- Molina Healthcare (Louisville, KY)
- …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
- Elevance Health (Louisville, KY)
- …Manages the overall HEDIS audit processes and resources required to successfully lead the team. + Evaluates, interprets and summarizes HEDIS audit guidelines ... HEDIS Compliance Audit Specialist / Manager (JR140903) **Location:**...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Highmark Health (Frankfort, KY)
- …We are seeking a highly motivated and experienced **Manager, Advanced Analytics** to lead and grow our team focused on delivering impactful insights from complex ... advanced analytics solutions to drive improvements in clinical quality and HEDIS performance. The ideal candidate will possess hands-on experience with the… more
- Molina Healthcare (Louisville, KY)
- …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
- Molina Healthcare (Louisville, KY)
- …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 (Louisville, KY)
- **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 (Louisville, KY)
- …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
- CenterWell (Louisville, KY)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Guaranteed base salary… more
- CenterWell (Frankfort, KY)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. Additional Information: + Guaranteed base salary… more
- Molina Healthcare (Louisville, KY)
- …(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 (Louisville, KY)
- …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 (Louisville, KY)
- …Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, equity community health advisor, family advocate, advocacy, health ... counselor, patient navigator, health interpreter, public health aide, community lead , community advocate, nonprofit, non-profit, social worker, case worker, housing… more
- Molina Healthcare (Louisville, KY)
- …and review BH portions of state contracts * Assist the BH MD lead trainers in the development of enterprise-wide teaching on psychiatric diagnoses and treatment ... policy/procedure development, provider contracting experience. * Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more
- Molina Healthcare (Louisville, KY)
- …Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, equity community health advisor, family advocate, advocacy, health ... counselor, patient navigator, health interpreter, public health aide, community lead , community advocate, nonprofit, non-profit, social worker, case worker, housing… more
- Molina Healthcare (Louisville, KY)
- …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