• Sr Analyst, HEDIS / Quality

    Molina Healthcare (MI)
    …are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS / Quality ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...to completion + Works with Director and / or Manager to establish and / or document quality more
    Molina Healthcare (10/20/24)
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  • Quality Improvement (RN) - Maternity…

    Molina Healthcare (Ypsilanti, MI)
    …to one or more of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and / or Quality Reporting. ... expertise is important to the activity. + Surfaces to Manager and Director any gaps in processes that may...vendors and HEDIS auditors. + Assists the quality improvement staff with physician and member… more
    Molina Healthcare (10/20/24)
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  • Quality Improvement Project…

    Centene Corporation (Raleigh, NC)
    …North Carolina. Charlotte is preferred.** **Position Purpose:** Coordinate and monitor quality improvement and organizational projects from inception to closure ... experience. Master's in Public Health or related field preferred. 4+ years of quality improvement or project management experience in managed care with advanced… more
    Centene Corporation (11/17/24)
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  • Manager , Clinical Data Acquisition…

    Molina Healthcare (WA)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement activities...on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use of… more
    Molina Healthcare (11/10/24)
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  • Sr Specialist, Quality Improvement

    Molina Healthcare (MI)
    …to one or more of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and / or Quality Reporting. ... **_JOB TITLE: Sr. Specialist, Quality Improvement RN (REGISTERED NURSE)_** **_For...**Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor… more
    Molina Healthcare (11/10/24)
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  • Manager , Clinical Quality Analytics

    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
    LA Care Health Plan (08/28/24)
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  • Clinical Quality Program Manager III

    LA Care Health Plan (Los Angeles, CA)
    Clinical Quality Program Manager III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Quality Rating Systems (QRS). The position is responsible for strategizing quality improvement programs and ongoing management using a data-driven focus that… more
    LA Care Health Plan (11/07/24)
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  • Systems Analysis Advisor

    The Cigna Group (Nashville, TN)
    … proactive process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti). + Supports annual HEDIS Regulatory ... process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti). + Provides quality assurance to ensure accurate… more
    The Cigna Group (11/13/24)
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  • Clinical Quality Program Manager

    Elevance Health (Miami, FL)
    Manager ** Responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major ... will you make an impact:** + Leads plan level HEDIS strategy to drive improvement in behavioral...performance improvement plans and oversees the clinical quality improvement activities/projects to improve the … more
    Elevance Health (11/16/24)
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  • Lead Risk & Quality Performance…

    Molina Healthcare (UT)
    **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large ... initiatives in alignment with RQS's strategic objectives. **Experience working with HEDIS Data to find opportunities for improvement is important for… more
    Molina Healthcare (11/07/24)
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  • Risk and Quality Performance Manager

    Molina Healthcare (NM)
    **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
    Molina Healthcare (11/09/24)
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  • Manager Quality and Patient Safety

    Penn Medicine (Bala Cynwyd, PA)
    …implementation and evaluation of the quality , patient safety and operational performance improvement program. The Manager serves as the project manager ... include Princeton, Cape May & Somers Point)** Summary: The Quality and Patient Safety Manager participates in...healthcare field (Required) + Knowledge of and experience in quality improvement modes, such as Lean/Six Sigma,… more
    Penn Medicine (09/27/24)
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  • Senior Manager , Practice Innovation

    University of Virginia (Charlottesville, VA)
    GENERAL SUMMARY: This role is responsible for leading and managing quality improvement initiatives impacting core clinical processes and critical patient care ... multiple QI methodologies, tools and data models to support and promote team improvement efforts. + Facilitates quality improvement and practice… more
    University of Virginia (11/07/24)
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  • Medical Records Collector (Must reside near…

    Molina Healthcare (ID)
    **JOB DESCRIPTION** **Job Summary** Molina's HEDIS / Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in ... of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs the coordination and… more
    Molina Healthcare (11/16/24)
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  • Sr Specialist, Quality Interventions/QI…

    Molina Healthcare (AZ)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... surveys and federal/state QI compliance activities. **A background in quality / HEDIS is very important for this position....QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions… more
    Molina Healthcare (10/10/24)
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  • Specialist, Quality Interventions/QI…

    Molina Healthcare (Tacoma, WA)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality more
    Molina Healthcare (10/04/24)
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  • Manager Clinical Quality

    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
    Dignity Health (11/13/24)
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  • Manager Provider Government Programs

    Highmark Health (Buffalo, NY)
    …**_Minimum:_** + 5 years' experience in any combination of healthcare, government quality improvement programs, Medicare/Medicaid and risk revenue, medical staff ... targets as set by Highmark, cost and utilization and quality results in Medicare STARS, Medicaid HEDIS ...related area. + 3 years' experience in government program quality improvement , data analysis, and strategic plan… more
    Highmark Health (11/04/24)
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  • Government Business Quality Management…

    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
    Elevance Health (10/12/24)
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  • Provider Engagement Account Manager

    Centene Corporation (Tigard, OR)
    …years of managed care or medical group experience, provider relations, quality improvement , claims, contracting utilization management, or clinical operations. ... improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. + Completes special projects as assigned… more
    Centene Corporation (11/17/24)
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