- Centene Corporation (Salem, OR)
- …perspective on workplace flexibility. **Position Purpose:** Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing… more
- AmeriHealth Caritas (Newtown Square, PA)
- …**Essential Functions include but not limited:** + Leads staff in all aspects of HEDIS operations required to meet NCQA submission requirements. + Ensures all ... SQL and HEDIS ;experience is required to be considered for...Coast hours.; Manages Healthcare Effectiveness Data and Information Set ( HEDIS ) planning, data collection, quality control, analysis, and reporting… more
- Centene Corporation (Sacramento, CA)
- …to engage, recommend and support improved coding for direct impact on HEDIS data capture strategies in accordance with National Committee for Quality Assurance ... (NCQA) and Healthcare Effectiveness Data and Information Set ( HEDIS ) standards and specifications. Provide insight and make recommendations to internal stakeholders… more
- Centene Corporation (Carson City, NV)
- …fresh perspective on workplace flexibility. **Position Purpose:** The Quality Improvement Project Manager will be a part of SilverSummit Healthplan, a subsidiary of ... for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set ( HEDIS ) preparation. **_ Qualified candidates must reside in Nevada to be… more
- BlueCross BlueShield of North Carolina (NC)
- …of experience in related field + Knowledge of DSNP clinical quality improvement operations and HEDIS **Bonus Points** + Strong analytical, organization, and ... as required to redirect activities and attain objectives. + Developing HEDIS project plans. + Cross-departmental collaboration and stakeholder education. +… more
- Molina Healthcare (Lincoln, NE)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
- HCA Healthcare (Nashville, TN)
- **Description** **Job Summary and Qualifications** The Value-Based Care (VBC) Program Manager is responsible for developing and maintaining detailed technical and ... and performance improvement in the ambulatory healthcare space. The VBC Program Manager additionally serves as the Physician Services liaison to our Clinically… more
- CenterWell (Tampa, FL)
- …and help us put health first** **Job Profile Summary** The Manager , Stars Improvement, Clinical responsible for the development, implementation and management ... oversight of the Primary Care Organization's clinic-based Stars Program. The Manager , Stars Improvement, Clinical works within specific guidelines and procedures;… more
- CenterWell (Arlington, TX)
- …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... patient outcomes and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and patient retention. Must… more
- LifePoint Health (Las Cruces, NM)
- …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... The QPM establishes and maintains practice/provider relationships, presenting, practices HEDIS , STARS, and RAF training and planning, and contract performance… more