• HEDIS Program Manager

    CVS Health (Austin, TX)
    …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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  • Strategic HEDIS Data Analysis…

    CVS Health (Austin, TX)
    …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
    CVS Health (07/31/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Houston, TX)
    **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 (07/31/25)
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  • Provider Engagement Account Manager

    Centene Corporation (San Antonio, TX)
    …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 (07/03/25)
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  • Health Plan Pharmacy Services Manager (SC…

    Molina Healthcare (Dallas, TX)
    …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 (07/24/25)
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  • Manager , Provider Relations

    Molina Healthcare (Houston, TX)
    …Plan. * Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. * Engages contracted network providers regarding cost ... access grievances with contracted providers. * Oversees the IHH program and ensures IHH program alignment with...Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight,… more
    Molina Healthcare (06/22/25)
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  • Quality RN Professional

    CenterWell (Port Arthur, TX)
    …implementation and management oversight of the Primary Care Organization's Stars Program in the Houston market. The Quality RN Professional works assignments ... 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 (07/08/25)
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  • PRN/Float Medical Assistant

    CenterWell (Corpus Christi, TX)
    …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... to make an impact** **Required** * Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and… more
    CenterWell (07/24/25)
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  • Medical Assistant

    CenterWell (Jourdanton, TX)
    …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... an impact** **Required Qualifications** + Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience… more
    CenterWell (07/16/25)
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  • Supervisor, Clinical Pharmacy/MTM - Remote

    Molina Healthcare (Houston, TX)
    …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 (07/09/25)
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