- Molina Healthcare (Covington, KY)
- …projects, HEDIS like projects and supplemental data collection. The Lead Overreader meets chart overread productivity standards, minimum over read standards, and ... Overreader mentors and trains new team members. Leads special HEDIS /Quality projects. **Job Duties** + Performs the lead... HEDIS /Quality projects. **Job Duties** + Performs the lead role of the HEDIS medical record… more
- Elevance Health (Cincinnati, OH)
- ** HEDIS Business Information Consultant** **Location:** This position will take part in Elevance Health's hybrid workforce strategy which **includes virtual work and ... model with PulsePoint sites used for collaboration, community, and connection. The ** HEDIS Business Information Consultant** is responsible for serving as an expert… more
- Molina Healthcare (Covington, KY)
- …national and/or regional lead , the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
- Molina Healthcare (Covington, KY)
- …outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Lead Pharmacist, Utilization Management (UM) will serve as a team ... lead to support the pharmacy manager in the daily...+ Contributes to projects aimed at improving Star ratings, HEDIS , CAHPS, and other quality metrics. + Assists call… more
- Molina Healthcare (Covington, KY)
- …Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk & Quality Solutions (RQS) team and ... experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4+ years of… more
- Elevance Health (Mason, OH)
- …in Payment Integrity and Revenue-Cycle Management. + Knowledgeable about HEDIS performance measures. + Possess experience managing multiple application technology ... complex issues specific to different projects / programs and lead teams by being decisive + Problem-Solving: Aptitude for...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Covington, KY)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates conformance ... policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more
- Elevance Health (Mason, OH)
- …for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business.** ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Elevance Health (Mason, OH)
- …CPHQ) and/or a MS in the health field (ie Nursing) is preferred. + HEDIS experience is preferred. + NCQU Accreditation experience is preferred. + Technical writing ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more