- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …require attendance in our office in Coral Gables, FL Position Purpose: The HEDIS Manager oversees all aspects of Healthcare Effectiveness Data and Information ... lines of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in quality measurement, driving performance improvement… more
- Centene Corporation (Jefferson City, MO)
- …strategic objectives. Assist in training and perform duties as the Lead Project Manager . + Support HEDIS audit deliverables and compliance requirements as ... applications + Healthcare experience; managed care experience preferred + HEDIS experience preferred **License/Certification:** + PMP certification preferred Pay… more
- Elevance Health (Grand Prairie, TX)
- HEDIS Compliance Audit Specialist / Manager (JR140903) **Location:** Alternate locations in addition to the posted locations may be considered. This position ... 50 miles of one of our Elevance Health PulsePoint locations. The ** HEDIS Audit Quality Manager ** is responsible for managing all HEDIS Audit activities for… more
- 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 ... 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 (Starkville, MS)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Job Responsibilities: The HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS submission. During the HEDIS ... to all temporary reviewers. He/she will assist the Program Manager in the training of all temporary HEDIS... Manager in the training of all temporary HEDIS review staff and will provide direct supervision of… more
- 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 ... the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… 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 Time ... that purpose. Job Summary The Healthcare Effectiveness Data and Information Set ( HEDIS ) Abstractor II reviews medical records to ensure completeness, compliance with… more
- Highmark Health (Columbus, OH)
- …Description :** **JOB SUMMARY** We are seeking a highly motivated and experienced ** Manager , Advanced Analytics** to lead and grow our team focused on delivering ... analytics solutions to drive improvements in clinical quality and HEDIS performance. The ideal candidate will possess hands-on experience...in Healthcare Industry + 1 year in Clinical Quality ( HEDIS ) Analytics + 1 year in Research and Development… more
- Elevance Health (Norfolk, VA)
- …workplace model with PulsePoint sites used for collaboration, community, and connection The ** HEDIS Research Analyst** is responsible for serving as an expert in ... HEDIS data analysis, reporting and formulating recommendations, and providing...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant Sr ( HEDIS )** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles ... Health PulsePoint office locations. The **Business Information Consultant Sr ( HEDIS )** is responsible for coordinating and consolidating various impact analyses… more
- Point32Health (MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Analytic Manager will support HEDIS and quality analytics reporting and ... results for internal and external projects and constituents. The Analytic Manager provides technical support, data management, statistical analysis, and manipulation… more
- CVS Health (Hartford, CT)
- …and affordable. **Position Summary** The Healthcare Effectiveness Data 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...perform on various quality metrics across several quality-of-care domains. HEDIS reporting is a requirement for NCQA Accreditation, CMS… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Manages multiple assignments with competing deadlines. Works with team and manager to prioritize deliverables. Coordinates with teammates to ensure deliverables are ... efficiently. Tracks work and provides regular progress updates to team and manager . . Contributes to development and enhancement of analytic tools and deliverables.… more
- CVS Health (Tallahassee, FL)
- …of member data to monitor outreach effectiveness. The Quality Behavioral Health Manager develops and ensures programs support HEDIS , regulatory, and ... CVS assets to bring accessible healthcare to our members. The Quality Behavioral Health Manager is a key member of the Aetna Better Health of Florida leadership team… more
- Independent Health (Buffalo, NY)
- …to diversity and inclusion. **Overview** The Population Health Program Development Manager will work closely with internal and external stakeholders to profile ... quality and clinical information systems, the Population Health Program Development Manager will identify opportunities to improve medical expenses, care quality,… 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 Time Requisition ... 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
- Elevance Health (Indianapolis, IN)
- …program development for population-based clinical quality measures, focusing on HEDIS .** PRIMARY DUTIES: + Evaluates industry best practices, medical research ... administration, nursing, or business administration preferred. + Strong knowledge around HEDIS and STARS measures including HEDIS specifications and NCQA/CMS… more
- 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 ... of Medicaid (MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on documentation and reporting to internal and external… more
- 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 ... vary by location._** Come join our team as a(an) Manager Care Quality. We care for our community! Just...Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with payor cost sharing initiatives +… more
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