- Elevance Health (New York, NY)
- ** Process Improvement Director - HEDIS ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour ... commute from the posted Elevance Health locations. This ** Process Improvement Director - HEDIS ** will be responsible for enterprise HEDIS … more
- Centers Plan for Healthy Living (Garden City, NY)
- …is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy ... Living (CPHL) under the direction of the Director of Quality Management. Responsibilities include, but are not...years of experience in the health care industry, in HEDIS and/or quality improvement . Experience in a… more
- Molina Healthcare (Yonkers, NY)
- …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... the activities of the department and the process improvement process . * Assesses...efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an… more
- Molina Healthcare (New York, NY)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more