• HEDIS Clinical Quality Program…

    Elevance Health (Indianapolis, IN)
    …in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education ... JR132653 HEDIS Clinical Quality Program Manager **Location:**...(and 1 hour commute) of any open, relevant Elevance Health location AND as part of our Hybrid 1… more
    Elevance Health (10/25/24)
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  • Sr Analyst, HEDIS /Quality Reporting…

    Molina Healthcare (MI)
    …improvement experience. + 1+ years in managed healthcare non-financial reporting. + 1+ years health care information systems experience or in a role as an IS ... QI compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly...to completion + Works with Director and / or Manager to establish and / or document quality assurance… more
    Molina Healthcare (10/20/24)
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  • Clinical Quality Program Manager

    Elevance Health (Topeka, KS)
    …in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education ... to support an operational team responsible for abstraction and pursuit of HEDIS (R) measures to ensure they reach operational milestones, gap closures, rates and… more
    Elevance Health (10/12/24)
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  • Clinical Quality Program Manager III

    LA Care Health Plan (Los Angeles, CA)
    …Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... Clinical Quality Program Manager III Job Category: Clinical Department: Quality Improvement...Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable… more
    LA Care Health Plan (11/07/24)
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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 (08/28/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …Min. 3 years' experience in healthcare with minimum 2 years' experience in health plan quality improvement, managed care , or equivalent experience. **Required ... + 2 years coding and medical record abstraction experience. + 1-year managed care experience. + Basic knowledge of HEDIS and NCQA. **Preferred License,… more
    Molina Healthcare (10/20/24)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …in a Managed Health Care Plan; + Experience working as a case manager in a health plan case managing complex cases; + Demonstrated experience in the ... Job Type Full-Time Regular Job Number 0231HCA-24AC (BR) Department Health Care Agency Opening Date 08/06/2024 Closing...HEDIS measures and standards. + Experience utilizing the care planning process as part of the case management… more
    Ventura County (10/24/24)
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  • Manager Provider Government Programs

    Highmark Health (Buffalo, NY)
    …into highly functioning subject matter experts in the Organization's Primary Care Provider government programs and continuous improvement models in a matrix ... in the program(s), such as improvements in quality, cost and utilization through care gap closure, STARS ratings and risk revenue performance as defined by the… more
    Highmark Health (11/04/24)
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  • Clinical Quality Program Manager

    Elevance Health (Miami, FL)
    …Leads plan level HEDIS strategy to drive improvement in behavioral health HEDIS measures, ensuring achievement in performance guarantees and/or service level ... **JR131500 Clinical Quality Program Manager ** Responsible for serving as a liaison with...nursing, or a related clinical field; 4 years of health care quality or data analysis experience;… more
    Elevance Health (10/23/24)
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  • Supervisor, Transitional Care Services

    LA Care Health Plan (Los Angeles, CA)
    care setting, such as a health insurance environment and/or experience as care manager in hospital or home health environments. At least 2 years ... $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public...as demonstrated through identifying clinical priorities and outcomes (eg HEDIS , etc.). Assist in the development and implementation of… more
    LA Care Health Plan (10/26/24)
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  • Government Business Quality Management…

    Elevance Health (Los Angeles, CA)
    …(CMS), and accrediting requirements. **Minimum Requirements:** Requires BA/BS in a clinical or health care field (ie nursing, epidemiology, health sciences) ... and a minimum 5 years progressively responsible experience in a health care environment or any combination of education and experience, which would provide an… more
    Elevance Health (10/12/24)
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  • Senior Manager , Practice Innovation

    University of Virginia (Charlottesville, VA)
    …Skills & Abilities)** **:** **Education and Licensure:** + Bachelor's Degree in Health Care Administration, Business Administration, Nursing, or related degree. ... improvement initiatives impacting core clinical processes and critical patient care functions. Works collaboratively with executive leadership, administrators, managers… more
    University of Virginia (11/07/24)
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  • Senior Population Health Specialist

    Beth Israel Lahey Health (Wakefield, MA)
    …Under the supervision of the Quality Manager , the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with ... all members of the health care team, including but not limited to practices, clinicians,...engagement, and training/education design and implementation. 10. Coordinates with Manager of Quality for Population Health Specialist… more
    Beth Israel Lahey Health (11/02/24)
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  • Clinic Manager - CenterWell

    CenterWell (Grand Prairie, TX)
    …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health more
    CenterWell (11/02/24)
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  • Clinic Manager - Conviva

    Conviva (Rockport, TX)
    health first** Conviva is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies ... and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and...millions of people we serve to achieve their best health - delivering the care and service… more
    Conviva (11/05/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    …(NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and Clinical Director ... Sea Mar Community Health Centers, a Federally Qualified Health ...is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) -… more
    Sea Mar Community Health Centers (10/30/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Puyallup, WA)
    …They will know the Social Determinants of health , what that means in Community Health Care , and how that is different from other health care ... Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (08/14/24)
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  • Nurse Case Manager - Boston - Mileage…

    Fallon Health (Boston, MA)
    …nursing mandatory + Bachelors (or advanced) degree in nursing or a health care related field preferred **License/Certifications:** + Active, unrestricted license ... and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...that may also be Non-English speaking, required + Home Health Care experience preferred **COVID-19 Vaccination:** With… more
    Fallon Health (10/09/24)
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  • Primary Care Physician

    ChenMed (Philadelphia, PA)
    …be required to function both independently and in collaboration with other health care professionals. He/she will adhere to strict departmental goals/objectives, ... Manages clinical teams to deliver VIP service, standards of care and quality guidelines, and HEDIS /STARS +...seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for… more
    ChenMed (09/28/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Vancouver, WA)
    …They will know the Social Determinants of health , what that means in Community Health Care , and how that is different from other health care ... Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center...or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
    Sea Mar Community Health Centers (11/06/24)
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