- Centene Corporation (Madison, WI)
- …a health insurance or provider/health system setting. **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating ... in 8-5 pm central time zone. This role will have projects concerning quality improvement deliverables related to NCQA, State Contract, HEDIS . Medicaid is the… more
- Molina Healthcare (WA)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes ... quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and...State Plan. We are seeking a Registered Nurse with quality improvement experience. The Sr. Specialist… more
- Medical Mutual of Ohio (OH)
- …around us and help our members achieve their best possible health and quality of life. **Responsibilities** **Medical Record Retrieval Specialist ** Supports the ... **_The Medical Record Retrieval Specialist position allows you the flexibility to work...HEDIS efforts. Works closely with providers and other quality team members, Health Informatics, IT and vendor partners.… more
- CareFirst (Baltimore, MD)
- …matter expertise in population health, measurement science, accreditation, and quality improvement . Utilizes the framework of NCQA Accreditation, HEDIS & CMS ... outcomes. + Certification in Quality or Process Improvement Methods + Direct experience with accreditation, HEDIS... Improvement Methods + Direct experience with accreditation, HEDIS , CAHPS and other quality related activities… more
- AmeriHealth Caritas (Dublin, OH)
- …plan's accreditation, preventive health improvement , business analysis and clinical/service quality improvement (including State Withholds, HEDIS and ... of the Quality Management team, the Senior Quality Performance Specialist - Senior is responsible...CAHPS). ;In addition to established a quality improvement philosophy throughout the organization and promotes the use… 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
- 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
- Molina Healthcare (MA)
- **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
- Stanford Health Care (Palo Alto, 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
- 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
- Molina Healthcare (Seattle, 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
- 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
- Beth Israel Lahey Health (Wakefield, MA)
- …to achieve success in a value-based. Under the supervision of the Quality Manager, the Population Health Specialist (PHS) supports collaboration, communication ... leaders, practices, clinicians and hospital leadership. The Population Health Specialist is the primary point of contact with and...& Abilities:** + Strong knowledge of and experience with HEDIS ambulatory quality measures a must. +… more
- Centene Corporation (Jefferson City, MO)
- …as newsletter articles, member education, outreach interventions and provider education. + Supports quality improvement HEDIS and program studies as needed, ... work experience within a managed care environment related to HEDIS record review, quality improvement ,...in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social… 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: Feb 14, 2025 The...as health education and disease prevention. + Participate in quality assurance activities including meetings and peer review. +… more
- Medical Mutual of Ohio (OH)
- …plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, and other corporate quality ... education/training and experience.** + **3 years of experience in health care quality assurance, continuous improvement , case management or utilization review,… 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 ... to provider practice locations to educate providers on Clinical documentation and Quality measures to ensure member's receive the care for all their chronic… more
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