for quality improvement to senior health plan management . Develops and implements the infrastructure of ... + Aggregative Performance Improvement Projects meeting "pass" criteria Performance tracking for HEDIS measures + Triple weighted + MTMM + MTTMM+ Triple weighted by… more
    CVS Health (08/08/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …purpose. Job Summary The Technical Application Manager II reports to the Senior Manager Information Technology IT Solutions Delivery. This role acts as the ... Technical Applications Manager II Job Category: Information Technology Department: IT...Act as liaison between IT Solution Delivery team and Program/ Project Managers for all Enterprise Initiatives. Manage and prioritize… more
    LA Care Health Plan (08/08/25)
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  • Associate Operations Director

    CenterWell (Myrtle Beach, SC)
    …+ Strong relationship building skills + 2 or more years of demonstrated project management experience and partnering with senior leadership on strategic ... and help us put health first** The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a multi-physician office or clinical… more
    CenterWell (07/17/25)
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  • Public Health Educator/Health Promotion…

    ERP International (Camp Pendleton, CA)
    …and strengthen the awareness of available electronic resources. * Collaborate with PHP Project Manager / Senior Strategist to construct an annual strategic ... beneficiaries. Including, but not limited to, all command specific HEDIS metrics. * Track metrics of success as informed...posters, flyers, and social media. * Collaborate with PHP Project Manager / Senior Strategist to periodically… more
    ERP International (05/21/25)
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  • Primary Care Physician Lead

    CenterWell (Savannah, GA)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state… more
    CenterWell (06/27/25)
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