- Centene Corporation (Columbia, SC)
- …functional process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities + Manager the ... workplace flexibility. **Position Purpose:** Supervise and coordinate team ensure HEDIS data accuracy and reporting, including investigations, auditing, and… more
- Molina Healthcare (Long Beach, CA)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the ... and reports from provider offices, loads data into the HEDIS application. + Assists the manager /lead and...into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member… more
- Molina Healthcare (Long Beach, CA)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the ... and reports from provider offices, loads data into the HEDIS application. + Assists the manager /lead and...into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member… more
- Molina Healthcare (Florence, KY)
- …the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review. + Manages ... annual HEDIS data collection activities. Responsibilities include responding to RFP(s)...include responding to RFP(s) as needed, development of the HEDIS measures matrix, HEDIS work plans, and… more
- Blue KC (MO)
- …financial assistance** **Employee discount program** **Job Description Summary:** The HEDIS Quality Performance Analyst RN provides clinical interpretation of ... medical records for HEDIS (R) reporting. This position involves abstraction of clinical information...delivering performance improvement plans and final results to department manager and the audit firm (Attest) for all abstractors… more
- Elevance Health (Richmond, VA)
- **Business Information Developer Consultant - HEDIS Analytics** **Location:** This position will work a hybrid model (remote and in office one to two days per week). ... Wallingford, CT or Louisville, KY. The **Business Information Developer Consultant - HEDIS Analytics** is responsible for developing and executing more complex data… more
- Robert Half Office Team (Minneapolis, MN)
- …demographics and medical record requests * Perform medical record reviews for risk adjustment, HEDIS and HEDIS -like measures via remote EMR access or onsite * ... member history * Perform duties as assigned by Operations Manager or Director for market specific annual data collection...weekly schedule onsite or virtually focused on risk and/or HEDIS (R) data collection efforts + Performs duties as assigned… more
- Robert Half Accountemps (St. Paul, MN)
- Description Do you have HEDIS experience? Join a Fortune 500 Healthcare company on a fully remote, long term contract opportunity with potential for full time hire! ... experience in many areas of risk adjustment and quality improvement, including HEDIS (R), CAHPS and Accreditation. Our goal is to achieve extraordinary performance… more
- Ventura County (Ventura, CA)
- …Utilization Management and tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in line with the ... complex cases, disease managing certain populations, performing utilization reviews, supervising HEDIS documentation, and writing required analyses to meet or align… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Clinical Quality Analytics (STARS, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... support the safety net required to achieve that purpose. Job Summary The Manager of Clinical Quality Analytics (MSA) is responsible for the operations, projects and… more
- CenterWell (Harlingen, TX)
- …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... patient outcomes and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and patient retention. Must… more
- Centene Corporation (Sacramento, CA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization. Pay Range: $54,000.00 - $97,100.00 per year… more
- Highmark Health (Camp Hill, PA)
- …while increasing provider efficiencies, performance, and maximizing quality (STAR/ HEDIS ). Responsible for reporting packages, support, escalated service, education ... providers on initiatives focused on managing medical expense and maximizing HEDIS and STAR metrics in collaboration with internal resources. **General Provider… more
- Centene Corporation (Topeka, KS)
- …Oversee and manage the functions of the quality improvement program, including HEDIS reporting and other quality improvement activities. Providing support to staff ... progress, and problems encountered, required for planning work function activities, including HEDIS reporting. + Verify data to be submitted in accordance with… more
- Highmark Health (Harrisburg, PA)
- …policies and procedures while increasing provider efficiencies and maximizing quality (STAR/ HEDIS ). The incumbent may participate as a regional representative on key ... educating providers on initiatives focused on managing medical expenses and maximizing HEDIS and STAR metrics in collaboration with internal resources. **General… more
- Molina Healthcare (Seattle, WA)
- …State.** This position shall serve as the subject matter expert in Quality/ HEDIS measures, HEDIS Operations, Data Management and Reporting, Risk Adjustment ... and Value Based Care. Manages assigned provider relationships across the network - address issues, develop and provide education and facilitate meeting established goals. **Job Duties** + Leads program development and implementation of multiple projects and… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 Nurse ... LPN Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in Puyallup,...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
- Penn Medicine (Bala Cynwyd, PA)
- …Cape May & Somers Point)** Summary: The Quality and Patient Safety Manager participates in the planning, implementation and evaluation of the quality, patient ... safety and operational performance improvement program. The Manager serves as the project manager for...standards and outcomes for quality, safety, and healthcare - HEDIS Measures and Value Based Purchasing, AHRQ, CME Core… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager (RN or LPN) - Posting #26861 Hourly Rate: $36.04 - $44.44 Annual ... $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon Creek Medical Clinic.… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 (RN) Position ... Summary: Full-time Nurse Manager (RN or LPN) position available for our Tacoma...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
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