- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- UPMC (Pittsburgh, PA)
- …Quality Assurance (NCQA) HEDIS requirements preferred.Licensure, Certifications, and Clearances: + Registered Nurse ( RN ) *Current licensure either in the ... the Novellus Care Gap Management Application and/or Biometric Application for HEDIS measure compliance. + Registered nurse , minimum of 5 years of health care… more
- UPMC (Pittsburgh, PA)
- …outside of the realm of Treatment, Payment, or Operations are appropriately logged. + Registered nurse with BSN. + Minimum of 2 years experience working as ... Health Plan has an exciting opportunity for a Sr. HEDIS Coordinator position in the Quality Improvement department. This...Pittsburgh or surrounding area to be considered! The Sr. HEDIS Coordinator will assists with the management of … more
- Centene Corporation (Springfield, IL)
- …that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve performance, up to 75% travel. Typical ... sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for ...following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN , APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... **Essential Duties & Responsibilities:** + **Conduct weekly tracking of Quality/ HEDIS metrics, specifically focused on Initiation and Engagement of Alcohol or… more
- Molina Healthcare (OH)
- …within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the ... Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- Centene Corporation (Phoenix, AZ)
- …in quality function in a healthcare setting. **License/Certification:** LPN, LVN, RN , PA, or LCSW license preferred. CPHQ (Certified Professional in Healthcare ... Quality) preferred. This is a 100% remote position, candidate must reside in Arizona. Pay Range: $33.03 - $59.47 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition… more
- InGenesis (Fremont, CA)
- InGenesis is seeking an Urgent Care Registered Nurse to join our team in support of our client. In this essential role, you will collaborate with physicians and ... a diverse, often underserved population. As an urgent care registered nurse and physician extender, you'll assess...Improvement & Population Health: * Contribute to UDS and HEDIS measure performance through proactive panel management. * Help… more
- Centene Corporation (Surfside Beach, SC)
- …provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations, ... South Carolina, (2) have a pediatric background, and (3) an active RN license.** Additional Details: * Department: MED-Quality Improvement * Business Unit: Absolute… more
- CenterWell (North Charleston, SC)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- CenterWell (Orlando, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years...unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Humana (Gainesville, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5 ... and is not fully remote. The Senior Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management oversight of the… more
- CenterWell (New Smyrna Beach, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality improvement...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Catholic Health Services (Melville, NY)
- Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides ... clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment...staff meetings and huddles as appropriate. + Participates in Hedis , GPRO, and other quality programs as needed +… more
- Health Care Service Corporation (Mobile, AL)
- …healthcare outcomes for customers. **Required Job Qualifications:** + Current Licensure as a registered nurse , in the state of residence in good standing. + ... utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS...a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. **Preferred Job… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or manages ... a proud member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
- Community Health Systems (Naples, FL)
- Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is an ... nursing experience required + 1-2 years of experience in HEDIS , MIPS, PQRS, ACO, STARS programs preferred **Knowledge, Skills...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
- Molina Healthcare (Yonkers, NY)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Manager RN provides support for care management/care coordination activities...such as asthma, diabetes, and ADHD. Skilled in closing HEDIS and preventive care gaps through proactive outreach and… more
- Ventura County (Ventura, CA)
- …CNA_MOA_2023-2028.pdf (ventura.org) (https://vcportal.ventura.org/CEO/HR/MOA/docs/CNA\_MOA\_2023-2028.pdf) PAYROLL TITLE: Senior Registered Nurse - Ambulatory ... Care DISTINGUISHING CHARACTERISTICS: The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing classifications in that they are… more
- MyFlorida (St. Petersburg, FL)
- …and Excellence in all aspects of their work. The OPS Advanced Practice Registered Nurse Specialist is responsible for providing comprehensive health care to ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Dec 3, 2025...and other divisions regarding clinical issues. + Comply with HEDIS measure, Meaningful Use standards, productivity standards, and selected… more