- Molina Healthcare (WA)
- …HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted ... more
- Molina Healthcare (Tucson, AZ)
- …HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted ... more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... more
- VNS Health (Manhattan, NY)
- …the clinical audit team, ensuring compliance with Medicare STARS, HEDIS /QARR, and regulatory requirements. + Develops forms, record abstracts, reports, and other ... more
- Healthfirst (NY)
- …institution + Clinical license: LPN, RN, LMSW or LCSW + Multiple years of HEDIS review experience for both Medicaid and Medicare lines of business + Medical ... more
- Dignity Health (Bakersfield, CA)
- …a system/national level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple ... more
- Fallon Health (Worcester, MA)
- …and staff within Fallon Health to facilitate the design and implementation of clinical quality improvement activities and to support HEDIS submissions. In ... more
- HCA Healthcare (Salt Lake City, UT)
- …provides satisfaction and personal growth, we encourage you to apply for our Manager Care Quality opening. We promptly review all applications. Highly qualified ... more
- Fallon Health (Pembroke, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... more
- Sharp HealthCare (San Diego, CA)
- …California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification **Hours** **:** ... more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. ... more
- Beth Israel Lahey Health (Burlington, MA)
- …or adjusting grievances involving colleagues; interview and select, with the manager , candidates for employment.** **Proactively develop plans to meet future ... more
- ChenMed (Philadelphia, PA)
- …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each ... more
- Highmark Health (Harrisburg, PA)
- …+ Proactively engages the practice care team and provides "hands on" management of clinical quality measures and quality chart review . (5%) + Participate in the ... more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …all relative clinic forms, quality/ HEDIS measures, lab and x-ray reports and review of the Patient Manager and Medication confirmation process and any ... more
- CenterWell (Tallahassee, FL)
- …gaps in care, ensuring timeless access to important medications and solving urgent clinical needs. We will be serving patients in Texas, Florida, and Mississippi and ... more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. ... more
- CenterWell (Atlanta, GA)
- …Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation ... more
- Trinity Health (Boise, ID)
- …provides education, training, support, and collaboration with primary care clinical teams and providers to support Quality Performance Improvement initiatives ... more
- Aspen Medical (Lackland, TX)
- …of twelve (12) months. During this period, the CP performance will be under close review by their assigned clinical supervisor for clinical competence as ... more
Related Job Searches:
Clinical,
Clinical Review,
HEDIS,
HEDIS Manager,
Manager,
Manager Clinical Review,
Review