- Elevance Health (Miami, FL)
- …insightful analytics to improve the delivery of care. **Title:** Clinical Quality Program Manager **Location:** The ideal candidate should live within 50 miles of an ... Possibilities. Make an extraordinary impact.** The Clinical Quality Program Manager is responsible for serving as a liaison with...may include, but are not limited to: + Leads HEDIS strategy to drive improvement in behavioral health … more
- Molina Healthcare (Miami, FL)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... **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 (Miami, FL)
- …regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required by specifications. + Assists the ... the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
- Elevance Health (Miami, FL)
- ** 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 (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
- 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
- Centene Corporation (Miami, FL)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… 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
- ChenMed (Miami, 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 (Miami, 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
- Molina Healthcare (Miami, FL)
- …Utilization Management (UM) will serve as a team lead to support the pharmacy manager in the daily operations of the pharmacy team as well as provide regular ... may not be limited to: + Administrative - Assists manager with time-off requests and scheduling, staffing, and other...+ Contributes to projects aimed at improving Star ratings, HEDIS , CAHPS, and other quality metrics. + Assists call… 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
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the implementation of value-based programs and contracts by ... Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and… 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
- 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
- Evolent (Miami, FL)
- …teams to develop strategy and content for local ACO forums. * Facilitating practice manager and provider meetings as well as local ACO forums in the assigned ... policy landscape * Working knowledge of clinical quality metrics such as RAF, HEDIS , NCQA or National Quality Forum type metrics * Experience in data analytics… more