• Sr Analyst, HEDIS /Quality Reporting…

    Molina Healthcare (MI)
    …**KNOWLEDGE/SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS /Quality Reporting develops and provides ... for the quality team. + Acts as a lead analyst to provide project -, program-, and / or initiative-related direction and guidance for other analysts within… more
    Molina Healthcare (10/20/24)
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  • Senior HEDIS Medicaid Data…

    Humana (Columbus, OH)
    …evaluation of variable factors. Humana's Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in ... caring community and help us put health first** The Senior Data Manager supports all aspects of...with partners across the enterprise and support of the HEDIS program and related activities. This will require building… more
    Humana (11/22/24)
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  • 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 oversees, plans, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement (Registered Nurse) contributes to one… more
    Molina Healthcare (11/10/24)
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  • Sr Specialist, Quality Interventions/QI…

    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 ... your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to...Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance… more
    Molina Healthcare (11/28/24)
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  • Sr . Specialist, Provider Engagement…

    Molina Healthcare (NM)
    …and monitoring for key performance measurement activities. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of ... functions: * Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. * Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (11/10/24)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …programs; + Experience in meeting or exceeding NCQA requirements, including project management responsibilities; + Experience related to HEDIS , including ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361)...tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in… more
    Ventura County (11/28/24)
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  • Senior Manager , Practice Innovation

    University of Virginia (Charlottesville, VA)
    …to develop relevant in-person and online educational trainings on priority HEDIS quality measures, complex diagnosis documentation for improved risk adjustment, and ... quality metric performance. + Maintains thorough knowledge and understanding of the HEDIS quality measures, their nuances and the specifications to adequately speak… more
    University of Virginia (11/07/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. The Senior Specialist will be asked to perform ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement (Registered Nurse) contributes to one… more
    Molina Healthcare (10/20/24)
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  • Senior Manager , Pharmacy Quality…

    Centene Corporation (Cheyenne, WY)
    …to competitive benefits including a fresh perspective on workplace flexibility. Senior Manager , Pharmacy Quality Initiatives (Pharmacist) **Position Purpose:** ... in-person presentations and metric reporting). + Implements and oversees various project management functions and works with appropriate individuals across the… more
    Centene Corporation (11/24/24)
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  • Senior Population Health Specialist

    Beth Israel Lahey Health (Wakefield, MA)
    …a difference in people's lives.** Under the supervision of the Quality Manager , the Senior Population Health Specialist (PHS) supports collaboration, ... limited to practices, clinicians, leadership and support staff. The Senior Population Health Specialist leads cross-functional activities throughout the organization… more
    Beth Israel Lahey Health (11/13/24)
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  • Public Health Educator/ Senior Strategist

    ERP International (Camp Pendleton, CA)
    …a current AHA OR ARC BLS Healthcare Provider certification. **Specific Quals for Program Manager / Senior Strategist** * Knowledge of the military health system. ... **Overview** ERP International, LLC is seeking a **Public Health Educator/ Senior Strategist** for a full-time position in the **Health Promotion and Wellness… more
    ERP International (09/17/24)
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  • Senior Provider Engagement Specialist

    Molina Healthcare (Seattle, WA)
    …provide education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of ... activities. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (10/27/24)
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  • Management Engineer - Performance Measurement…

    Henry Ford Health System (Troy, MI)
    …from a more senior PI resource, for assigned projects, develops a project scope document and project plan including the gathering of information, estimates ... sustainable implementation of improvements. + Conducts written and oral project updates for senior management and other...education and training. + With support from a more senior PI resource, (eg, Principal, PM, Manager ,… more
    Henry Ford Health System (11/26/24)
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  • Manager , Risk & Quality Systems (Remote)

    Molina Healthcare (NY)
    …the ability to communicate effectively with team members, cross functional departments, and senior management. Manages a team of project and/or program managers ... RQS's strategic objectives. **Job Duties** * Manages Risk and Quality Systems' project and/or program managers and ensures team remains aligned with RQS strategies… more
    Molina Healthcare (11/29/24)
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  • Physician - CenterWell - Las Vegas, NV - Boulder…

    CenterWell (Las Vegas, NV)
    …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 300 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (10/30/24)
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  • Nurse Practitioner

    CenterWell (Atlanta, GA)
    …Must have an active/unrestricted state license, DEA license, and board certification. + Senior patient care experience. + Active BLS through the AHA (American Heart ... Strong technical experience. + 2 or more years of project leadership experience. + This role is considered patient...role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program. If selected for… more
    CenterWell (11/16/24)
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  • Physician- Redbird

    CenterWell (Dallas, TX)
    …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (11/16/24)
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  • CenterWell- Physician- Port Arthur

    CenterWell (Beaumont, TX)
    …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... environment . Knowledge of Medicare guidelines and coverage. Knowledge of HEDIS quality indicators Additional Information:. Excellent benefit package - health… more
    CenterWell (11/09/24)
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