- Humana (Austin, TX)
- …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 (Edinburg, TX)
- …QI compliance activities. **Candidates with experience in a Quality / HEDIS /Clinical setting will receive first consideration. Please identify that ... **Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current… more
- CVS Health (Dallas, TX)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... full accountability for business/financial results related to following as appropriate: HEDIS reporting, quality of care, accreditation activities and/or member… more
- Evolent Health (Austin, TX)
- …+ 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