• HEDIS Compliance / Audit Specialist…

    Elevance Health (Grand Prairie, TX)
    …live within 50 miles of one of our Elevance Health PulsePoint locations. The ** HEDIS Audit Quality Manager ** is responsible for managing all HEDIS Audit ... HEDIS Compliance Audit Specialist / Manager ...requirements. **Minimum Requirements:** + Requires a BA/BS in a health care field and minimum of 3… more
    Elevance Health (01/21/25)
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  • HEDIS Abstractor II (Temporary)

    LA Care Health Plan (Los Angeles, CA)
    …Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department:...Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable… more
    LA Care Health Plan (01/09/25)
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  • HEDIS Manager

    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 ... of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in...data and reporting, share best practices, and coordinate with Care Management as needed to meet HEDIS more
    DOCTORS HEALTHCARE PLANS, INC. (01/22/25)
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  • HEDIS Medical Record Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …of a team + Ability to navigate complex provider organizations and other various health care delivery systems Education: + Registered Nurse or Licensed Practical ... HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS ...HEDIS quality improvement activities including clinical gaps in care , provider newsletter notifications, etc. Qualifications: + 5+ years… more
    Blue Cross Blue Shield of Massachusetts (12/04/24)
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  • HEDIS Project Manager IV

    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 ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....+ Proficient with MS-Office applications + Healthcare experience; managed care experience preferred + HEDIS experience preferred… more
    Centene Corporation (01/10/25)
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  • Manager , HealthCare Quality Project…

    CVS Health (Richmond, VA)
    …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....personal, convenient and affordable. **Position Summary** The Quality Project Manager supports the Duals (MMP and FIDE) HEDIS more
    CVS Health (01/25/25)
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  • Manager , Clinical Quality

    CVS Health (Tallahassee, FL)
    …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....personal, convenient and affordable. **Position Summary** The Clinical Quality Manager supports the Duals (MMP and FIDE) HEDIS more
    CVS Health (01/25/25)
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  • Manager , Clinical Quality Analytics

    LA Care Health Plan (Los Angeles, CA)
    health care quality reporting programs, specifically Medicare Stars and HEDIS and health plan regulatory reporting requirements. High degree of initiative ... Manager , Clinical Quality Analytics Job Category: Clinical Department:...$152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public… more
    LA Care Health Plan (11/27/24)
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  • Senior Manager , Project Mgt (IC)

    CVS Health (Hartford, CT)
    …is one of the most widely used healthcare quality data sets in the country. HEDIS calculates how health care organizations perform on various quality metrics ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....across several quality-of- care domains. HEDIS reporting is a requirement… more
    CVS Health (01/24/25)
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  • Quality Behavioral Health Manager

    CVS Health (Tallahassee, FL)
    …data to monitor outreach effectiveness. The Quality Behavioral Health Manager develops and ensures programs support HEDIS , regulatory, and accreditation ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....bring accessible healthcare to our members. The Quality Behavioral Health Manager is a key member of… more
    CVS Health (01/16/25)
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  • Population Health Program Development…

    Independent Health (Buffalo, NY)
    … Program Development Manager will identify opportunities to improve medical expenses, care quality, and health outcomes. This role will be responsible for ... and commitment to diversity and inclusion. **Overview** The Population Health Program Development Manager will work closely...medical expense and quality of care and health outcomes as measured by HEDIS , Medicare… more
    Independent Health (01/14/25)
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  • Analytic Manager - Quality

    Point32Health (MA)
    …a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, ... heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care , where we leverage our experience and expertise to help people… more
    Point32Health (01/08/25)
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  • Clinical Quality Data Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …conducting analyses and delivering analytic results in a health care insurance, consulting, or delivery organization. . HEDIS experience preferred. ... conducting analyses and delivering analytic results in a health care insurance, consulting, or delivery organization. . HEDIS experience preferred.… more
    Medical Mutual of Ohio (12/08/24)
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  • Manager Care Quality

    HCA Healthcare (Salt Lake City, UT)
    …We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, ... vary by location._** Come join our team as a(an) Manager Care Quality. We care ...Patient Centered Medical Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with… more
    HCA Healthcare (12/22/24)
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  • Clin Prog Dev Manager (US)

    Elevance Health (Indianapolis, IN)
    …biostatistics, or related field and minimum of 5 years experience involving analyses of health care data and clinical program development; or any combination of ... The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Elevance Health supports a hybrid workplace model (virtual and… more
    Elevance Health (01/18/25)
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  • Senior Program Manager , Government…

    Fallon Health (Worcester, MA)
    …Nursing preferred **Experience** * Minimum of 5 years' experience within a health care /managed care setting directing quality management or ... and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and...direction from the Director of Quality, the Senior Program Manager ensures that the health plan is… more
    Fallon Health (01/08/25)
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  • Population Health Manager

    UCLA Health (Culver City, CA)
    …role, the Population Health Manager will support our Population Health initiatives to increase the quality of care , while maintaining cost-effective ... Clinic is a leader in providing comprehensive, high-quality primary health care to people in need with...make a difference in the community as a Population Health Manager with our Venice Family Clinic… more
    UCLA Health (12/12/24)
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  • Manager Population Health & Post…

    Community Health Network (Fishers, IN)
    Manager Population Health & Post Acute Case Mgmt. Job Ref 2408566 Category Leadership Job Family Practice Management Department Clinical Transformation Schedule ... couldn't do it without you. **Make a Difference** The Manager of Population Health & Post Acute...with a provider perspective and strong orientation to value-based care principles and the health policy landscape… more
    Community Health Network (12/31/24)
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  • Population Health Manager , IHCI,…

    Community Health Network (IN)
    …the healthcare delivery system. **Make a Difference** The population Health Manager is responsible for driving value-based care initiatives in regional ... Population Health Manager , IHCI, Evansville Job Ref...with a provider perspective and strong orientation to value-based care principles and the health policy landscape.… more
    Community Health Network (01/09/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …of risk and value-based contracting. Demonstrated knowledge and experience with primary health care practice standards and quality performance measures- STARS ... Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on...system, and friendly people. *_Why Choose Us_* * o Health (Medical, Dental, Vision) and 401K Benefits for full-time… more
    LifePoint Health (01/15/25)
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