- Molina Healthcare (Phoenix, AZ)
- …Auditor RN's** and/or **LPN'** s in Maricopa County. These roles will be in the field +/- 50% of the time doing site Provider visits and onsite auditing. We are ... Regulatory + Ability to work remote 50% of the time and do field visits/audits 50%. + Managed Care experience Molina's Quality Improvement function oversees, plans,… more
- Centene Corporation (St. Louis, MO)
- …sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ... deficiencies impacting plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors and management,… more
- CenterWell (Snellville, GA)
- …Schedule** : Full-time/40 Hours per Week/Monday through Friday **Job Type** : Field -based Nurse Practitioner, Primary Care House Calls **Assigned Territory** : ... part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... and Program policies and processes + Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and… more
- CenterWell (Houston, TX)
- …team supporting patient's physical, emotional, and social wellness. The Cardiology Nurse Practitioner serves as a health-care provider who specializes in diagnosis, ... follow-up of patients with any suspected or known heart diseases. The Nurse Practitioner work assignments involve outpatient office and telehealth visits, curbside… more
- Centene Corporation (Des Moines, IA)
- …market trends and oversee functions of quality improvement programs for HEDIS or CAHPS strategy and related quality improvement activities. Assists stakeholders ... to determine appropriate solutions. + Conduct evaluations to assist with HEDIS gap closure or member/patient experience assess for potential pilot programs… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is ... tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …workflows and will be a subject matter expert for both MIPS and HEDIS Measure specifications, dashboarding, action planning tactics. The Senior Facilitator will have ... includes: + Subject matter expert with Quality Measure Management ( Hedis and MIPS), + Subject matter expert for reporting...: + Bachelor's degree in any Health Care related field of study. + Master's degree in any Health… more
- Humana (Madison, WI)
- …to make an impact** **Required Qualifications** + Bachelor's degree in human services or related field or be a licensed Registered Nurse licensed in the state of ... on key quality indicators including, but not limited to, HEDIS , 5 Star, Pay-for-Performance (P4P), satisfaction surveys, Annual Quality...in a health care setting. + 1-2 years of HEDIS experience. + Experience with and knowledge of both… more
- Molina Healthcare (Glen Allen, VA)
- …and Southside of Hampton Roads This role is Hybrid - working home and in filed ( Field Travel can be up to 50% - Within 2-hour radius) Home office with internet ... assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of… more
- CenterWell (Atlanta, GA)
- …Collaborating Per Diem Physician, VSP **Work Environment** : Hybrid (Remote & Field -based) * _As needed, will conduct quarterly controlled substance visits to ... action. + Provide collaborating agreements for up to 4 nurse practitioners in the state of Georgia including but...call as needed. **Preferred Qualifications** + Knowledge of HEDIS measures and the ability to close gaps in… more
- Centene Corporation (Arlington, VA)
- …in assisting members to achieve optimal level of wellness. Works in the field with member to support compliance with care and treatment plans in collaboration ... that improve the quality and outcomes of care. + Educates members and facilitates HEDIS gap closure. + Performs all other duties assigned. + Works under direct… more
- The Mount Sinai Health System (New York, NY)
- …duties as assigned. **QUALIFICATIONS** + BA or BS degree minimum, in a relevant field of study; Masters degree preferred. + 2 years minimum is preferred in analytics ... Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or… more