- Elevance Health (Indianapolis, IN)
- …in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education ... JR132653 HEDIS Clinical Quality Program Manager **Location:**...(and 1 hour commute) of any open, relevant Elevance Health location AND as part of our Hybrid 1… more
- Molina Healthcare (MI)
- …improvement experience. + 1+ years in managed healthcare non-financial reporting. + 1+ years health care information systems experience or in a role as an IS ... QI compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly...to completion + Works with Director and / or Manager to establish and / or document quality assurance… more
- Elevance Health (Topeka, KS)
- …in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education ... to support an operational team responsible for abstraction and pursuit of HEDIS (R) measures to ensure they reach operational milestones, gap closures, rates and… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... Clinical Quality Program Manager III Job Category: Clinical Department: Quality Improvement...Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable… more
- LA Care Health Plan (Los Angeles, CA)
- …health care quality reporting programs, specifically Medicare Stars and HEDIS and health plan regulatory reporting requirements. High degree of initiative ... Manager , Clinical Quality Analytics Job Category: Clinical Department:...$152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public… more
- Molina Healthcare (Ypsilanti, MI)
- …Min. 3 years' experience in healthcare with minimum 2 years' experience in health plan quality improvement, managed care , or equivalent experience. **Required ... + 2 years coding and medical record abstraction experience. + 1-year managed care experience. + Basic knowledge of HEDIS and NCQA. **Preferred License,… more
- Ventura County (Ventura, CA)
- …in a Managed Health Care Plan; + Experience working as a case manager in a health plan case managing complex cases; + Demonstrated experience in the ... Job Type Full-Time Regular Job Number 0231HCA-24AC (BR) Department Health Care Agency Opening Date 08/06/2024 Closing...HEDIS measures and standards. + Experience utilizing the care planning process as part of the case management… more
- Highmark Health (Buffalo, NY)
- …into highly functioning subject matter experts in the Organization's Primary Care Provider government programs and continuous improvement models in a matrix ... in the program(s), such as improvements in quality, cost and utilization through care gap closure, STARS ratings and risk revenue performance as defined by the… more
- Elevance Health (Miami, FL)
- …Leads plan level HEDIS strategy to drive improvement in behavioral health HEDIS measures, ensuring achievement in performance guarantees and/or service level ... **JR131500 Clinical Quality Program Manager ** Responsible for serving as a liaison with...nursing, or a related clinical field; 4 years of health care quality or data analysis experience;… more
- LA Care Health Plan (Los Angeles, CA)
- … care setting, such as a health insurance environment and/or experience as care manager in hospital or home health environments. At least 2 years ... $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public...as demonstrated through identifying clinical priorities and outcomes (eg HEDIS , etc.). Assist in the development and implementation of… more
- Elevance Health (Los Angeles, CA)
- …(CMS), and accrediting requirements. **Minimum Requirements:** Requires BA/BS in a clinical or health care field (ie nursing, epidemiology, health sciences) ... and a minimum 5 years progressively responsible experience in a health care environment or any combination of education and experience, which would provide an… more
- University of Virginia (Charlottesville, VA)
- …Skills & Abilities)** **:** **Education and Licensure:** + Bachelor's Degree in Health Care Administration, Business Administration, Nursing, or related degree. ... improvement initiatives impacting core clinical processes and critical patient care functions. Works collaboratively with executive leadership, administrators, managers… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Under the supervision of the Quality Manager , the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with ... all members of the health care team, including but not limited to practices, clinicians,...engagement, and training/education design and implementation. 10. Coordinates with Manager of Quality for Population Health Specialist… more
- CenterWell (Grand Prairie, TX)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health… more
- Conviva (Rockport, TX)
- … health first** Conviva is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies ... and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and...millions of people we serve to achieve their best health - delivering the care and service… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …(NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and Clinical Director ... Sea Mar Community Health Centers, a Federally Qualified Health ...is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) -… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …They will know the Social Determinants of health , what that means in Community Health Care , and how that is different from other health care ... Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
- Fallon Health (Boston, MA)
- …nursing mandatory + Bachelors (or advanced) degree in nursing or a health care related field preferred **License/Certifications:** + Active, unrestricted license ... and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...that may also be Non-English speaking, required + Home Health Care experience preferred **COVID-19 Vaccination:** With… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …They will know the Social Determinants of health , what that means in Community Health Care , and how that is different from other health care ... Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center...or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
- ChenMed (Philadelphia, PA)
- …be required to function both independently and in collaboration with other health care professionals. He/she will adhere to strict departmental goals/objectives, ... Manages clinical teams to deliver VIP service, standards of care and quality guidelines, and HEDIS /STARS +...seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for… more