- Highmark Health (Buffalo, NY)
- …in Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and promotional opportunities. All Levels + Minimum of seven (7) years of clinical practice experience after completion of all graduate medical education ... act as a liaison with local physicians and hospitals and keep abreast of practice patterns, issues, and concerns of their regional medical community, as well as… more
- ERP International (Barksdale AFB, LA)
- …to change. Possesses knowledge of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS Measurements. + Teaches patients ... care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical care to… more
- CenterWell (Seneca, SC)
- …Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value-based environment + Leveraging Technology: You are ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient...care" model + Willingness and ability to learn/adapt to practice in a value-based care setting + Superior patient/customer… more
- CenterWell (Savannah, GA)
- …Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient...Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based… more
- Trinity Health (Boise, ID)
- …improvement opportunities, and support performance improvement initiatives. Through collaboration and clinical integration, this position will play a key role in ... experience **.** + Experience working in a health system, hospital, medical practice or payer organization required. + Physician practice management experience… more
- CenterWell (Phoenix, AZ)
- …+ Valid, unrestricted license in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with ... Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are… more
- ChenMed (Richmond, VA)
- …count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost ... mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and...acts as a health coach, rather than just a consultant for sickness, by helping patients set short and… more