• HEDIS Program Manager

    Centene Corporation (Harrisburg, PA)
    …of PA Health & Wellness, a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS , ... strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
    Centene Corporation (09/06/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …is a fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** ** HEDIS Analyst II ** + Coordinates and collaborates interdepartmentally to ... reviews work of more junior-level Analyst. May supervise staff in absence of Manager + Supports HEDIS submission lifecycle processes such as data compilation,… more
    Medical Mutual of Ohio (08/16/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...Act as liaison between IT Solution Delivery team and Program /Project Managers for all Enterprise Initiatives. Manage and prioritize… more
    LA Care Health Plan (08/08/25)
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  • Community Connections Representative I/ II

    Excellus BlueCross BlueShield (Rochester, NY)
    …community-based organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME) ... and outreach. * Educates and assists members with accessing care, Case Management program and benefits and government cell phone programs. * Coordinates, plans and… more
    Excellus BlueCross BlueShield (09/02/25)
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  • Epic Training Analyst II

    AdventHealth (Woodridge, IL)
    …travel between clinics) **The role you'll contribute:** The Training Analyst II is responsible for implementing standardized clinical, revenue cycle, and practice ... Group. The Analyst will collaborate with the Physician Enterprise Training Delivery Manager and medical group leadership to identify, assess, prioritize, and address… more
    AdventHealth (08/07/25)
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  • Data Analyst II

    Centene Corporation (Austin, TX)
    …+ Financial, pharmacy, claims, provider, and member data. + IRS, CMS, HHSC, HEDIS reporting. + Internal data cleansing and data reconciliation analysis. + Trend ... multiple projects and timelines effectively and communicate risks and issues to manager regularly. + Assist with training lower level Data Analysts. + Performs… more
    Centene Corporation (09/10/25)
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  • Case Manager , RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Dewitt, NY)
    Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA)...+ Performs other functions as assigned by management. Level II (in addition to Level I Essential Accountabilities) +… more
    Excellus BlueCross BlueShield (08/28/25)
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  • MA Quality Performance, Pop Health Boise Clinics…

    Trinity Health (Boise, ID)
    …by IBM Watson Health; + The region's most advanced Trauma Center (Level II ); + Commission on Cancer Accredited Program through demonstrating an uncompromising ... initiatives (Gaps In Care Closure) focused on Quality measures ( HEDIS ). + This position will be primarily located at...and STAR measures. This role reports to the SAMG Manager of Quality Performance Improvement, Population Health. + This… more
    Trinity Health (09/05/25)
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  • Center Administrator

    CenterWell (Covington, LA)
    …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific… more
    CenterWell (09/09/25)
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  • Center Administrator

    CenterWell (Decatur, GA)
    …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific… more
    CenterWell (08/09/25)
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