• HEDIS Program Manager

    CVS Health (Baton Rouge, LA)
    …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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  • Provider Engagement Account Manager

    Centene Corporation (Baton Rouge, LA)
    …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 and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
    Centene Corporation (07/31/25)
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  • Quality RN - Prairieville

    CenterWell (Baton Rouge, LA)
    …development, implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Quality RN Professional work assignments are varied and ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
    CenterWell (06/26/25)
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  • Nurse Practitioner - Occupational Health

    ERP International (Barksdale AFB, LA)
    …waivers as applicable and notify Public Health and Deployment Waiver Manager . + Provide health education and information and recommend medical referrals/follow-up ... an initial referral for mental health care (where the Behavioral Health Optimization Program [BHOP] is available). + Complete the Health-Care Provider portion of the… more
    ERP International (07/23/25)
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  • Medical Assistant

    CenterWell (Covington, LA)
    …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 (07/04/25)
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  • PRN - Virtual Physician Collaborator (Remote)

    CenterWell (Baton Rouge, LA)
    …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
    CenterWell (08/02/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS , as applicable; + Accurately score audits utilizing proper scoring ... client remotely and on-site; + Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion; + Stay current on… more
    MedKoder (06/12/25)
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