- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject matter ... expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing,... Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and ensuring consistency with company… more
- Centene Corporation (Harrisburg, PA)
- …oversee program initiatives for the Medicaid product line of business encompassing HEDIS , and CAHPS by utilizing cross functional teams to deliver defined ... strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
- Medical Mutual of Ohio (OH)
- …reviews work of more junior-level Analyst. May supervise staff in absence of Manager + Supports HEDIS submission lifecycle processes such as data compilation, ... specification for the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) lifecycle processes for all lines of business (Commercial, Marketplace,… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle +...and manage project plans, timelines, and deliverables + Oversee HEDIS operations, including data submission, audits, and hybrid chart… more
- Molina Healthcare (Houston, TX)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the ... and reports from provider offices, loads data into the HEDIS application. + Assists the manager /lead and...into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member… more
- Molina Healthcare (OH)
- …activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
- Providence (OR)
- **Description** **Quality Program Manager - Health Plan Medicare Advantage Stars** **_Remote_** **The Quality Program Manager - Health Plan Medicare Advantage ... Star ratings.** **The Health Plan Medicare Advantage Stars Quality Program Manager will:** + Develop and implement best-practice interventions to improve Medicare… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior Manager ...years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge of HEDIS ,… more
- CVS Health (IL)
- …And we do it all with heart, each and every day. **Position Summary** The Manager of Health Care Quality will support the functions of the Illinois Fully Integrated ... Duals Eligible (FIDE) quality program, including regulatory deliverables, HEDIS activities and reporting and other quality improvement activities. Be a collaborative… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …based contracts and gap closure work. This Population Health Clinical Quality Manager will support the Medicare Shared Savings Program (MSSP) value-based care model. ... **Primary Function/General Purpose of Position** The Manager of Population Health Clinical Quality is responsible for planning, directing, executing and managing… more