- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject ... matter expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and… more
- Medical Mutual of Ohio (OH)
- …by members, and members' health outcomes.** **Note: This is a fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** ** HEDIS Analyst II** ... more junior-level Analyst. May supervise staff in absence of Manager + Supports HEDIS submission lifecycle processes...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- 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
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- Sharp HealthCare (San Diego, CA)
- …Healthcare Quality (CPHQ) - National Association for Healthcare Quality; Certified Case Manager (CCM) - Commission for Case Manager Certification **Hours** **:** ... for the development and implementation of an effective Hospital Case Management program (HCM) and Ambulatory Case Management (ACM) program that encompasses… more
- Molina Healthcare (Buffalo, NY)
- …This position will be supporting our Complex Adult Medical Care Management program . The ideal candidate will bring strong expertise in chronic disease management, ... asthma, COPD, and chronic kidney disease/ESRD. Skilled in closing HEDIS and preventive care gaps through proactive outreach and...beneficial. Case management and managed care experience is preferred. Remote position based in New York A New York… more
- Sharp HealthCare (San Diego, CA)
- …for implementing the Utilization/Cost Management Program and Quality Improvement Program , in conjunction with the Manager Medical Management and Quality ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external… more
- Centene Corporation (Jefferson City, MO)
- …goals of clinical and administrative operations. The Quality Program Development Manager position is primarily remote . Candidates based in Missouri, Iowa, or ... a fresh perspective on workplace flexibility. **Position Purpose:** Functions as a program development manager in collaboration with Quality, Health Services and… more
- Sharp HealthCare (San Diego, CA)
- …of care foundation for our NCQA required population health management program . Additionally, this position provides the representation of physician's insight, ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...+ Plans, organizes, and directs the professional medical services program , consisting of all primary and specialty services for… more
- Molina Healthcare (UT)
- …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for other...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
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