• HEDIS Registered Nurse

    Insight Global (Philadelphia, PA)
    Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives… more
    Insight Global (10/01/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Clinical Trainer

    Centene Corporation (Tallahassee, FL)
    …in nursing; 2+ years of experience in nursing, managed care, training, or related field . LPN or RN license required. Pay Range: $54,000.00 - $97,100.00 per ... will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to... experience + 2+ years as a LPN or RN + Prior training experience **Education/Experience:** Associate's degree or… more
    Centene Corporation (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - Outpatient…

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Registered Nurse is assigned to a...Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing ... the Nurse Manager for the area. The Registered Nurse understands professional practice standards and...the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with… more
    Veterans Affairs, Veterans Health Administration (10/26/24)
    - Save Job - Related Jobs - Block Source
  • Patient Care Advocate

    Centene Corporation (Springfield, IL)
    …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $25.97 - $46.68 ... IPA and/or group practices. Serves to collaborate with providers in the field , to improve HEDIS measures and provides education for HEDIS measures and… more
    Centene Corporation (11/16/24)
    - Save Job - Related Jobs - Block Source
  • Quality Improvement ( RN ) - Maternity…

    Molina Healthcare (Ypsilanti, MI)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
    Molina Healthcare (10/20/24)
    - Save Job - Related Jobs - Block Source
  • Sr Specialist, Quality Improvement ( RN

    Molina Healthcare (NM)
    **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
    Molina Healthcare (11/10/24)
    - Save Job - Related Jobs - Block Source
  • Principal Clinical Informatics Specialist…

    Providence (OR)
    …them._** **Providence Health Plan is calling a Principal Clinical Informatics Specialist RN who will:** + Combine advanced clinical nursing skills with technical ... understand current state workflows + Educate providers on the HEDIS (R) measure specifications + Possess strong technical knowledge of...in a hospital, clinic or health plan setting + RN License - State of Residency: Oregon, Washington, California… more
    Providence (11/13/24)
    - Save Job - Related Jobs - Block Source
  • Program Manager - Clinical Program Design…

    Molina Healthcare (GA)
    **_JOB TITLE: Program Manager: HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... Master's degree in Nursing, Gerontology, Public Health, Social Work or related field . **Required Experience** + 5+ years of managed healthcare experience, including… more
    Molina Healthcare (11/14/24)
    - Save Job - Related Jobs - Block Source
  • Quality Practice Advisor

    Centene Corporation (Jefferson City, MO)
    …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...in Jackson County, Kansas City, MO area, holding an RN or LPN license and experience working with healthcare… more
    Centene Corporation (09/24/24)
    - Save Job - Related Jobs - Block Source
  • Director, Clinical Data Acquisition (Remote)

    Molina Healthcare (MI)
    …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... management of training for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors,… more
    Molina Healthcare (11/09/24)
    - Save Job - Related Jobs - Block Source
  • Quality Program Strategist II

    Centene Corporation (Springfield, IL)
    …health insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse ... market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists… more
    Centene Corporation (11/23/24)
    - Save Job - Related Jobs - Block Source
  • Supervisor, Transitional Care Services

    LA Care Health Plan (Los Angeles, CA)
    …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... care as demonstrated through identifying clinical priorities and outcomes (eg HEDIS , etc.). Assist in the development and implementation of communication strategies… more
    LA Care Health Plan (10/26/24)
    - Save Job - Related Jobs - Block Source
  • Manager Clinical Quality Improvements

    Dignity Health (Bakersfield, CA)
    …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... of clinical and non-clinical quality management staff. - 3 years HEDIS measures reporting and experience in CMS Stars, P4P, ACO and… more
    Dignity Health (11/13/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse ( RN ) or clinical qualifications a plus + ... Bachelor's degree (healthcare or relevant field ) or equivalent experience/training + Five or more years...HCPCS coding systems required + Knowledge of Medicare Advantage STARS/ HEDIS program and NCQA technical specifications, required + Knowledge… more
    UCLA Health (11/11/24)
    - Save Job - Related Jobs - Block Source
  • Specialist, Provider Engagement (Remote in MI)

    Molina Healthcare (Flint, MI)
    …for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience ... in healthcare with 1 year experience in health plan quality improvement ( HEDIS ), managed care or equivalent experience. + Demonstrated solid business writing… more
    Molina Healthcare (10/18/24)
    - Save Job - Related Jobs - Block Source
  • Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Tacoma, WA)
    …NCQA accreditation surveys and federal/state QI compliance activities. Experience with QUALITY/ HEDIS is important for this position. Please include any experience in ... Quality/ HEDIS on your application. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI Compliance contributes to one or more of these quality… more
    Molina Healthcare (10/04/24)
    - Save Job - Related Jobs - Block Source
  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of… more
    University of Miami (09/17/24)
    - Save Job - Related Jobs - Block Source
  • Senior EPSDT Quality Professional

    Humana (Oklahoma City, OK)
    …Compliance Professional must meet** **one** **of the following requirements:** **Unrestricted Registered Nurse in the State of Oklahoma OR** **Physician's ... health services, public health, or health care administration or another related field OR** **Certified Professional in Health Care Quality (CPHQ) OR** **Certified… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Specialist, Provider Quality & Practice…

    Molina Healthcare (Los Angeles, CA)
    …and monitoring for key performance measurement activities. Experience with health plan quality/ HEDIS is important for this position. Please make sure your experience ... in quality/ HEDIS is included on your resume. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Provider Quality contributes to one or more of these quality… more
    Molina Healthcare (11/28/24)
    - Save Job - Related Jobs - Block Source
  • Sr Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (New York, NY)
    …surveys and federal/state QI compliance activities. **Experience with health plan quality/ HEDIS is important for this position. Please include this experience on ... with Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field : Clinical Quality, Public Health or Healthcare. **Preferred Experience** + 1… more
    Molina Healthcare (11/28/24)
    - Save Job - Related Jobs - Block Source