- Molina Healthcare (Everett, WA)
- **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical ... HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
- LA Care Health Plan (Los Angeles, CA)
- …considered. Education Preferred Experience Required: A minimum of 3 years of experience in HEDIS abstraction and/or other Quality Improvement , Quality ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Centene Corporation (Jefferson City, MO)
- …(NCQA) and Healthcare Effectiveness Data and Information Sets ( HEDIS ) performance improvement projects. + Oversee quality improvement related activities ... **Position Purpose:** Oversee and manage the functions of the quality improvement program from inception to closure,...Improvement Specialist and Patient Care Advocates during the HEDIS and 5 Star projects. + Oversee Patient Care… more
- VNS Health (Manhattan, NY)
- OverviewLeads the clinical audit team and oversees quality improvement initiatives with a primary focus on Medicare STARS and clinical program performance for ... quality ratings and performance metrics. Implements, monitors, and evaluates quality improvement strategies based on national benchmark data to achieve… more
- CenterWell (Dallas, TX)
- …community and help us put health first** **Job Profile Summary** The Manager , Stars Improvement , Clinical responsible for the development, implementation and ... management oversight of the Primary Care Organization's clinic-based Stars Program. The Manager , Stars Improvement , Clinical works within specific guidelines and… more
- ConnextCare (Pulaski, NY)
- Quality Improvement Analyst Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description Basic Function: To identify areas for ... improvement regarding patient care quality by analyzing...and Social Care Networks Contracts + Complete/Coordinate system wide HEDIS Insurance chart audits + Review Gaps in Care… more
- CenterWell (Miami Beach, FL)
- …represents the scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS and Stars performance ... us put health first** **Job Profile Summary** The Supervisor, Stars Improvement , Clinical is responsible for supporting the development, implementation and oversight… more
- CenterWell (San Antonio, TX)
- …Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS /Stars/CMS + Excellent presentation ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to… more
- Molina Healthcare (Phoenix, AZ)
- … Interventions is responsible for developing, implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate ... 3+ years' experience with member/ provider ( HEDIS ) outreach and/or quality intervention or improvement studies (development, implementation, evaluation). +… more
- LifePoint Health (Las Cruces, NM)
- …one-on-one meaningful interactions regarding current performance. Utilize professional, clinical and/or quality improvement experience and expertise to guide the ... volumes in PCP visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to… more
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