- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …require attendance in our office in Coral Gables, FL Position Purpose: The HEDIS Manager oversees all aspects of Healthcare Effectiveness Data and Information ... lines of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in quality measurement, driving performance improvement… more
- Elevance Health (Miami, FL)
- **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 ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Miami, FL)
- …workplace model with PulsePoint sites used for collaboration, community, and connection The ** HEDIS Research Analyst** is responsible for serving as an expert in ... HEDIS data analysis, reporting and formulating recommendations, and providing...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... 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
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- ChenMed (Miami, FL)
- …need great people to join our team. The Part D Clinical Pharmacist Manager is a dynamic and experienced Pharmacist knowledgeable in evidence-based pharmacy practice. ... specialty practice, as well as Part D education for HEDIS measures. . + Represents the pharmacy department on...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of… more
- Elevance Health (Miami, FL)
- The **Behavioral Health Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data ... to ensure high quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical, quality, and network improvement goals… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large programs ... experience in risk adjustment and/or quality * 6+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 6+ years of… more
- Molina Healthcare (Miami, FL)
- …improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement and reporting * Knowledge of quality measurement * Knowledge of ... process improvement * Knowledge of quality in healthcare * Knowledge of change management * Participate as a team player by demonstrating support to peers, management and the department's goals. **Job Qualifications** **Required Education** BA / BS / BSN or… more
- ChenMed (Miami Gardens, FL)
- …secretarial and administrative support. He/she reports up to an Assistant Center Manager or Center Manager , but could receive occasional instruction/supervision ... comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer… more
- ChenMed (Pembroke Pines, FL)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... or fax. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer service skills and… more
- ChenMed (Miami Gardens, FL)
- …sanitized and visually appealing. + Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. + Supports ... co-payments, reconciles charges and submits them to the Center Manager for deposit. + Prints Patient Check-in Board for...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + This is… more
- ChenMed (Miami, FL)
- …from the day before. + Prints Patient Check-in Board for billing. + Reviews HEDIS MPM patient list and schedule accordingly. + Trouble shooting for Dashboard, phone, ... + Blocks and unblocks doctors' schedule. + Turns co-payments into the center manager for deposit. **_Other responsibilities may include_** : + Mails out patient… more
- Molina Healthcare (South Florida, FL)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
- ChenMed (Miami, FL)
- …activities related to specialty practice, as well as Part D education for HEDIS measures. + Acts as the pharmacy department's representative on pertinent committees ... proposition targets. + Performs other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed… more
- ChenMed (Miami, FL)
- …services and supports the quality improvement plan of the organization. + Supports HEDIS Team with all medication related measures. + Participates in Patient Safety ... and other personnel actions. + Other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Must have a License that is… more
- Elevance Health (Miami, FL)
- …Experiences** : + Knowledge of STARS rating guidelines preferred. + Knowledge of HEDIS measures preferred. + Knowledge of CMS (Center for Medicare and Medicaid ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more