- Humana (Phoenix, AZ)
- …reviews and supports the staff involved in HEDIS hybrid season review. The Quality Compliance Nurse works to gain more information about members ... caring community and help us put health first** The Quality Compliance Nurse helps in...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) license +… more
- CVS Health (Phoenix, AZ)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... full accountability for business/financial results related to following as appropriate: HEDIS reporting, quality of care, accreditation activities and/or member… more
- Molina Healthcare (Phoenix, AZ)
- …License ( RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality … more
- CVS Health (Scottsdale, AZ)
- …- Strong communication skills - Critical thinking skills **Preferred Qualifications** - Registered Nurse - 2 years experience working with Medicaid or ... Management organization is responsible for leading the delivery of Aetna quality and compliance efforts, cross-functional reporting, and cultural transformation.… more
- Evolent Health (Phoenix, AZ)
- …+ 1-2 years of experience working with a global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA preferred. + 2 - 4 years of ... results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager… more