• Senior HEDIS Medicaid Data Manager

    Humana (Columbus, OH)
    …of variable factors. Humana's Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic ... more
    Humana (03/21/25)
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  • Informatics Manager , HEDIS

    CVS Health (Hartford, CT)
    …too. Aetna Clinical Enablement (ACE) has an exciting opportunity for an Informatics Manager to join our HEDIS Technology Innovation Team. The Healthcare ... more
    CVS Health (03/26/25)
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  • HEDIS Analyst Sr

    AmeriHealth Caritas (Philadelphia, PA)
    …+ Assist as necessary in the review of medical records. + In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the ... more
    AmeriHealth Caritas (03/13/25)
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  • Sr Medical Records Collector

    Molina Healthcare (Columbus, OH)
    …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 ... more
    Molina Healthcare (03/22/25)
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  • Medical Records Collector (Must reside in NYC…

    Molina Healthcare (Columbus, OH)
    …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... more
    Molina Healthcare (02/14/25)
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  • Lead Overreader, HEDIS /Quality Improvement…

    Molina Healthcare (Columbus, OH)
    …regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required by specifications. + Assists the ... more
    Molina Healthcare (01/21/25)
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  • Lead Overreader, HEDIS Abstraction…

    Molina Healthcare (WA)
    …regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required by specifications. + Assists the ... more
    Molina Healthcare (02/08/25)
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  • HEDIS Abstractor II (Temporary)

    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 Time ... more
    LA Care Health Plan (01/09/25)
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  • Manager , Clinical Quality Improvement

    VNS Health (Manhattan, NY)
    …+ Leads the clinical audit team, ensuring compliance with Medicare STARS, HEDIS /QARR, and regulatory requirements. + Develops forms, record abstracts, reports, and ... more
    VNS Health (03/13/25)
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  • Quality Improvement Project Manager

    Centene Corporation (Columbus, OH)
    …Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set ( HEDIS ) preparation. + Provide functional and technical knowledge for NCQA/ HEDIS ... more
    Centene Corporation (03/26/25)
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  • Senior Manager , Health Care Quality Mgmt.

    CVS Health (Topeka, KS)
    …and central time zones._ This position is responsible for managing all HEDIS -related primary source verification activities to support all lines of business, and ... more
    CVS Health (03/21/25)
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  • Clinical Quality Manager

    Healthfirst (NY)
    …chronic disease management + Assists in writing member and/or provider articles on HEDIS , QARR, Medicare Advantage, and/or health promotions for the HF newsletter + ... more
    Healthfirst (02/08/25)
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  • Sr. Program Manager Quality…

    Fallon Health (Worcester, MA)
    …Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with all quality related ... more
    Fallon Health (01/08/25)
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  • Manager Care Quality

    HCA Healthcare (Salt Lake City, UT)
    …integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, offers ... more
    HCA Healthcare (03/23/25)
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  • Clinic Manager

    CenterWell (Arlington, TX)
    …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... more
    CenterWell (01/18/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... more
    LifePoint Health (01/15/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Columbus, OH)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... more
    Molina Healthcare (03/23/25)
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  • Sr. Risk & Quality Performance Manager

    Molina Healthcare (Columbus, OH)
    **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... more
    Molina Healthcare (03/04/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Jackson, MS)
    …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... more
    Centene Corporation (03/26/25)
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  • Manager , Quality Improvement.

    Centene Corporation (East Syracuse, NY)
    …Oversee and manage the functions of the quality improvement program, including HEDIS reporting and other quality improvement activities. Providing support to staff ... more
    Centene Corporation (03/26/25)
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