- Centene Corporation (Austin, TX)
- …. **Position Purpose:** Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position ... providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes + Provide… more
- ZoomCare (Tigard, OR)
- …dedicated, fast-moving team of superstars! ZoomCare is seeking a **Clinical Documentation Improvement Specialist ** to join our team! The Clinical Documentation ... Improvement (CDI) Specialist is responsible for reviewing outpatient clinical documentation to...Epic, Cerner, or equivalent platforms preferred. + Knowledge of quality reporting programs, including HEDIS , MIPS, and… more
- Adelante (Phoenix, AZ)
- …Manager, WIC Services Manager and Director of WIC to identify opportunities for quality improvement and oversee performance improvement initiatives. This ... WIC Quality Assurance Specialist Job Details Job...Some roles require experience in managing teams and overseeing quality improvement processes. + Knowledge of WIC… more
- UPMC (Pittsburgh, PA)
- …Quality Management Specialist is responsible for performing functions related to quality management and improvement , in compliance with NCQA, HEDIS , ... and participating providers. + Responsible for minute taking at the Board Quality Improvement Committee and other quality committees as assigned. +… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Sr. Healthcare Quality Specialist RN is responsible for evaluating and improving quality of care and patient safety at Kelsey-Seybold ... Clinic (KSC). This role combines clinical expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best… more
- US Tech Solutions (Boston, MA)
- …in a meaningful and understandable way. **Experience:** + Experience with quality improvement methodologies preferred. + Strong analytical and problem-solving ... and other healthcare industry metrics used to benchmark performance. + Quality improvement methodologies. **Education:** + Bachelor's degree in health… more
- AmeriHealth Caritas (Manchester, NH)
- …strongly preferred.; + 3-5 years Managed Care experience required; + 3-5 years quality improvement experience required. + 2-4 years experience in project ... Health Plan Rating (HPR). The position also supports accreditation and clinical quality performance improvement activities. + Data analysis skills ;-… more
- Highmark Health (Montpelier, VT)
- …providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different potential roles on a ... key BU's for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and… more
- Molina Healthcare (El Paso, TX)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between ... **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member… more
- Molina Healthcare (Owensboro, KY)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between ... **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and...Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business… more
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