- CVS Health (Sacramento, CA)
- …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
- Amazon (San Francisco, CA)
- Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for ... and team leadership. Key job responsibilities Quality Strategy & Program Leadership: - Lead initiatives to improve the quality...of care delivered for Senior Health, as measured by HEDIS , Medicare Advantage Stars, ACO REACH, and other national… more
- Centene Corporation (Sacramento, CA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Leveraging data, presents detailed HBR ... or health plan setting. Strong communication and presentation skills Proficient in HEDIS /Quality measures, cost (ie MLR analysis) and utilization metrics. Pay Range:… more
- 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 ... passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement,… more
- First Databank, Inc. (FDB) (South San Francisco, CA)
- …challenge? The First Databank (FDB) is currently seeking a Strategic Account Manager in the Customer Operations department. The Strategic Account Manager ... + Familiarity with value-based care initiatives and healthcare quality metrics (eg, HEDIS , MACRA, MIPS). + Excellent verbal and written communication skills to… more
- Sharp HealthCare (San Diego, CA)
- …for implementing the Utilization/Cost Management Program and Quality Improvement Program , in conjunction with the Manager Medical Management and Quality ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external… more
- Sharp HealthCare (San Diego, CA)
- …of care foundation for our NCQA required population health management program . Additionally, this position provides the representation of physician's insight, ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...+ Plans, organizes, and directs the professional medical services program , consisting of all primary and specialty services for… more
- ERP International (Camp Pendleton, CA)
- …cessation classes or appointments consistent with the MTF tobacco cessation program ; and nutrition education and weight management. * Develop population-based ... a hospital setting, train hospital and Naval staff in health promotion program protocols and processes to ensure sustainability, develop educational seminars and… more
- CenterWell (Sacramento, CA)
- …practice physically within the state. . Graduate of accredited MD or DO program of accredited university . Board certification or eligible to become certified (ABMS ... telemedicine/telehealth . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value-based care settings .… more
- Sharp HealthCare (San Diego, CA)
- …contact with Plan providers to stay up-to-date on their provider activities, program and initiatives for the Plan, including personal visits, written correspondence ... and initiatives through continual communications.Develops and implements an Orientation Program for all new providers who meet the credentialing requirements… more