• HEDIS Quality Associate

    Health First (Rockledge, FL)
    …office environments. **Job:** **Medical Coding* **Organization:** **HF Administrative Plan Inc* **Title:** * HEDIS Quality Associate - Hedis * ... programs. The individual will assist in coordination of data collection of HEDIS and state- mandated quality metrics specification, abstraction, data entry,… more
    Health First (09/04/24)
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  • HEDIS Quality Coordinator

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ( HEDIS ... in person or via electronic medical records systems, to ensure compliance with HEDIS measures. Additionally, this position will make outbound calls to members to… more
    DOCTORS HEALTHCARE PLANS, INC. (11/20/24)
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  • Senior HEDIS Medicaid Data Manager

    Humana (Columbus, OH)
    …variable factors. Humana's Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic ... making, collaboration with partners across the enterprise and support of the HEDIS program and related activities. This will require building and maintaining strong… more
    Humana (11/22/24)
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  • HEDIS Clinical Trainer

    Centene Corporation (Tallahassee, FL)
    …measures. Liaise to ensure training curriculum and content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote. Candidates ... workplace flexibility. **Position Purpose:** Provide hands-on training to corporate quality staff and line of business partners. Training will...as required **Highly Preferred Skills:** + 3+ years of HEDIS experience + 2+ years as a LPN or… more
    Centene Corporation (10/24/24)
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  • Quality Improvement Professional

    CenterWell (Raleigh, NC)
    …best practice recommendations and develop practice specific strategies designed to improve Medicare quality measures ( HEDIS ) as well as Part D/Patient Safety and ... make decisions that will positively impact improved outcomes for CMS Stars quality measure ( HEDIS , patient safety and patient satisfaction).** **Provide support… more
    CenterWell (11/21/24)
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  • Associate Medical Director - UM PT

    Independent Health (Buffalo, NY)
    …perks, benefits and commitment to diversity and inclusion. **Overview** The Associate Medical Director, Utilization Management is responsible for assisting the ... of these programs, with focus on clinical accuracy and appropriateness. The Associate Medical Director (AMD) will assist the Medical Director in the efforts… more
    Independent Health (10/18/24)
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  • Clinical Pharmacist - Medicaid (Remote)

    CareFirst (Baltimore, MD)
    …implementing efficiencies. This position will support efforts to improve medication-related Stars and HEDIS quality metrics and support Cost of Care ideation and ... VA area in order to travel into the offices on occasion.** **PURPOSE:** The Quality and Cost of Care Clinical Pharmacist plays critical role in improving and… more
    CareFirst (11/20/24)
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  • Lead Analyst, Data Quality Analytics…

    Molina Healthcare (ID)
    …+ 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality , finance, and health plan ... requested on all things data related **Job Qualifications** **REQUIRED EDUCATION:** Associate degree or equivalent combination of education and experience **REQUIRED… more
    Molina Healthcare (11/07/24)
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  • Regional Associate Director Health System…

    Bayer (Detroit, MI)
    …outcomes and may not align to evidence-based guidelines. Key foundations are:* HEDIS measurements* Quality metrics* Real world evidence* Establish evidence-based ... minds to make a real difference, there's only one choice.** **Regional Associate Director Health System & Population Health (Detroit, Michigan)** The Regional … more
    Bayer (11/20/24)
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  • Associate Medical Director

    Conviva (Tampa, FL)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... caring community and help us put health first** The Associate Medical Director serves as a health-care professional and...with logjams and workflow issues. + Oversight of provider quality and development of workflows to help close gaps… more
    Conviva (10/29/24)
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  • Associate Medical Director-Georgia

    CenterWell (Stone Mountain, GA)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... caring community and help us put health first** The Associate Medical Director serves as a health-care professional and...with logjams and workflow issues. + Oversight of provider quality and development of workflows to help close gaps… more
    CenterWell (10/30/24)
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  • Medical Assistant - Clinical Value…

    Penn State Health (Hershey, PA)
    …specialists as needed. **KNOWLEDGE, SKILLS & ABILITIES:** + Knowledgeable of healthcare quality programs including Medicare, HEDIS Metrics, and Merit Based ... is currently funded for 2 years. The Population Health Clinical Value Associate is integral in supporting Population Health activities. Population Health strives to… more
    Penn State Health (10/06/24)
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  • Population Health Specialist I ICP

    HonorHealth (Scottsdale, AZ)
    …3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional ... Health Specialist I supports the development and delivery of network-wide quality , performance improvement and transformation activities to achieve annual quality more
    HonorHealth (11/26/24)
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  • Clinic Manager - Centerwell

    CenterWell (Harlingen, TX)
    …ensure optimal patient outcomes and company initiatives including but not limited to Quality , HEDIS / STARs, AHCA, financial management and employee and patient ... Assesses customer satisfaction with services and resolves complaints. + Improves quality results by studying, evaluating, and re-designing processes. + Recommends… more
    CenterWell (11/16/24)
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  • Medical Assistant CenterWell (TM)

    CenterWell (Altamonte Springs, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... + Bilingual in English and Spanish + Experience with HEDIS and ICD/CPT coding + Experience with Electronic Medical...assistance. See Additional Information on testing. ​ Any Humana associate who speaks with a member in a language… more
    CenterWell (10/30/24)
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  • RN Senior Stars Improvement, Clinical Consultant

    Humana (Nashville, TN)
    …groups and internal partners along with supporting and improving financial and quality performance within the contracted working relationship with the health plan. ... Clinical Team, Contracting, etc.) + Educates physician groups on HEDIS , Patient Safety, Patient Experience, financial performance, instills focus on… more
    Humana (11/13/24)
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  • Medical Assistant Conviva

    Conviva (Lake Park, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Assistant experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience… more
    Conviva (11/26/24)
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  • Clinic Supervisor - Conviva

    Conviva (El Paso, TX)
    …ensure optimal patient outcomes and company initiatives including but not limited to Quality , HEDIS / STARs, AHCA, financial management and employee and patient ... Assesses customer satisfaction with services and resolves complaints. + Improves quality results by studying, evaluating, and re-designing processes. + Recommends… more
    Conviva (11/21/24)
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  • Medical Assistant - Elite Venice - Generous…

    Conviva (Venice, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH + Experience with HEDIS and ICD/CPT coding + Experience with Electronic Medical Records + Experience in a… more
    Conviva (11/05/24)
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  • Medical Assistant - Conviva

    Conviva (Rockport, TX)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience with Electronic… more
    Conviva (10/29/24)
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