- CVS Health (AZ)
- …will do** + Lead team of experienced analysts in support of HEDIS and other quality measure performance forecasting (ARIMA, exponential smoothing, regression ... And we do it all with heart, each and every day. Leads quality measure focused forecasting analytics and tableau dashboard team. Administers quality … more
- Molina Healthcare (Scottsdale, AZ)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director , and quality improvement staff. + ... action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Molina Healthcare (Mesa, AZ)
- …Directors to standardized utilization management policies and procedures to improve quality outcomes and decrease costs. * Provide regional medical necessity reviews ... and cross coverage * Standardizes UM practices and quality and financial goals across all LOBs * Responds...portions of state contracts * Assist the BH MD lead trainers in the development of enterprise-wide teaching on… more
- Evolent (Phoenix, AZ)
- …impact of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and ... regulatory reporting needs efficiently, ensuring compliance with applicable guidelines. + Lead the design, development, improvement, and maintenance of BI dashboards… more
- Molina Healthcare (Phoenix, AZ)
- …with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads ... contracts with the Complex Provider Community that result in high quality , cost effective and marketable providers. Contract/Re-contracting with large scale entities… more
- CenterWell (Sun City, AZ)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Bilingual is a plus. **Additional Information** ... Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional,...We are a value based care provider focused on quality of care for the patients we serve. Our… more
- CenterWell (Phoenix, AZ)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.… more
- Adelante (Phoenix, AZ)
- …Care Delivery Integration and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics. + Coordinate outreach ... including HbA1c, UA, HCGs, hemoglobin, Fecal Occult Blood Test, Lead screening, PKU, HIV and Strep. + Support heath...+ Other projects as requested by the Nursing Manager, Quality Improvement Manager, or Director of … more
- CenterWell (Surprise, AZ)
- …relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual (English and Spanish) preferred (not ... first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a...environment. We are a value-based care provider focused on quality of care for the patients we serve. Our… more