- US Tech Solutions (Philadelphia, PA)
- …weekend work may be required)** **Job Description:** + Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is ... in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set ( HEDIS ) and State EQRO) with duties including but not limited to the… more
- Elevance Health (Seven Fields, PA)
- **Business Information Analyst II - HEDIS Quality Analytics** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... and formats and utilizing multiple data systems to analyze HEDIS results is preferred. + Experience with relational databases...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (OH)
- …within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...(RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- US Tech Solutions (Canton, MA)
- …**2026** **Overview** + Under the general direction of the Quality Program Manager (s), the Medical Claims Research Specialist(s) will review medical claims reports ... record(s) and/or provider(s), and document follow-up actions during the HEDIS (Healthcare Effectiveness Data Information Set) reporting period. **Principal Duties… more
- Ventura County (Ventura, CA)
- …members to resolve service issues, ensure regulatory compliance (DMHC, NCQA, HEDIS ), and support wellness, prevention, and disease management programs. This position ... preventing diseases, and maintaining well-being; + Assumes responsibilities related to HEDIS , including data collection, reporting, and ensuring compliance with … more
- HCA Healthcare (Salt Lake City, UT)
- …integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, offers ... vary by location._** Come join our team as a(an) Manager Care Quality. We care for our community! Just...Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with payor cost sharing initiatives +… more
- Fallon Health (Worcester, MA)
- …on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The SUD Care Manager is responsible for ensuring seamless coordination of care for Fallon Health ... other partners-to promote integrated, member-centered care. The SUS Care Manager drives effective discharge planning, facilitates timely communication across care… more
- CenterWell (Houston, TX)
- …improvement best practice initiatives designed to improve Medicare quality measures ( HEDIS ), patient safety and patient experience (CAHPS-HOS). QIP assignment may be ... experience working with clinical quality measures in particular medication adherence and HEDIS . + Utilize approved avenues to outreach to patients with medication… more
- CVS Health (St. Louis Park, MN)
- …it all with heart, each and every day. **Position Summary** As the **Senior Manager of Stars** , you will lead the market-wide strategy, performance improvement, and ... outcomes and program performance. + Collaborate with internal teams ( HEDIS , Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics,… more
- Blue KC (MO)
- …discount program** **Job Description Summary:** The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome strategy ... + Direct health outcome initiatives addressing systemic barriers to care, disparities in HEDIS and STAR measures, and drivers of social and behavioral health. +… more