• Lead Abstractor, HEDIS / Quality

    Molina Healthcare (Bowling Green, KY)
    **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
    Molina Healthcare (08/08/25)
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  • Sr. Manager HEDIS

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

    Somatus (Mclean, VA)
    …ensure optimal processes are effective to address gaps in care. + Support the HEDIS manager to conduct meetings with operations to review performance. + ... the HEDIS coordinator team + Oversee the HEDIS project for quality and timeliness regarding...Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to… more
    Somatus (07/29/25)
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  • HEDIS Coordinator I & II

    Somatus (Mclean, VA)
    …plan quality programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect data and maintain the various ... and changes + Calls patients to schedule appointments, developing recommendations for quality improvement activities for our providers and collaborating with… more
    Somatus (07/25/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to… more
    CenterWell (05/14/25)
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  • Quality Improvement RN (bilingual…

    CenterWell (Kissimmee, FL)
    …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Improvement Clinical Professional (RN): + Collaborates with market leadership, and quality improvement team to developand implement programs designed to… more
    CenterWell (07/09/25)
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  • Quality Improvement Supervisor,…

    CenterWell (Port St. Lucie, FL)
    …represents the scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS and Stars performance ... us put health first** **Job Profile Summary** The Supervisor, Stars Improvement , Clinical is responsible for supporting the development, implementation and oversight… more
    CenterWell (08/08/25)
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  • Manager , Quality Program Management…

    Molina Healthcare (Las Vegas, NV)
    …program management meetings, outcomes from these activities are documented, and continuous quality improvement tools are used to highlight the processes, ... **Job Description** **Job Summary** The Manager , Quality Program Management and Performance...indicators, process reviews, and gap analyses + Utilizes proven quality improvement methods, such as the Plan-Do-Study-Act… more
    Molina Healthcare (06/22/25)
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  • Quality Practice Manager (QPM) Las…

    LifePoint Health (Las Cruces, NM)
    …one-on-one meaningful interactions regarding current performance. Utilize professional, clinical and/or quality improvement experience and expertise to guide the ... volumes in PCP visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to… more
    LifePoint Health (08/09/25)
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  • Quality Program Manager - Medicare…

    Providence (WA)
    **Description** ** Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as ... strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and...strategies to improve Medicare Advantage Star Ratings, driving clinical quality indicators ( HEDIS Star metrics), CAHPS, and… more
    Providence (07/19/25)
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