- CVS Health (TX)
- …and MLOps practices + Apply advanced modeling and statistical analysis to Healthcare Quality metrics spanning NCQA HEDIS measures and CMS Clinical Stars + ... Apply advanced statistical, machine learning, and deep learning methods (eg, ARIMA, Prophet, gradient boosting,) + Performs code reviews and enforces coding standards, based on company and industry requirements, across the development teams. + Identifies and… more
- CenterWell (Houston, TX)
- … quality improvement best practice initiatives designed to improve Medicare quality measures ( HEDIS ), patient safety and patient experience (CAHPS-HOS). QIP ... suited candidate will have an interest and practical experience working with clinical quality measures in particular medication adherence and HEDIS . + Utilize… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and existing healthcare quality ... the Manager and/or Director to maintain up-to-date addendums to quality policies and procedures that clearly document state-specific activities and requirements… more
- Centene Corporation (Austin, TX)
- …the differences between Risk and Value-Based contractual arrangements. + Responsible for understanding HEDIS and STARS measures and partners with Quality Team to ... drive improvement of quality provider performance. + Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes. + Ensures adherence to contractual obligations and to regulatory requirements. + Identifies areas of… more
- Molina Healthcare (TX)
- …& Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with prescribed program standards,… more
- CenterWell (Austin, TX)
- …+ Knowledge of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators preferred + 5 or more years of Value Based Care and ... role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program. If selected for...coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators preferred **Additional Information** +… more
- CenterWell (San Antonio, TX)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English… more
- CenterWell (Corpus Christi, TX)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English… more
- CenterWell (Corpus Christi, TX)
- …(KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals *Personally deliver ... combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based Care (VBC) principles. This… more
- ChenMed (Houston, TX)
- …a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness...(TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for… more
Recent Jobs
-
Authorization Specialist I
- Albany Medical Center (Albany, NY)
-
Geotechnical Civil Engineer IV
- CHA Consulting, Inc. (NY)
-
Research Intern - ML and Computational Biology for the Immune System
- Microsoft Corporation (Redmond, WA)
-
Penn Medicine Clinician (General Internal Medicine)
- University of Pennsylvania (Philadelphia, PA)