- Actalent (Cleveland, OH)
- Job Title: HEDIS Specialist Job Description Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid ... and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes. + Provide clinical support to the medical… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. Please include… more
- Molina Healthcare (WA)
- **Job Description** **Job Summary** The Senior Specialist , Quality Program Management and Performance implements new and existing healthcare quality improvement ... and monitoring for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Single. Day. Aspirus Health Plan in Wausau, WI is seeking a RN QUALITY IMPROVEMENT SPECIALIST to join our ASPIRUS HEALTH PLAN team ! This position could also be ... Operations to develop and implement a cohesive Quality Improvement Program that supports NCQA, HEDIS and Medicare Star Ratings. HOURS: Full Time or 1.0 FTE, 80 hours… more
- Molina Healthcare (Rockford, IL)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or ... Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
- Trinity Health (Boise, ID)
- …Type:** Full time **Shift:** Day Shift **Description:** **SUMMARY:** The Performance Improvement Specialist serves as a key member of the Saint Alphonsus Health ... and/or performance/process improvement role preferred. + Knowledge of NCQA and HEDIS standards and Medicare Advantage Star ratings gained through experience strongly… more
- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of Minnesota Position Title: Senior Medical Record Retrieval Operations Specialist Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations ... management. * Manage and implement communications processes for the annual HEDIS Medical Records Review initiative including clinic information updates, committee… more
- UPMC (Pittsburgh, PA)
- …within 2 hours of a CCBH office location. The Quality Management Specialist is responsible for performing functions related to quality management and improvement, ... in compliance with NCQA, HEDIS , URAC the Commonwealth of Pennsylvania Department of Health quality assurance regulations, and all other regulatory and oversight… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The **Clinical Outcomes Specialist ** acts as a subject matter expert for key EMR clinical workflows, ensuring ... with NCQA PCMH standards and the accreditation process. + Experience with HEDIS , MIPS, and other value-based care quality measures. **Licenses and Certifications… more