• Lead Abstractor, HEDIS / Quality…

    Molina Healthcare (Savannah, GA)
    **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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  • Manager HEDIS Program - Remote

    Martin's Point Health Care (Portland, ME)
    …+ A minimum of five (5) years of experience in the health care industry, in HEDIS and/or quality improvement . + Experience in managed care health services ... and external stakeholders and coordinate efforts to drive improvements through quality improvement interventions (QIIs) projects (QIPs) across the health… more
    Martin's Point Health Care (08/29/25)
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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 (08/27/25)
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  • Hedis / Quality Improvement…

    CenterWell (San Antonio, TX)
    …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement...scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS … more
    CenterWell (08/20/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …health care administration, public health, or arelated field. + 2 years experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical ... more junior-level Analyst. May supervise staff in absence of Manager + Supports HEDIS submission lifecycle processes...or related field. + 3 years experience as a HEDIS Quality Improvement Analyst or… more
    Medical Mutual of Ohio (08/16/25)
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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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  • Manager , Clinical Data Acquisition…

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement activities...on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use of… more
    Molina Healthcare (08/31/25)
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  • Quality Improvement RN

    CenterWell (New Smyrna Beach, 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 (08/12/25)
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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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  • Quality Project Manager (Michigan)

    CVS Health (Lansing, MI)
    …into their strategic and operational plan + Evaluates and prioritizes recommendations for quality improvement to senior health plan management + Helps to ... every day. **Position Summary** Supportive of State of Michigan Quality Contract deliverables, QAPI Program and regulatory standards. Processes...evaluate the Plans HEDIS Strategy and makes recommendation for improvement … more
    CVS Health (08/14/25)
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