• Lead Abstractor, HEDIS / Quality

    Molina Healthcare (Paducah, KY)
    **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
    Molina Healthcare (10/25/24)
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  • HEDIS Clinical Quality Program…

    Elevance Health (Indianapolis, IN)
    JR132653 HEDIS Clinical Quality Program Manager ...for serving as a liaison with and overseeing the HEDIS Roadmap Section 5 quality improvement ... local office location a minimum of 1 day/week. The ** HEDIS ** **Clinical Quality Program Manager **...performance improvement plans and oversees the clinical quality improvement activities/projects to improve the … more
    Elevance Health (10/25/24)
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  • Sr Analyst, HEDIS / Quality

    Molina Healthcare (MI)
    …are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS / Quality ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...to completion + Works with Director and / or Manager to establish and / or document quality more
    Molina Healthcare (10/20/24)
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  • Quality Improvement (RN) - Maternity…

    Molina Healthcare (Ypsilanti, MI)
    …to one or more of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and / or Quality Reporting. ... expertise is important to the activity. + Surfaces to Manager and Director any gaps in processes that may...vendors and HEDIS auditors. + Assists the quality improvement staff with physician and member… more
    Molina Healthcare (10/20/24)
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  • Clinical Quality Program Manager

    Elevance Health (Topeka, KS)
    …initiatives. + Leads interactions with regulators or oversight entities. + Oversees quality improvement activities for the largest, most complex state programs. ... 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
    Elevance Health (10/12/24)
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  • Program Manager , Quality

    Molina Healthcare (Seattle, WA)
    …impact of actions. + Is responsible for the development and execution of targeted, quality improvement initiatives which includes the design and development of ... position shall serve as the subject matter expert in Quality / HEDIS measures, HEDIS Operations, Data...Program and/or Project management experience. + 3-5 years of Quality improvement experience. + Operational Process … more
    Molina Healthcare (11/07/24)
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  • Manager , Clinical Quality Analytics

    LA Care Health Plan (Los Angeles, CA)
    …or Health Informatics Experience Required: At least 6 years of experience in HEDIS , quality improvement , risk adjustment analytics, research, or related ... Manager , Clinical Quality Analytics Job Category:...entities and stakeholders to drive quality ratings improvement for CAHPS, HOS, HEDIS , Medication Adherence… more
    LA Care Health Plan (08/28/24)
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  • Clinical Quality Program Manager III

    LA Care Health Plan (Los Angeles, CA)
    Clinical Quality Program Manager III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Quality Rating Systems (QRS). The position is responsible for strategizing quality improvement programs and ongoing management using a data-driven focus that… more
    LA Care Health Plan (11/07/24)
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  • Sr Medical Records Collector - Remote (PST)

    Molina Healthcare (Long Beach, CA)
    …provider offices, loads data into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member interventions ... **Job Description** **Job Summary** Molina's HEDIS / Quality Improvement Sr. Medical...medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and… more
    Molina Healthcare (09/06/24)
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  • Clinical Quality Program Manager

    Elevance Health (Miami, FL)
    Manager ** Responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major ... will you make an impact:** + Leads plan level HEDIS strategy to drive improvement in behavioral...performance improvement plans and oversees the clinical quality improvement activities/projects to improve the … more
    Elevance Health (10/23/24)
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  • Medical Records Collector

    Molina Healthcare (AZ)
    …to work in PST hours 8-5pm M-F.** **JOB DESCRIPTION** **Job Summary** Molina's HEDIS / Quality Improvement Medical Records Collector will work collaboratively ... of medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and / or performs the coordination and… more
    Molina Healthcare (11/07/24)
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  • Risk & Quality Performance Manager

    Molina Healthcare (Richmond, KY)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
    Molina Healthcare (10/17/24)
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  • Medical Records Collector-(Remote) Must reside…

    Molina Healthcare (New York, NY)
    **JOB DESCRIPTION** **Job Summary** Molina's HEDIS / Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in ... of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs the coordination and… more
    Molina Healthcare (11/02/24)
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  • Senior Manager , Practice Innovation

    University of Virginia (Charlottesville, VA)
    GENERAL SUMMARY: This role is responsible for leading and managing quality improvement initiatives impacting core clinical processes and critical patient care ... multiple QI methodologies, tools and data models to support and promote team improvement efforts. + Facilitates quality improvement and practice… more
    University of Virginia (11/07/24)
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  • Manager Quality and Patient Safety

    Penn Medicine (Bala Cynwyd, PA)
    …implementation and evaluation of the quality , patient safety and operational performance improvement program. The Manager serves as the project manager ... include Princeton, Cape May & Somers Point)** Summary: The Quality and Patient Safety Manager participates in...healthcare field (Required) + Knowledge of and experience in quality improvement modes, such as Lean/Six Sigma,… more
    Penn Medicine (09/27/24)
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  • Sr Specialist, Quality Interventions/QI…

    Molina Healthcare (AZ)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... surveys and federal/state QI compliance activities. **A background in quality / HEDIS is very important for this position....QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions… more
    Molina Healthcare (10/10/24)
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  • Specialist, Quality Interventions/QI…

    Molina Healthcare (West Seattle, WA)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality more
    Molina Healthcare (10/04/24)
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  • RN, Manager , Quality & Patient…

    Sutter Health (Sacramento, CA)
    …Overview:** Works collaboratively to lead and establish appropriate performance management/ quality improvement systems. The Manager is responsible ... process improvement (eg, lean or process transformation). Understands applicable quality measures as defined by hedis , integrated healthcare association… more
    Sutter Health (10/24/24)
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  • Medicaid Quality Management Director

    Elevance Health (Buffalo, NY)
    quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement , NCQA accreditation and compliance with ... and departmental goals. + Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. +… more
    Elevance Health (10/25/24)
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  • Manager Provider Government Programs

    Highmark Health (Buffalo, NY)
    …**_Minimum:_** + 5 years' experience in any combination of healthcare, government quality improvement programs, Medicare/Medicaid and risk revenue, medical staff ... targets as set by Highmark, cost and utilization and quality results in Medicare STARS, Medicaid HEDIS ...related area. + 3 years' experience in government program quality improvement , data analysis, and strategic plan… more
    Highmark Health (11/04/24)
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