- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards ... staff and Health Plans to facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS...+ Provide education and training to internal staff on quality management practices and regulatory requirements +… more
- Banner Health (AZ)
- …of quality of care concerns that have been referred to the Quality Management Department for review and resolution. In addition, the position is also ... processes. 7. In collaboration with Director, Manager, Supervisor of Quality Management and Information Systems, creates datasets...the National Committee for Quality Assurance (NCQA), Health Plan Employer Data Information Set ( HEDIS ),… more
- Centene Corporation (Raleigh, NC)
- … Quality Management has national responsibility for all aspects of the quality management program for the Health Plan Division (HPD) and maintaining ... required. 5+ years clinical experience required. 5+ years quality management experience required. Demonstrated leadership experience in health plan… more
- Cedars-Sinai (CA)
- … between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized ... improvement processes to assure that the highest standards of quality care can be achieved. This position...to patients or external vendors on behalf of the care management team or individual physicians +… more
- CVS Health (Austin, TX)
- …medical office staff + Recent and related experience working with HEDIS (R) + Health insurance experience + Health care related experience in clinical, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...managed care or quality management + Understanding of CPT/CPTII/ICD9/ICD10 coding… more
- Highmark Health (Buffalo, NY)
- …with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management **Preferred** + 7 years in a government program setting, ... managed care , primary care management or...Six Sigma, TQI, TQC or other quality management certification + Experience in health plan… more
- Ventura County (Ventura, CA)
- …Come be part of our Ventura County workforce in the Ventura County Health Care Plan's (VCHCP) Quality Management Department! VCHCP is a County sponsored ... and care . As a member of the Quality Management team in VCHCP, you'll play...one (1) Full-Time Regular vacancy in Quality Management (QA) with the Ventura County Health … more
- McLaren Health Care (Flint, MI)
- …years' related experience. * Two (2) years' experience performing quality management activities in a Medicare managed care organization, including HEDIS ... Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent...with at least three (3) years' experience performing complex quality management activities including HEDIS ,… more
- McLaren Health Care (Flint, MI)
- …leadership role in managed care leading utilization, case and/or quality management with demonstrated experience involving clinical and quality ... Managed Care Organization dedicated to meeting the health care needs of each member. MHP...quality manner. Assists where necessary or through project management those business ventures undertaken by the Company to… more
- CVS Health (Lansing, MI)
- …all products and services that meets business objectives. Provides strategic oversight for health care quality Performance Improvement Projects (PIPs) and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ... care experience in the healthcare industry and quality management preferred. + 3-5 years of… more