• Sr. Manager HEDIS

    Somatus (Mclean, VA)
    …CMS quality metric regulations. **Preferred** + Prior experience as a HEDIS Manager . + Master's degree in Business / Health Administration or advanced ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...+ Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager ** will be r _esponsible for… more
    Somatus (08/01/25)
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  • HEDIS Supervisor

    Somatus (Mclean, VA)
    …internal and vendor workflows to ensure optimal processes are effective to address gaps in care . + Support the HEDIS manager to conduct meetings with ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Organize and maintain a plan of action to improve HEDIS scores + Support the Manager to… more
    Somatus (07/29/25)
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  • HEDIS Coordinator I & II

    Somatus (Mclean, VA)
    …in accordance with HEDIS technical specifications as well as Somatus and health plan specifications. + Remain updated on NCQA HEDIS Technical Specifications ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect… more
    Somatus (07/25/25)
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  • Managed Care Quality Manager

    McLaren Health Care (Flint, MI)
    …forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health ... Michigan-based health plan dedicated to meeting the health care needs of each of our...(QPIP). Manages the Healthcare Effectiveness Data and Information Set ( HEDIS ) process. Facilitates the delivery of medical care more
    McLaren Health Care (07/16/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …Range: $121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable... Services Domain experience required. 3 years of Clinical Care and 3 years of HIE, HEDIS more
    LA Care Health Plan (08/08/25)
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  • Quality Project Manager (Michigan)

    CVS Health (Lansing, MI)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...and makes recommendation for improvement in closing gaps in care , to achieve NCQA HEDIS metric benchmarks… more
    CVS Health (08/14/25)
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  • Behavioral Health Provider Quality…

    Elevance Health (Los Angeles, CA)
    Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to be ... leaders passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider… more
    Elevance Health (07/25/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …of risk and value-based contracting. Demonstrated knowledge and experience with primary health care practice standards and quality performance measures- STARS ... Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on...system, and friendly people. *_Why Choose Us_* * o Health (Medical, Dental, Vision) and 401K Benefits for full-time… more
    LifePoint Health (08/09/25)
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  • Informatics Manager

    CVS Health (Carson City, NV)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health ...where the data is then consumed for use by HEDIS , quality care measures and additional clinical, state… more
    CVS Health (08/10/25)
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  • Care Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …benefits). + Knowledge of managed care principles and concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of ... understanding of the strategic and financial goals of a health care system or payor organization, as...the standards of practice for case manager . **Salary Range** : $96,160 - $178,497 **Salary Range… more
    CareFirst (07/12/25)
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