- Medical Mutual of Ohio (Brooklyn, OH)
- …and perform pre-employment substance abuse and nicotine testing._ **Title:** _Manager, HEDIS & Quality Improvement Analytics_ **Location:** _OH-Brooklyn_ ... HEDIS ) functions including planning, data collection and submission, quality control, and reporting and analysis to meet all...STARS, CAHPS and HOS) to identify actionable opportunities for quality improvement . Serves as a quality… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …lines of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in quality measurement, driving performance ... our office in Coral Gables, FL Position Purpose: The HEDIS Manager oversees all aspects of Healthcare...departments and providers as required in all aspects of HEDIS and Quality Improvement +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with the collection and abstraction of HEDIS medical records + Work on HEDIS quality improvement activities including clinical gaps in care, provider ... true colors to blue. Overview The Performance Measurement and Improvement (PMI) department within Blue Cross Blue Shield of...HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS … more
- LA Care Health Plan (Los Angeles, CA)
- …considered. Education Preferred Experience Required: A minimum of 3 years of experience in HEDIS abstraction and/or other Quality Improvement , Quality ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- AmeriHealth Caritas (Newtown Square, PA)
- …+ Assist as necessary in the review of medical records. + In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the ... the HEDIS audit. + Develop and maintain HEDIS based report to support Quality Initiatives....HEDIS team in collaboration with internal departments for HEDIS improvement . + Ensures all data sent… more
- Elevance Health (Atlanta, GA)
- …Elevance Health location. **Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with ... company strategy, commitments, and goals.** PRIMARY DUTIES: + Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and… more
- Adelante (Phoenix, AZ)
- …Senior Quality Immunizations Program Analyst, Senior Quality Data Analyst, the Quality Improvement Manager and Safety and Clinical Risk Manager ... outcomes, decrease medical cost and increase revenue Collaborate with Quality Improvement Manager to: +...meetings + Independently develop and implement Quality Improvement Plans + Develop UDS, HEDIS &… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …to provider groups and internal stakeholders.** **Assists in data gathering for quality improvement and in-depth analyses and recommendations that improve care ... groups and internal stakeholders.** **Identifies actionable opportunities in data through quality improvement and in-depth analyses and recommendations that… more
- VNS Health (Manhattan, NY)
- …support critical Quality Improvement functions (eg, Performance Improvement Projects, including HEDIS , state-based measure reporting and medical record ... as a subject matter expert regarding the data utilized for measurement, quality improvement opportunities and approaches, analytics, and interventions and… more
- Point32Health (MA)
- … for internal and external customers. + Participates in annual updates to HEDIS and quality improvement processes through analysis, application development, ... we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Analytic Manager will support HEDIS and quality analytics reporting… more
- LA Care Health Plan (Los Angeles, CA)
- …or Health Informatics Experience Required: At least 6 years of experience in HEDIS , quality improvement , risk adjustment analytics, research, or related ... Manager , Clinical Quality Analytics Job Category:...entities and stakeholders to drive quality ratings improvement for CAHPS, HOS, HEDIS , Medication Adherence… more
- Molina Healthcare (Columbus, OH)
- …as needed. * Knowledge of HEDIS measurement and reporting * Knowledge of quality measurement * Knowledge of process improvement * Knowledge of quality ... * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages the activities of the… more
- Fallon Health (Worcester, MA)
- …Health to facilitate the design and implementation of clinical quality improvement activities and to support HEDIS submissions. In addition, this position ... of Purpose:** With general direction from the Director of Quality , the Senior Program Manager ensures that...* Serves as the ACPP/Fallon Health liaison to EOHHS quality improvement representatives by maintaining regular communication… more
- HCA Healthcare (Salt Lake City, UT)
- …the** **ACO and CIN network providers and practices in successfully meeting quality improvement initiatives** **, monitoring standards of care, and managing ... and integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's ... * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
- Dignity Health (Bakersfield, CA)
- …position is remote/work from home** **within California** **.** **Position Summary:** The Manager , Clinical Quality Improvement , is responsible for leading ... results for projects that are consistent with the organization's strategic goals. The Manager , Clinical Quality Improvement will oversee the day-to-day… more
- Elevance Health (Las Vegas, NV)
- …** is responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for Nevada Medicaid. **How you will make an ... **Clinical Quality Program Manager ** **Location:** **Nevada** ....performance improvement plans and oversees the clinical quality improvement activities/projects to improve the … more
- Elevance Health (Jacksonville, FL)
- …of company HEDIS performance. Implements strategies that meet clinical, quality , and network improvement goals through positive working relationships with ... The **Behavioral Health Provider Quality Manager ** is responsible for leading...delivered to Carelon BH members. Drives BH provider performance improvement year over year through education and data. This… more
- Elevance Health (Los Angeles, CA)
- … quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement , NCQA accreditation and compliance with ... and departmental goals. + Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. +… more