- BayCare Health System (Clearwater, FL)
- …distribute provider scorecards; develop provider education documents as needed for Stars and HEDIS requirements; assist with quality improvement projects and ... provided) **Minimum Qualifications:** **Required:** + Associate degree in healthcare and 4 years of HEDIS Quality Metrics + or high school diploma and 6 years of… more
- McLaren Health Care (Flint, MI)
- …Learn more about MDwise, Inc. at https://www.mdwise.org/ **Position Summary:** The NCQA Specialist coordinates quality improvement activities and supports ... We are looking for a National Committee for Quality Assurance Specialist (NCQA Specialist...organizations HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement… more
- AmeriHealth Caritas (Dublin, OH)
- …regulations and NCQA standards for quality activities; + Supports the quality improvement department with annual medical record review activities including ... part of the Quality Management team, the Quality Performance Specialist -Clinical is responsible for...+ Minimum of 3 years in clinical or service quality improvement / health care delivery or relevant… more
- Molina Healthcare (AZ)
- …3 years experience in healthcare with 1 year experience in health plan quality improvement , managed care or equivalent experience. * Demonstrated experience with ... management compliance activities. Please make sure to include any healthcare/ HEDIS / quality metric experience on your resume. We...moving quickly to fill this position. **Job Duties** The Specialist , Quality Management contributes to the … more
- Molina Healthcare (Bellevue, WA)
- … improvement functions: Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement … more
- Stanford Health Care (Redwood City, CA)
- …America) **This is a Stanford Health Care job.** **A Brief Overview** The Quality Specialist is responsible for coordinating, monitoring, and improving clinical ... with the leadership skills to influence clinical processes, systems, and outcomes. The Quality Specialist will identify opportunities for unit or service line… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …bring any pertinent information back to the administrative team. + Assist the Sr. Quality Engagement Specialist with HEDIS /QUARR/CMS Star retro medical ... JOB DESCRIPTION JOB TITLE: Quality Engagement Specialist POSITION SUMMARY: The...of Managed Care Contracting to support programs related to quality improvement and performance. This Position requires… more
- UCLA Health (Los Angeles, CA)
- …as required. As a member of the QM Team, this position assists with quality improvement studies through data collection, data input and report development. The ... Description The Quality Management Nurse Specialist serves as...quality management (QM) projects: Assist in initiatives like HEDIS /Pay for Performance, clinical studies, and access surveys by… more
- US Tech Solutions (Boston, MA)
- …in a meaningful and understandable way. **Experience:** + Experience with quality improvement methodologies preferred. + Strong analytical and problem-solving ... and other healthcare industry metrics used to benchmark performance. + Quality improvement methodologies. **Education:** + Bachelor's degree in health… more
- ConnextCare (Pulaski, NY)
- Quality Improvement Analyst Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description Basic Function: To identify areas for ... improvement regarding patient care quality by analyzing...and Social Care Networks Contracts + Complete/Coordinate system wide HEDIS Insurance chart audits + Review Gaps in Care… more
- Highmark Health (Sacramento, CA)
- …providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different potential roles on a ... key BU's for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and… more
- Molina Healthcare (Spokane, WA)
- …Remote and must live in Washington _** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing ... healthcare quality improvement initiatives and education programs specific...and monitoring for key performance measurement activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one or more of… more
- MyFlorida (St. Petersburg, FL)
- …by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement . Where You Will ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Mar 15, 2025 The...as health education and disease prevention. + Participate in quality assurance activities including meetings and peer review. +… more
- PeaceHealth (Longview, WA)
- …population health management programs ( HEDIS , Medicare STARS, CCO metrics, quality management/ improvement ). + Performs chart reviews to ensure all suspect ... **Description** PeaceHealth is seeking a Payer Program Specialist - Care Mgmt for a Full Time,...population health data. Analyzes impact of data on various quality improvement projects or programs. + Ensures… more
- Helio Health Inc. (Syracuse, NY)
- …manner. + Provides support to the Health Information Technology, Continuous Quality Improvement , Compliance, and Grant Writing departments regarding any ... To support the mission of Helio Health, theData Analytics and Decision Support Specialist enhances Helio Health's efforts to gather, analyze and report on important… more
- UCLA Health (Los Angeles, CA)
- …and regulations. This role involves evaluation clinical practices, identifying areas for improvement , and implementing quality improvement initiatives to ... Description The Quality Management Clinical Nurse Specialist is...Collaborate with healthcare providers and administrative staff to implement quality improvement initiatives + Provide education and… more
- LifePoint Health (Las Cruces, NM)
- …one-on-one meaningful interactions regarding current performance. Utilize professional, clinical and/or quality improvement experience and expertise to guide the ... and facilitate issue resolution Identify and provide recommendations for provider participant's quality and utilization improvement plans and assist practices in… more
- VNS Health (Manhattan, NY)
- …practice locations. + Travels between numerous provider offices across all regions to promote Quality of care, HEDIS and STARS measures and accurate ICD coding ... OverviewAre you passionate about improving patient outcomes and enhancing healthcare quality ? We're looking for a motivated and dynamic Risk and Quality Provider… more
- ChenMed (Philadelphia, PA)
- …needs. + Manages clinical teams to deliver VIP service, standards of care and quality guidelines, and HEDIS /STARS + Inspire seamless coverage of clinical staff ... at RCMO's discretion, which may include: + Assists RCMO with region quality , medical cost efficiency, and performance improvement initiatives. + Oversees… more
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