- Elevance Health (Independence, OH)
- …Elevance Health location. **Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company ... strategy, commitments, and goals.** PRIMARY DUTIES: + Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and product… 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
- 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
- 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
- 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
- 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