- Humana (Frankfort, KY)
- …reviews and supports the staff involved in HEDIS hybrid season review. The Quality Compliance Nurse works to gain more information about members ... caring community and help us put health first** The Quality Compliance Nurse helps in...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) license +… more
- Molina Healthcare (Lexington, KY)
- …+ Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/… more
- Molina Healthcare (Lexington, KY)
- … Quality Program Management and Performance is responsible for leading national Quality compliance and program management activities and acting as a national ... Collaborates with MHI HEDIS Operations to provide HEDIS results and other quality information for...standards. **Required Experience** + Minimum 5 years' experience in quality compliance , accreditation (as applicable), quality… more
- Evolent Health (Frankfort, KY)
- …+ 1-2 years of experience working with a global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA preferred. + 2 - 4 years of ... results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager… more