• Program Manager of HEDIS and CMS…

    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 ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle + Facilitate the CMS Star Ratings Workgroup to… 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 ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
    Molina Healthcare (10/19/25)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …programs. + Experience in meeting or exceeding NCQA requirements, including project management responsibilities. + Experience related to HEDIS , including ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply  Senior Medical Management Nurse -… more
    Ventura County (12/07/25)
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  • Data Management Strategy & Governance…

    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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  • Public Health Educator/ Senior Strategist

    ERP International (Camp Pendleton, CA)
    …a current AHA OR ARC BLS Healthcare Provider certification. **Specific Quals for Program Manager / Senior Strategist** * Knowledge of the military health system. ... **Overview** ERP International, LLC is seeking a **Public Health Educator/ Senior Strategist** for a full-time position in the **Health Promotion and Wellness… more
    ERP International (11/13/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …purpose. Job Summary The Technical Application Manager II reports to the Senior Manager Information Technology IT Solutions Delivery. This role acts as the ... Technical Applications Manager II Job Category: Information Technology Department: IT...Act as liaison between IT Solution Delivery team and Program/ Project Managers for all Enterprise Initiatives. Manage and prioritize… more
    LA Care Health Plan (09/16/25)
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  • Senior Specialist, Quality Program…

    Molina Healthcare (WA)
    **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement ... key quality program activities. Acts as a lead specialist to provide project , program, and/or initiative related direction. Provides guidance for other specialists… more
    Molina Healthcare (12/11/25)
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  • Senior Specialist, Quality Interventions/QI…

    Molina Healthcare (Rockford, IL)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (11/21/25)
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  • Delegation Partnerships Performance Manager

    Commonwealth Care Alliance (Boston, MA)
    …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
    Commonwealth Care Alliance (10/18/25)
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  • Manager , Case Management (Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …BlueCross BlueShield Association (BCBSA) for the Federal Employee Program (FEP). The Manager serves as a resource to management, internal staff, regulatory and ... collaboration with the Director, including summary and communication to staff and senior management. + Responsible for all regulatory reporting to ensure accurate… more
    Excellus BlueCross BlueShield (12/03/25)
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