• HEDIS Program Manager II

    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
    Centene Corporation (10/23/25)
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  • Senior Project Manager of HEDIS

    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
    UCLA Health (11/19/25)
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  • Senior Specialist, Member & Community…

    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
    Molina Healthcare (10/19/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (OH)
    …critical program milestones, deadlines, and/or deliverables + Participates in quality/ HEDIS improvement activities, meetings, and discussions with and between other ... 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
    Molina Healthcare (09/21/25)
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  • Quality Analytics Senior Project Manager

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a Quality Analytics Senior Project Manager in the HEDIS Improvement department. This is a full time position working Monday through ... to be considered due to business needs. The Quality Analytics Senior Project Manager will define, develop and manage overall success of Quality Measurement project… more
    UPMC (11/22/25)
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  • Business Analytics Senior Manager (Clinical…

    The Cigna Group (Bloomfield, CT)
    **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in ... outcomes through data-driven clinical initiatives. The Business Analytics Senior Manager is responsible for managing complex projects, transforming traditional… more
    The Cigna Group (11/22/25)
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  • Technical Applications Manager II

    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
    LA Care Health Plan (09/16/25)
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  • Manager , Quality Improvement

    Centene Corporation (Lansing, MI)
    …Oversee and manage the functions of the quality improvement program, including HEDIS reporting and other quality improvement activities. Providing support to staff ... progress, and problems encountered, required for planning work function activities, including HEDIS reporting. + Verify data to be submitted in accordance with… more
    Centene Corporation (11/26/25)
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  • Data Management Strategy & Governance Senior…

    The Cigna Group (Bloomfield, CT)
    …and drive improvements in patient outcomes. This data will feed into HEDIS (healthcare effectiveness data and information set) and NCQA (national committee for ... teams such as Data Engineering, Interoperability, Clinical Initiatives, and HEDIS Operations **Qualifications:** + Master's degree preferred, or Bachelor's degree… more
    The Cigna Group (11/04/25)
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  • Senior Medical Management Nurse - VCHCP

    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
    Ventura County (11/07/25)
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