- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …implementation and oversight of the Quality Improvement Program, related work plans, quality activities, HEDIS , and STARS . This leader will develop, ... expectations. + Demonstrates clinical proficiency with healthcare performance measures including HEDIS , Medicare Stars , Pharmacy Quality Alliance (PQA)… more
- Molina Healthcare (Florence, KY)
- …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality / HEDIS project management and HEDIS Audit * Demonstrated ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Associate Director , Stars Improvement, Clinical is responsible for the development, implementation, ... and management oversight of the company's Medicare/Medicaid Stars Program. The Associate Director , ...implement strategies for clinical provider engagement statewide based on HEDIS / Quality performance measures and clinical metrics for… more
- Martin's Point Health Care (Portland, ME)
- …initiatives and activities. + Collaborates with the Director Health Plan Quality to support initiatives such as HEDIS , Member Safety, QIPs, QII's, ... and State and Federal regulations + Knowledge of Medicare Advantage regulations, CMS Stars , and HEDIS . + Knowledge of reimbursement models, utilization patterns,… more
- CareOregon (Portland, OR)
- …+ Knowledge of healthcare quality metrics (eg CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets) + Knowledge of population health, ... Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Quality Improvement Analyst II Exemption Status Exempt Management Level n/a Direct… more
- Trinity Health (Fresno, CA)
- …position also advises and counsels on the important requirements of Medicare STARS , Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical ... **Employment Type:** Full time **Shift:** **Description:** SUMMARY Reporting to the Director CVHP Operations, CVHP Operations, this position is responsible for… more