- CVS Health (Lansing, MI)
- …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
- Molina Healthcare (Grand Rapids, MI)
- **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 (Grand Rapids, MI)
- …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
- CVS Health (Lansing, MI)
- …and every day. This is an individual contributor role The Senior Manager of Value-Based Contracting is responsible for establishing and maintaining productive ... obtain crucial or required information from providers, such as HEDIS , Credentialing, etc. + Leads work and deliverables of...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- ChenMed (Warren, MI)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer...required + Graduation from a nationally accredited Medical Assistant program preferred + A minimum of 1 year of… more
- Molina Healthcare (Sterling Heights, MI)
- …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 (MI)
- …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 (Lansing, MI)
- …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