- Molina Healthcare (Everett, WA)
- …standards as well. Lead Overreader mentors and trains new team members. Leads special HEDIS / Quality projects. **We are seeking strong experience in HEDIS ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... understand the medical record requests. Speaks with the office staff/ manager /provider to clarify the medical record request as necessary....Required: A minimum of 3 years of experience in HEDIS abstraction and/or other Quality Improvement, … more
- VNS Health (Manhattan, NY)
- …primary clinical liaison for IPAs and provider networks, ensuring alignment with STARS, HEDIS , and clinical quality objectives. + Works closely with IPAs ... including the monitoring of provider and IPA performance to drive improvements in clinical quality and outcomes. + Conducts provider education and training… more
- CenterWell (Dallas, TX)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... help us put health first** **Job Profile Summary** The Manager , Stars Improvement, Clinical responsible for the...(RN) without restriction in Florida + 5+ years of clinical nursing experience + Strong knowledge of HEDIS… more
- Molina Healthcare (Phoenix, AZ)
- …programs/processes and member/provider outreach initiatives. + Supports provision of high- quality clinical care and services by facilitating/building strategic ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible… more
- Healthfirst (NY)
- …& Responsibilities:** + Interacts with hospitals, providers, and members to improve quality of care, monitor progress, and recommend changes + Reviews billing codes, ... + Assists in writing member and/or provider articles on HEDIS , QARR, Medicare Advantage, and/or health promotions for the...Qualifications:** + Bachelors Degree from an accredited institution + Clinical license: LPN, RN, LMSW or LCSW + Multiple… more
- Dignity Health (Bakersfield, CA)
- …at a system/national level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading ... that are consistent with the organization's strategic goals. The Manager , Clinical Quality Improvement will...oversight/supervision/management/leadership of clinical and non- clinical quality management staff. - 3 years HEDIS … more
- Elevance Health (Columbus, OH)
- **Director Clinical Quality Accreditation (Dir Clinical Quality )** _Location: This role requires associates to be in-office_ **_3_** **_days per week_** ... a dynamic and adaptable workplace. Alternate locations may be considered._ The **Director Clinical Quality Accreditation** is responsible for working with the … more
- ChenMed (Jacksonville, FL)
- …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/ Clinical Gaps) and support our core model. ... we need great people to join our team. The Clinical Manager is an active leadership role...operations, which may include but is not limited to: clinical quality , compliance, human resources, patient experience… more
- CenterWell (Miami Beach, FL)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Strong knowledge of HEDIS...attention to detail with a focus on process and quality + Comprehensive knowledge of Microsoft Office applications **Preferred… more
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