• 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
    DirectEmployers Association (11/13/25)
    - Save Job - Related Jobs - Block Source
  • Commonwealth Care Alliance (Boston, MA)
    011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and… more
    DirectEmployers Association (10/29/25)
    - Save Job - Related Jobs - Block Source
  • Commonwealth Care Alliance (Boston, MA)
    …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
    DirectEmployers Association (10/17/25)
    - Save Job - Related Jobs - Block Source
  • Sr . HEDIS Coordinator- Remote (Must…

    UPMC (Pittsburgh, PA)
    …a department identified quality improvement project under the supervision of Manager , ie, development of HEDIS measure Tip Sheet(s), assist with Quality ... UPMC Health Plan has an exciting opportunity for a Sr . HEDIS Coordinator position in the Quality...project work within established time parameters. + Support Manager with analysis of CGMA user rejections and identification… more
    UPMC (12/12/25)
    - Save Job - Related Jobs - Block Source
  • Senior Program Manager

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle + Facilitate the CMS Star Ratings Workgroup to… more
    UCLA Health (11/19/25)
    - Save Job - Related Jobs - Block Source
  • Senior Specialist, Member & Community…

    Molina Healthcare (OH)
    **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the… more
    Molina Healthcare (10/19/25)
    - Save Job - Related Jobs - Block Source
  • Sr . Manager Medicare Stars Program

    CVS Health (St. Louis Park, MN)
    …we do it all with heart, each and every day. **Position Summary** As the ** Senior Manager of Stars** , you will lead the market-wide strategy, performance ... outcomes and program performance. + Collaborate with internal teams ( HEDIS , Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics,… more
    CVS Health (12/31/25)
    - Save Job - Related Jobs - Block Source
  • Sr . Data Analyst/Risk Adjustment - US…

    Datavant (Honolulu, HI)
    …and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of the ... to understand business objectives and deliver results. As a Sr . Data Analyst, you will: + Take ownership of...and return on investment based on historical data and project variables + Work closely with cross-functional teams, including… more
    Datavant (12/25/25)
    - Save Job - Related Jobs - Block Source
  • 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/5113983) Apply  Senior Medical Management Nurse -… more
    Ventura County (12/07/25)
    - Save Job - Related Jobs - Block Source
  • Quality Project Manager Medicaid

    CVS Health (Lansing, MI)
    …of initiatives/programs and completes State/HSAG PIP templates for submission. + Assists Senior Quality Manager and Director with coordination and implementation ... of interventions to increase HEDIS , CAHPS, AAA, P4P Metric improvement projects and designated...compliance and external surveys as needed. + Support the project life cycle including requirements gathering, creation of … more
    CVS Health (12/31/25)
    - Save Job - Related Jobs - Block Source
  • Senior Provider Engagement Professional

    CenterWell (Phoenix, AZ)
    …of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex… more
    CenterWell (12/24/25)
    - Save Job - Related Jobs - Block Source
  • Senior Specialist, Quality Program…

    Molina Healthcare (WA)
    **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement ... key quality program activities. Acts as a lead specialist to provide project , program, and/or initiative related direction. Provides guidance for other specialists… more
    Molina Healthcare (12/11/25)
    - Save Job - Related Jobs - Block Source
  • Delegation Partnerships Performance Manager

    Commonwealth Care Alliance (Boston, MA)
    …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
    Commonwealth Care Alliance (10/18/25)
    - Save Job - Related Jobs - Block Source
  • NCQA and CMS Star Rating Program Manager

    UCLA Health (Los Angeles, CA)
    Description The NCQA and CMS Star Rating Program Manager will lead initiatives to drive the Medicare Advantage Plan's success in NCQA Health Plan Accreditation and ... Identify and resolve program challenges proactively across departments. + Use advanced project management tools to monitor progress and optimize resources. + Report… more
    UCLA Health (12/17/25)
    - Save Job - Related Jobs - Block Source
  • Public Health Educator/Health Promotion…

    ERP International (Camp Pendleton, CA)
    …and strengthen the awareness of available electronic resources. * Collaborate with PHP Project Manager / Senior Strategist to construct an annual strategic ... beneficiaries. Including, but not limited to, all command specific HEDIS metrics. * Track metrics of success as informed...posters, flyers, and social media. * Collaborate with PHP Project Manager / Senior Strategist to periodically… more
    ERP International (12/11/25)
    - Save Job - Related Jobs - Block Source
  • Primary Care Physician Lead

    CenterWell (Savannah, GA)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state… more
    CenterWell (12/25/25)
    - Save Job - Related Jobs - Block Source
  • Primary Care Physician

    CenterWell (Corpus Christi, TX)
    …Care Organization (PCO) is the largest and fastest growing value-based care, senior -focused primary care network in the country. The Primary Care Physician (PCP) ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
    CenterWell (12/29/25)
    - Save Job - Related Jobs - Block Source
  • Physician

    CenterWell (Fort Worth, TX)
    …a part of our caring community and help us put health first** At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our ... 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… more
    CenterWell (11/06/25)
    - Save Job - Related Jobs - Block Source
  • Primary Care Physician

    CenterWell (Port Orange, FL)
    …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Bilingual (English and Spanish) is...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
    CenterWell (12/28/25)
    - Save Job - Related Jobs - Block Source
  • Primary Care Physician - VSP

    CenterWell (Seneca, SC)
    …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** **Why CenterWell Senior Primary ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
    CenterWell (12/12/25)
    - Save Job - Related Jobs - Block Source