- Elevance Health (Atlanta, GA)
- JR132653 HEDIS Clinical Quality Program Manager **Location:** This position requires you to reside within 50 miles (and 1 hour commute) of any open, ... to work from your local office location a minimum of 1 day/week. The ** HEDIS ** ** Clinical Quality Program Manager** is responsible for serving as a… more
- CVS Health (Atlanta, GA)
- …focus areas and improve survey participation. **Required Qualifications** - 7+ years of clinical quality work experience - 3+ years' experience working with ... make health care more personal, convenient and affordable. **Position Summary** The Quality Management organization is responsible for leading the delivery of Aetna … more
- Elevance Health (Atlanta, GA)
- …Ratings, Exchange Quality Rating System (QRS) Ratings, and support FEP Quality Improvement Program (QCR). + Develops and executes health disparity reduction ... **Title:** Staff VP, Accreditation & Quality Programs **Location:** Within 50 miles of a...procedures, and negotiating the survey process, as well as HEDIS /CAHPS procedures, and standards with NCQA + Staying abreast… more
- CenterWell (Stone Mountain, GA)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical...with logjams and workflow issues. + Oversight of provider quality and development of workflows to help close gaps… more
- CenterWell (Atlanta, GA)
- …of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly bonus + Excellent ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...Center. + Participates in the local primary care 'on-call' program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (Atlanta, GA)
- …or internal medicine experience. + Value-based care knowledge and/or experience. + HEDIS quality metrics knowledge and/or experience. **Scheduled Weekly Hours** ... us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works… more
- CenterWell (Atlanta, GA)
- …Typically works on semi-routine assignments. The Medical Assistant 2 performs clinical duties such as discussing symptoms and gathering and inputting information ... assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under… more
- CenterWell (Atlanta, GA)
- …from home after initial probationary period. The **Medical Assistant 2** performs clinical duties such as discussing symptoms and gathering and inputting information ... Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- The Cigna Group (Atlanta, GA)
- …organization (which includes Market Provider Performance, Sales, Health Services, Clinical , Stars & Risk Adjustment, Finance, Marketing, Cross-Segment Contracting, ... review to senior management, including but not limited to financials, quality and coding progress, action plans, reviews/evaluations and any accompanying analysis.… more