- State of Indiana (Indianapolis, IN)
- HEDIS & Quality Advisor Date Posted: Jun 7, 2024 Requisition ID: 444660 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set ( HEDIS ), and other quality measures in our Medicaid programs, this role will ensure… more
- Centene Corporation (NE)
- …providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS ... plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality... HEDIS . + Under general guidance form Senior Quality Practice Advisors and management, educates community physician and… more
- Centene Corporation (Indianapolis, IN)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS... Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. +… more
- The Cigna Group (Nashville, TN)
- …service organizations across Cigna's technology landscape. As a Systems Analysis Senior Advisor , you will serve as an engaged team member responsible for ensuring ... technology solutions. This will accelerate innovation and drive medical affordability and quality care for our members. **The Opportunity** You will join a highly… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to ... contract compliance, and federal contract application submissions. The Market Development Advisor - Practice Transformation provides support to assigned health plan… more
- BlueCross BlueShield of North Carolina (NC)
- …of experience in related field **Hiring Preferences** + Prior experience working with HEDIS measures and related data + Quality improvement experience **Salary ... **Job Description** Acts as a senior member of the Quality Improvement Strategy team to support programs and initiatives...(FEP) members. Assists in coordinating organizational efforts to improve HEDIS and CAHPS performance for the FEP line of… more
- LifePoint Health (Hickory, NC)
- …financial sustainability. * * *Responsibilities:* * Deliver comprehensive MIPS, ACO/MSSP, and HEDIS quality reporting for ACO/CIN contracts. * Develop and track ... *Population Health Advisor * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be… more
- The Cigna Group (Westerville, OH)
- …payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + Strongly preferred experience ... Adjustment Operations teams. The Prospective Program Solutions & Performance Advisor works with aligned region supporting prospective risk adjustment initiatives… more
- Penn Medicine (Bala Cynwyd, PA)
- …experience will be considered + Knowledge of national standards and outcomes for quality , safety and healthcare - HEDIS Measures and Value Based Purchasing, ... work? **Entity: Penn Primary Care and Specialty Practices** **Department: Quality & Patient Safety** **Location: Location: 50% travel to... and safety projects, while also serving as an advisor and local change agent for practices and other… more
- AmeriHealth Caritas (Orlando, FL)
- …of high quality , especially the performance standards embodied in the HEDIS program. + Assuring a high-performing Medical Management system that adheres to the ... in the operational areas of care management, utilization review, appeals, quality improvement and related policy and practice initiatives in collaboration with… more
- AmeriHealth Caritas (Newark, DE)
- …of high quality , especially the performance standards embodied in the HEDIS program. + Assuring a high-performing Medical Management system that adheres to the ... in the operational areas of care management, utilization review, appeals, quality improvement and related policy and practice initiatives in collaboration with… more
- AmeriHealth Caritas (Atlanta, GA)
- … quality initiatives to achieve goals. The Market CMO is accountable for ACFC quality initiatives to improve HEDIS and other quality ratings and ... regulator. + QAPI chair, lead CQI process and assure quality focus and compliance by plan; support regulator ...and support plan VBP/APM strategy and programming. + Clinical advisor for CM, BH, UM, Pharmacy rounds. + Support… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- …Care at the Jacksonville VA Medical Center and will function as an advisor regarding the effective and efficient clinical management of Primary Care programs and ... of Staff (ACOS) of Primary Care to ensure high quality whole-health Veteran care, efficient clinical operations, innovations in...analyzing VA performance measures including but not limited to HEDIS , eQM, SHEP and SAIL. VA offers a comprehensive… more
- Molina Healthcare (Kelso, WA)
- …Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, equity community health advisor , family advocate, advocacy, ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more