• HEDIS Program Manager

    CVS Health (Phoenix, AZ)
    …excellence in healthcare delivery. + Educates internal and external stakeholders on HEDIS program needs and compliance requirements. + Generates and interprets ... process improvement methodologies. **Required Qualifications** 3-5 years progressive experience in HEDIS data analysis program management in managed care… more
    CVS Health (08/01/25)
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  • Strategic HEDIS Data Analysis…

    CVS Health (Phoenix, AZ)
    …This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our ... future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive… more
    CVS Health (07/31/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Mesa, AZ)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
    Molina Healthcare (07/31/25)
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  • Health Plan Pharmacy Services Manager (SC…

    Molina Healthcare (AZ)
    …position requires a current South Carolina pharmacist license **Job Summary** The Pharmacy Manager , Health Plan Pharmacy Services is an integral role of the Health ... Director or AVP to ensure that the Health Plan Pharmacy Program is consistent with Molina's overall pharmacy strategy. **KNOWLEDGE/SKILLS/ABILITIES** + Provides… more
    Molina Healthcare (07/24/25)
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  • Quality RN Professional

    CenterWell (Peoria, AZ)
    …development, implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Quality RN Professional work assignments are varied and ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more
    CenterWell (07/08/25)
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  • WIC Quality Assurance Specialist

    Adelante (Phoenix, AZ)
    …POSITION SUMMARY The WIC Quality Assurance Specialist ensures the WIC program operates efficiently, complies with federal and state regulations, and provides ... participants. This position focuses on reviewing and monitoring the program 's activities, ensuring adherence to quality standards, and implementing improvements… more
    Adelante (06/30/25)
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  • Supervisor, Clinical Pharmacy/MTM - Remote

    Molina Healthcare (Mesa, AZ)
    …Medicaid eligible members as well as Medication Adherence Programs for STAR, HEDIS and behavioral health medications. * Ensures that adequate staffing coverage is ... all CMS guidelines and reporting requirements for the MTM Program ; fulfills all required process and outcome measurements and...recommended changes to drug therapy were implemented. * Assists Manager or Director in the collection and tabulation of… more
    Molina Healthcare (07/09/25)
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  • Registered Nurse (Family/Internal Medicine)

    Adelante (Goodyear, AZ)
    …E ngaged Qualifications ESSENTIAL SKILLS AND EXPERIENCE: + Graduation from an accredited nursing program + Licensed with the AZ State Board of Nursing + License to ... and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics. + Coordinate...Plans. + Other projects as requested by the Nursing Manager , Quality Improvement Manager , or Director of… more
    Adelante (07/04/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (AZ)
    …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for other...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
    Molina Healthcare (07/31/25)
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  • Clinical Performance Liaison

    Dignity Health (Phoenix, AZ)
    …teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department, and are responsible ... metrics commonly tied to performance in value based contracts (CMS ACO, HEDIS , NCQA, etc.) and Medicare Advantage programs (HCC/RAF). In addition these positions… more
    Dignity Health (07/03/25)
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