- CVS Health (RI)
- …will do** + Lead team of experienced analysts in support of HEDIS and other quality measure performance forecasting (ARIMA, exponential smoothing, regression ... And we do it all with heart, each and every day. Leads quality measure focused forecasting analytics and tableau dashboard team. Administers quality … more
- Highmark Health (Pittsburgh, PA)
- …state and federal levels. Drives efficient operational functions to achieve established Quality measures, STARS and HEDIS performance ratings. Directs and ... ensure complete / accurate assessment and documentation of member profile. + HEDIS Abstraction:Primary liaison with Highmark's Quality / Stars team for retrieval… more
- Sharp HealthCare (San Diego, CA)
- …+ Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Director of PHM/ ... health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical...Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and Physician… more
- 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 (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
- Centene Corporation (New York, NY)
- …in the Northeast with occasional travel to Bedford, NH!** **Position Purpose:** Lead and direct process improvement activities that provide more efficient and ... streamlined workflow. + Responsible for National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (… more
- ChenMed (Margate, FL)
- …Manages clinical teams to deliver VIP service, standards of care and quality guidelines, HEDIS /STARS, high-risk disease detection and high-risk disease ... rapidly expanding and we need great people to join our team. The Medical Director , Center is specifically responsible for executing the ChenMed Way and core model in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management, decision-making, and problem-solving skills. + Knowledge of credentialing, quality , NCQA/ HEDIS /CMS and/or Medicaid Star Ratings, and/or value-based ... is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services area… more
- Drips (OH)
- Position Title: VP or Director of Strategic Accounts Location: Remote Reports To: SVP of Healthcare Solutions Type: Full Time | High Impact | Quota-Carrying About ... journey, helping national, regional, and local health plans improve Stars, HEDIS , HOS, Medication Adherence, acquisition, and retention strategies. Our work in… more
- Molina Healthcare (Idaho City, ID)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director , and quality improvement staff. + ... action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more