• Manager HEDIS Reporting

    AmeriHealth Caritas (Newtown Square, PA)
    **Role Overview** Manages Healthcare Effectiveness Data and Information Set ( HEDIS ) planning, data collection, quality control, analysis, and reporting to meet all ... regulatory. Applying both business knowledge and technical expertise to supports HEDIS strategies, goals, and initiatives at corporate and plan-level.; **Work… more
    AmeriHealth Caritas (06/06/25)
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  • Medical Records Collector - Must Reside in…

    Molina Healthcare (Santa Fe, NM)
    …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
    Molina Healthcare (06/29/25)
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  • Quality Improvement Project Manager

    Centene Corporation (Columbia, SC)
    …Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set ( HEDIS ) preparation. + Provide functional and technical knowledge for NCQA/ HEDIS ... constituents as needed. + Coordinate Work Plan, team and resources for HEDIS /Consumer Assessment of Healthcare Providers and Systems (CAHPS) submission to Connector… more
    Centene Corporation (06/13/25)
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  • Senior Manager , Project Program Mgt (IC)

    CVS Health (Chicago, IL)
    …it all with heart, each and every day. **Position Summary** As a Senior Manager , you will be part of the Clinical Platform Solutions Interoperability team driving ... you will drive system projects and initiatives with emphasis on HEDIS bi-directional data exchange, clinical platform interoperability, technical enablement, and… more
    CVS Health (06/26/25)
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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 (06/10/25)
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  • Value Based Care Program Manager WFH

    HCA Healthcare (Nashville, TN)
    **Description** **Job Summary and Qualifications** The Value-Based Care (VBC) Program Manager is responsible for developing and maintaining detailed technical and ... and performance improvement in the ambulatory healthcare space. The VBC Program Manager additionally serves as the Physician Services liaison to our Clinically… more
    HCA Healthcare (06/21/25)
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  • Manager , Health Plan Quality Interventions…

    Molina Healthcare (OH)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
    Molina Healthcare (06/15/25)
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  • Clinic Manager

    CenterWell (Arlington, TX)
    …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... patient outcomes and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and patient retention. Must… more
    CenterWell (06/25/25)
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  • Population Health Manager

    Apicha Community Health Center (New York, NY)
    …for underserved and vulnerable populations. Position Summary The Population Health Manager collaborates with a multidisciplinary staff to meet Population Health and ... the mission of Apicha and its strategic goals. The Population Health Manager supports the implementation of strategies to drive clinical transformation toward… more
    Apicha Community Health Center (05/22/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... The QPM establishes and maintains practice/provider relationships, presenting, practices HEDIS , STARS, and RAF training and planning, and contract performance… more
    LifePoint Health (04/16/25)
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