- CVS Health (Atlanta, GA)
- …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 (Atlanta, GA)
- …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
- Molina Healthcare (Savannah, GA)
- **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
- Centene Corporation (Atlanta, GA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost (MLR) and utilization. Account management experience strongly preferred.… more
- Molina Healthcare (Savannah, GA)
- …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 (GA)
- …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
- CenterWell (Marietta, GA)
- …to make an impact** **Required** * Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and ... and is part of the company's Tuberculosis (TB) screening program . If selected for this role, you will be...experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual… more
- CenterWell (Atlanta, GA)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... as required + Graduate of accredited MD or DO program of accredited university + Excellent verbal and written...coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly… more
- CenterWell (Morrow, GA)
- …. Successful completion of a Nurse Practitioner or Physician Assistant program with Board Certification . Active, unrestricted Nurse Practitioner or Physician ... role is considered patient facing and is a part of our Tuberculosis (TB) screening program . If selected for this role, you will be required to be screened for TB.… more
- CenterWell (Atlanta, GA)
- …is considered patient facing and is part of the company's Tuberculosis (TB) screening program . If selected for this role, you will be required to be screened for ... + Phlebotomy Certification + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience + Bilingual proficiency in… more
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