- Humana (Lansing, MI)
- …and Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the ... technology implementation, and data management/reporting. The Senior HEDIS Operations & Quality Professional champions a collaborative environment… more
- Centene Corporation (Lansing, MI)
- …State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small ... practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education...Provider Relations to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and… more
- Molina Healthcare (Warren, MI)
- …understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding ... manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care… more