• Lead Overreader, HEDIS / Quality

    Molina Healthcare (Cleveland, OH)
    **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical ... HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required...abstracted records as required by specifications. + Assists the quality improvement staff with physician and member… more
    Molina Healthcare (01/19/25)
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  • Risk & Quality Performance Manager

    Molina Healthcare (Cleveland, OH)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
    Molina Healthcare (03/04/25)
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  • Sr. Risk & Quality Performance…

    Molina Healthcare (Cleveland, OH)
    **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's ... * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk… more
    Molina Healthcare (03/04/25)
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  • Medical Records Collector (Must reside in NYC…

    Molina Healthcare (Cleveland, OH)
    **JOB DESCRIPTION** **Job Summary** Molina's HEDIS / Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in ... of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs the coordination and… more
    Molina Healthcare (02/14/25)
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  • Clinical Manager

    ChenMed (Maple Heights, OH)
    …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + ... great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for...which may include but is not limited to: clinical quality , compliance, human resources, patient experience and direct team… more
    ChenMed (01/24/25)
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  • Health Educator (Remote)

    Molina Healthcare (Cleveland, OH)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... and disease management materials, in collaboration with Molina Communications and other Quality Improvement (QI) staff. + Assists with identifying health… more
    Molina Healthcare (03/07/25)
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