- Molina Healthcare (Cleveland, OH)
- …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
- Molina Healthcare (Cleveland, OH)
- …national and/or regional lead , the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, ... and reports from provider offices, loads data into the HEDIS application. + Assists the manager/ lead and...into the HEDIS application. + Assists the manager/ lead and quality improvement staff with physician and member… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …key quality indicators for Healthcare Effectiveness Data and Information Set ( HEDIS ) and STARS.** **Identifies actionable opportunities in data through quality ... and execute analytic and reporting requirements in compliance with HEDIS technical specifications, policies and operating procedures. Explains technical details,… more
- Molina Healthcare (Cleveland, OH)
- …Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. ... progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. +...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large programs ... strategies to optimize completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments. * Develop and… more
- Elevance Health (Independence, OH)
- …program development for population-based clinical quality measures, focusing on HEDIS .** PRIMARY DUTIES: + Evaluates industry best practices, medical research ... nursing, or business administration preferred. + Strong knowledge around HEDIS and STARS measures including HEDIS specifications...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Cleveland, OH)
- …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
- Medical Mutual of Ohio (Brooklyn, OH)
- …contributes to team review of requirements and design documentation processes. Lead Business Intelligence Programming Analyst The Lead Business Intelligence ... ensuring data results and business requirements are met. Works with other lead analysts to rollout strategic priorities and cross-functional work plans. Manages… more
- Molina Healthcare (Cleveland, OH)
- …(SQL, Power BI, Excel, Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other stakeholders + Work with clinical, ... develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data analyses,… more
- Elevance Health (Independence, 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
- Molina Healthcare (Cleveland, OH)
- …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
- Molina Healthcare (Cleveland, OH)
- …improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement and reporting * Knowledge of quality measurement * Knowledge of ... experience in health plan process improvement * 2 years supervisory or lead role experience. **Preferred Education** Advanced clinical degree or advanced public… more