• Director , Quality…

    Centene Corporation (Springfield, IL)
    …Effectiveness Data and Information Set ( HEDIS ) performance + Responsible for quality improvement aspects of risk adjustment processes for all products + ... opportunity supporting and working EST/CST This will be supporting HEDIS Operations- experience in this area is highly preferred....required + Master's Degree preferred + 7+ years of quality management, quality improvement or… more
    Centene Corporation (10/12/25)
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  • Lead Director - Quality HEDIS…

    CVS Health (RI)
    …decision making for the Health Care Quality Management area. + Facilitate quality improvement initiative data reporting based on results of data collection ... you will do** + Lead team of experienced analysts in support of HEDIS and other quality measure performance forecasting (ARIMA, exponential smoothing, regression… more
    CVS Health (10/08/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (OH)
    …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between ... organizations + Evaluates project/program activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps… more
    Molina Healthcare (09/21/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    … Program, in conjunction with the Director of PHM/ Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and ... improvement programs and work plans. + Assists the Chief Medical Officer and the Quality Improvement Director in creating and maintaining a system that… more
    Sharp HealthCare (07/19/25)
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  • Assistant Director QI

    State of Indiana (Indianapolis, IN)
    …this mission. Role Overview: As Assistant Director , you will serve as the Director of Quality Improvement (QI), an integral component in serving Medicaid ... HEDIS data and scoring, NCQA Accreditation, Annual Quality Improvement Plans, and member interventions and...goal determination, and strategic planning, etc., makes recommendations for improvement . + Assist the Director with developing… more
    State of Indiana (10/10/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our...experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational… more
    CenterWell (07/22/25)
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  • Center Medical Director

    ChenMed (Warren, MI)
    …position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director ... may be simultaneously completing PCP Black Belt Training and Mastering the Medical Director Essentials within a combined and accelerated PCP and medical director … more
    ChenMed (09/20/25)
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  • Center Clinical Director

    ChenMed (Houston, TX)
    …position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director ... may be simultaneously completing PCP Black Belt Training and Mastering the Medical Director Essentials within a combined and accelerated PCP and medical director … more
    ChenMed (10/03/25)
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  • REMOTE - Medical Director , Health Plan

    Martin's Point Health Care (Portland, ME)
    …utilization and cost management goals, MLR , inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS and how to ... the opportunity to assist in or drive short and long-range clinical programming, quality management, and external relationships. The Medical Director reports to… more
    Martin's Point Health Care (09/22/25)
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  • Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …plan Chief Medical Officer) in short and long range program planning, total quality management ( quality improvement ), and external relationships. Works with ... + Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical… more
    Sharp HealthCare (08/17/25)
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