- CVS Health (Atlanta, GA)
- …day. **A Brief Overview** Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, ... analyzing healthcare data, and utilizing technology to support time-series modeling,...modeling, machine learning, and MLOps practices. Applies expertise in healthcare and information technology to ensure efficient data management,… more
- Molina Healthcare (OH)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality / HEDIS improvement activities, meetings, and discussions with and ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...education and work experience + 1-3 years' experience in healthcare with 1-year experience in health plan quality… more
- Molina Healthcare (OH)
- …within the department and/or collaboratively with other departments. Please include any HEDIS / Quality experience on your resume. This experience is important for ... & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
- UCLA Health (Los Angeles, CA)
- …an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ( Healthcare Effectiveness ... $208,300/AnnuallyQualifications + CMS Star Ratings strategy experience - REQUIRED + HEDIS ( Healthcare Effectiveness Data and Information Set) operations… more
- CVS Health (Lansing, MI)
- …+ Active Michigan nursing license or clinical license OR + Certified Professional in Healthcare Quality + Experience with HEDIS , CMS Stars and CAHPS ... **Must live in Michigan** **Must hold a clinical license, preferably, Nursing License** The Manager of Health Care Quality will support the functions of the… more
- The Cigna Group (Bloomfield, CT)
- …years of experience as a people leader in an analytics function + Experience with HEDIS , NCQA, or other healthcare quality metrics is preferred **Technical ... Manager is responsible for managing complex projects, transforming traditional Healthcare Effectiveness Data and Information Set ( HEDIS ) measurement/reporting… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS...running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality… more
- Ascension Health (Tulsa, OK)
- …with tools such as Cerner, Tableau, or Power BI + Strong understanding of quality measurement frameworks (eg, HEDIS , Stars, QPP/MIPS, ACO eCQM measures) + ... **Details** + **Department:** Quality & Population Health + **Schedule:** FT, Monday-Friday...Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and… more
- The Cigna Group (Bloomfield, CT)
- …competitors, and drive improvements in patient outcomes. This data will feed into HEDIS ( healthcare effectiveness data and information set) and NCQA (national ... portfolio funding process + Data Governance, Data Management, Data Quality , or Process Improvement practices + Healthcare ...gaps in care, health risk scores, next best actions, HEDIS , NCQA, performance guarantees, etc.) + Healthcare … more
- Molina Healthcare (Fort Worth, TX)
- … accreditation standards (National Committee for Quality Assurance (NCQA)/ Healthcare Effectiveness Data Information Set ( HEDIS )/Medicare STARS). * Excellent ... (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other health care or management… more