- Humana (Tallahassee, FL)
- …and Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the ... technology implementation, and data management/reporting. The Senior HEDIS Operations & Quality Professional champions a collaborative environment… more
- CVS Health (Tallahassee, FL)
- …conduct robust impact and descriptive analyses, and collaborate closely with clinical, quality , and operations teams to identify emerging opportunities that ... outputs are interpretable and actionable. + Collaborate cross-functionally with Clinical Operations , Member Experience, and Quality teams to align analytics… more
- Molina Healthcare (FL)
- …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health ... JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- Humana (Tampa, FL)
- …health, SDOH, behavioral health, pharmacy strategy, care management strategy), and Quality (withhold management, HEDIS management, value-based payment strategy, ... to inform program design and measurement. ** Quality :** + Oversee quality management, including withhold management, HEDIS performance, Value-Based Payment… more
- CenterWell (Jacksonville, FL)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver… more
- CenterWell (Daytona Beach, FL)
- …(KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals *Personally deliver ... combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based Care (VBC) principles. This… more
- CenterWell (Jacksonville, FL)
- …first** The Center Administrator (CA) is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of ... with clinicians to achieve optimal patient outcomes and company initiatives, including Quality , HEDIS /STARs, AHCA, financial management, and employee and patient… more
- CenterWell (Daytona Beach, FL)
- …standards. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under ... experience + Experience with Electronic Medical Records (Athena) + Experience with HEDIS + Knowledge of Florida primary care medicine requirements + Working… more
- ChenMed (Orlando, FL)
- …a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director ... hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary… more
- Molina Healthcare (FL)
- …understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding ... manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care… more