- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …outreach, customer service or care coordination is required. + Knowledge of HEDIS measures, Medicare/Medicaid quality programs and mediation adherence is ... of this position is to support the health plan's quality and performance goals, with a focus on achieving...This includes conducting outbound calls to members to close HEDIS gaps in care, discussing the importance of medication… more
- Northern Light Health (Brewer, ME)
- …processes. The coordinator will provide education and training to member organizations on clinical quality metrics and documentation requirements and ... Work Schedule: 8:00 AM to 4:30 PM Summary: The Quality Program Coordinator will facilitate quality...This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and… more
- LA Care Health Plan (Los Angeles, CA)
- Quality and Population Health Coordinator I (ALD)...to LA Care members. The QPHC is an important member of LA Care's quality improvement team, helping ... net required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC)...patients and health care providers. Preferred: Some knowledge of HEDIS and other quality measures. Some knowledge… more
- Molina Healthcare (Southaven, MS)
- **Job Description** **Job Summary** The EPSDT Coordinator oversees all EPSDT activities for the Health Plan and is responsible for identifying gaps in or barriers to ... assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of… more
- AmeriHealth Caritas (Greenville, NC)
- …services. Discover more about us at www.amerihealthcaritas.com . **Job Summary** As a member of the Population Health and Care Management team, the Care Management ... Oversight Coordinator will interface with delegated provider groups and clinically...against contract requirements and specifications for items such as HEDIS measures. + Review delegation agreements and provide input… more
- Corewell Health (Southfield, MI)
- …data entry, and data evaluation. + Responsible for training staff regarding HEDIS measures, quality improvements principles and standards, conducting PDSA, Cycle ... develops, coordinates, and implements operational components of pay-for-performance and quality programs under various health plan and employer agreements. Works… more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality . We believe our individual differences, ... observes HIPAA regulations and the Fallon Health Policies regarding confidentiality of member information o Supports Quality and Ad-Hoc campaigns **Care… more
- ChenMed (Richmond, VA)
- …for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness ... to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote… more