- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in quality measurement, driving performance improvement ... our office in Coral Gables, FL Position Purpose: The HEDIS Manager oversees all aspects of Healthcare...basis to ensure team success. + Previous Experience with HEDIS quality measurements, health plan STAR ratings,… more
- Molina Healthcare (Columbus, OH)
- …standards as well. Lead Overreader mentors and trains new team members. Leads special HEDIS / Quality projects. **Job Duties** + Performs the lead role of the ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with the collection and abstraction of HEDIS medical records + Work on HEDIS quality improvement activities including clinical gaps in care, provider ... HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS ...training and education to physician and provider offices regarding HEDIS and clinical data abstraction requirements; +… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... understand the medical record requests. Speaks with the office staff/ manager /provider to clarify the medical record request as necessary....Required: A minimum of 3 years of experience in HEDIS abstraction and/or other Quality Improvement, … more
- Elevance Health (Columbus, GA)
- …reporting is in place. + Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of ... above Elevance Health locations. **Position** **will serve as a HEDIS SME supporting market level provider facing teams with...a BS in health administration, nursing, or a related clinical field; 4 years of health care quality… more
- Highmark Health (Columbus, OH)
- …success in designing and implementing advanced analytics solutions to drive improvements in clinical quality and HEDIS performance. The ideal candidate will ... SUMMARY** We are seeking a highly motivated and experienced ** Manager , Advanced Analytics** to lead and grow our team...1 year in Healthcare Industry + 1 year in Clinical Quality ( HEDIS ) Analytics +… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …communities around us and help our members achieve their best possible health and quality of life. **Responsibilities** ** Clinical Quality Data Analyst I** ... skills and abilities. . Performs other duties as assigned. ** Clinical Quality Data Analyst II** **Designs, executes...Transform, and Load (ETL) data processes. . Knowledge of HEDIS , NCQA and CMS Stars quality metrics.… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Clinical Quality Analytics Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Manager of Clinical Quality Analytics...strategies to enable accountable entities and stakeholders to drive quality ratings improvement for CAHPS, HOS, HEDIS ,… more
- Elevance Health (Rocky Hill, CT)
- …in Rocky Hill, CT and may be required to work in office 1-2x a week.** The ** Manager of BH Clinical Quality - CT CCBHC** is responsible for managing the ... day-to-day activities of one or more behavioral health (BH) clinical quality program components, which may be...quality program components, which may be related to HEDIS reporting, Performance Measurement and Quality Improvement,… more
- Dignity Health (Bakersfield, CA)
- …at a system/national level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading ... that are consistent with the organization's strategic goals. The Manager , Clinical Quality Improvement will...oversight/supervision/management/leadership of clinical and non- clinical quality management staff. - 3 years HEDIS … more
- Elevance Health (Los Angeles, CA)
- …One must reside within 50 miles of 21215 Burbank BLVD Woodland Hills, CA The ** Clinical Quality Program Manager ** is responsible for serving as a liaison ... reporting is in place. + Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of… more
- Point32Health (MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Analytic Manager will support HEDIS and quality analytics reporting ... Tableau, ACCESS, Cognos, and other database management tools for clinical data analyses. + Evaluates HEDIS results...Assumes all analytical responsibility on assigned projects to assess clinical quality for internal and external customers.… more
- Elevance Health (Middletown, NY)
- ** Clinical Quality Program Administrator** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 ... miles of one of our New York Elevance Health PulsePoint locations. The ** Clinical Quality Program Administrator** is responsible for overseeing the quality … more
- ChenMed (Cleveland, OH)
- …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/ Clinical Gaps) and support our core model. ... need great people to join our team. The Center Clinical Manager (CCM) is an active leadership...operations, which may include but is not limited to: clinical quality , compliance, human resources, patient experience… more
- CVS Health (Tallahassee, FL)
- …data to monitor outreach effectiveness. The Quality Behavioral Health Manager develops and ensures programs support HEDIS , regulatory, and accreditation ... assets to bring accessible healthcare to our members. The Quality Behavioral Health Manager is a key...quality of care/gap in care issues based on clinical policies and benefit determinations. + Work with facilities… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Part D Clinical Pharmacist Manager is a dynamic and experienced Pharmacist knowledgeable in ... specialty practice, as well as Part D education for HEDIS measures. . + Represents the pharmacy department on...growth and facilitation of Pharmacy work teams to meet quality and clinical standards of care. +… more
- Elevance Health (Miami, FL)
- ** Clinical Quality Program Administrator** **Office Location:** Miami or Tampa, FL Associates are required to live within a 50-mile radius and a 1-hour commute ... 1-2 days physically in office per week** . The ** Clinical Quality Program Administrator** is responsible for...oversight to the Healthcare Effectiveness Data and Information Set ( HEDIS ) project team. **Minimum Requirements:** Requires a BS in… more
- Fallon Health (Worcester, MA)
- …Fallon Health to facilitate the design and implementation of clinical quality improvement activities and to support HEDIS submissions. In addition, this ... nation's top health plans for member experience, service, and clinical quality . We believe our individual differences,...of Purpose:** With general direction from the Director of Quality , the Senior Program Manager ensures that… more
- CVS Health (Hartford, CT)
- …and Information Set ( HEDIS ) is one of the most widely used healthcare quality data sets in the country. HEDIS calculates how health care organizations ... perform on various quality metrics across several quality -of-care domains. HEDIS reporting is a requirement...the healthcare industry. This position is located on the Clinical Platforms HEDIS Data Enablement and Annual… more
- HCA Healthcare (Salt Lake City, UT)
- …and integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar ... vary by location._** Come join our team as a(an) Manager Care Quality . We care for our...of care, care management, preventive services, and self-management. The Clinical Care Coordinator acts as an integral member of… more
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