- Actalent (Chattanooga, TN)
- Description: Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom ... Responsibilities: * Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards * Review… more
- Molina Healthcare (Florence, KY)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement activities...on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use of… more
- Providence (MT)
- …+ Identify and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS project + Collect data by way ... to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the United...HEDIS experience + 2+ years' experience working with quality management / quality improvement … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …oversight of the Quality Improvement Program, related work plans, quality activities, HEDIS , and STARS. This leader will develop, implement and monitor ... improvement activities within the organization. Direct responsibility for the Quality Improvement Program (QIP) which includes a comprehensive, integrated,… more
- Providence (OR)
- … Department + Identify and coordinate clinical audits to determine potential areas for quality improvement within the PHP network + Collect data by way of ... **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical...License: Oregon and Washington + 1+ years' experience in Quality Management, Quality Improvement , Utilization… more
- Centene Corporation (Columbia, SC)
- …Business Administration or Health Care Administration or equivalent experience. 3+ years of quality improvement , HEDIS project management or health care ... + Coordinate activities, resources, methods, and procedures to achieve improvement in HEDIS measures with the business...+ Supervise the daily activities of staff to promote quality improvement and efficient methods + Assist… more
- Molina Healthcare (Owensboro, KY)
- …directing the implementation of strategies to ensure high levels of performance and quality within the established quality improvement processes and programs ... all business segments. Reviews and conducts on-going evaluation of quality improvement programs and interventions to assess...and development of policy statements and comments related to quality .** + ** HEDIS audit, data flow and… more
- Centene Corporation (Tallahassee, FL)
- …training curriculum and content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote . Candidates will be considered ... workplace flexibility. **Position Purpose:** Provide hands-on training to corporate quality staff and line of business partners. Training will...will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to… more
- Robert Half Accountemps (St. Paul, MN)
- …individuals with expertise and experience in many areas of risk adjustment and quality improvement , including HEDIS (R), CAHPS and Accreditation. Our goal ... incidents immediately + Performs medical record reviews for risk adjustment, HEDIS (R) and HEDIS (R)-like measures via remote EMR access or onsite Requirements… more
- US Tech Solutions (May, OK)
- …in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of ... Job Title: HEDIS Reviewer II Location: Remote Duration:...times * Identifying trends and documentation of areas for improvement * Maintaining project productivity levels while maintaining accuracy… more
- Centene Corporation (Olympia, WA)
- …our 28 million members. **Position Purpose:** Oversee all related activities for the Quality Improvement functions. Lead and direct process improvement ... Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans....highest level of accreditation. + Manage all aspects of HEDIS improvement activities, including outreach, incentives, data… more
- 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
- Fallon Health (Worcester, MA)
- …clinical nurse analyst is responsible for developing and implementing the assigned quality improvement initiatives, documentation of the processes, tracking of ... strategies that support Fallon's strategic goals. + Implement, monitor, analyze and report quality improvement activities to ensure that Fallon members receive … more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** Molina's HEDIS / Quality Improvement Sr. Medical Records Collector is a team member with several years experience in ... into the HEDIS application. + Assists the manager/lead and quality improvement staff with physician and member interventions and incentive efforts as needed… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Serves as a leader of quality improvement compliance activities. Oversees national QI compliance activities that support the ... as a contact to Molina health plans about key quality improvement compliance topics, that may include...Collaborates with MHI HEDIS Operations to provide HEDIS results and other quality information for… more
- Centene Corporation (Columbia, SC)
- …workplace flexibility. **Position Purpose:** Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other ... nursing, medical assistant, medical coding or data management experience. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA… more
- Molina Healthcare (Columbus, OH)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. ** Quality Improvement , HEDIS , Healthcare experience is very ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- Centene Corporation (Sacramento, CA)
- …**Position Purpose:** Assist with the daily operations and support within the Quality Improvement department including data management, data reporting needs, and ... or project management. Working knowledge of MS Office applications. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA… more
- Molina Healthcare (Edinburg, TX)
- **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
- Centene Corporation (Jefferson City, MO)
- …record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan ... providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides… more