- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …require attendance in our office in Coral Gables, FL Position Purpose: The HEDIS Manager oversees all aspects of Healthcare Effectiveness Data and Information ... lines of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in quality measurement, driving performance improvement… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Manages all aspects of Healthcare Effectiveness Data and Information Set ( HEDIS ) functions including planning, data collection and submission, quality control, and ... and analyses of quality measurement results (including, but not limited to HEDIS , STARS, CAHPS and HOS) to identify actionable opportunities for quality improvement.… more
- Centene Corporation (Jefferson City, MO)
- …strategic objectives. Assist in training and perform duties as the Lead Project Manager . + Support HEDIS audit deliverables and compliance requirements as ... applications + Healthcare experience; managed care experience preferred + HEDIS experience preferred **License/Certification:** + PMP certification preferred Pay… more
- AmeriHealth Caritas (Newtown Square, PA)
- …+ Assist as necessary in the review of medical records. + In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the ... Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the… more
- Commonwealth Care Alliance (Boston, MA)
- 011370 CCA-Population Health Strategy **Position Summary:** Reporting to the Manager of HEDIS or her/his delegate, the HEDIS Abstraction & Review Specialist ... will support quality controls for the HEDIS Medical Record Review. HEDIS ratings are...all significant findings and project issues to the Program Manager of Quality Measurement and Reporting in a timely… more
- Molina Healthcare (FL)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Job Responsibilities: The HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS submission. During the HEDIS ... to all temporary reviewers. He/she will assist the Program Manager in the training of all temporary HEDIS... Manager in the training of all temporary HEDIS review staff and will provide direct supervision of… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... that purpose. Job Summary The Healthcare Effectiveness Data and Information Set ( HEDIS ) Abstractor II reviews medical records to ensure completeness, compliance with… more
- Highmark Health (Columbus, OH)
- …Description :** **JOB SUMMARY** We are seeking a highly motivated and experienced ** Manager , Advanced Analytics** to lead and grow our team focused on delivering ... analytics solutions to drive improvements in clinical quality and HEDIS performance. The ideal candidate will possess hands-on experience...in Healthcare Industry + 1 year in Clinical Quality ( HEDIS ) Analytics + 1 year in Research and Development… more
- Elevance Health (Atlanta, GA)
- …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
- Elevance Health (Columbus, OH)
- **Process Improvement Director- HEDIS ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director- HEDIS ** will be responsible for enterprise HEDIS ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- …workplace model with PulsePoint sites used for collaboration, community, and connection The ** HEDIS Research Analyst** is responsible for serving as an expert in ... HEDIS data analysis, reporting and formulating recommendations, and providing...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- **Business Information Consultant Sr ( HEDIS )** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles ... Health PulsePoint office locations. The **Business Information Consultant Sr ( HEDIS )** is responsible for coordinating and consolidating various impact analyses… more
- Point32Health (MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Analytic Manager will support HEDIS and quality analytics reporting and ... results for internal and external projects and constituents. The Analytic Manager provides technical support, data management, statistical analysis, and manipulation… more
- VNS Health (Manhattan, NY)
- OverviewLeads and manages all aspects of data for the HEDIS /STARS/QARR/QIP functions, which includes but are not limited to, data collection and submission, quality ... requests. Acts as the primary technical contact between VNS Health Plans and HEDIS vendor. Works with Quality Management leadership and staff to assess and support… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Manages multiple assignments with competing deadlines. Works with team and manager to prioritize deliverables. Coordinates with teammates to ensure deliverables are ... efficiently. Tracks work and provides regular progress updates to team and manager . . Contributes to development and enhancement of analytic tools and deliverables.… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Clinical Quality Analytics Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Manager of Clinical Quality Analytics (MSA) is responsible for the operations, projects and… more
- Fallon Health (Worcester, MA)
- …Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with all quality related ... of Medicaid (MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on documentation and reporting to internal and external… more
- HCA Healthcare (Salt Lake City, UT)
- …integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, offers ... vary by location._** Come join our team as a(an) Manager Care Quality. We care for our community! Just...Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with payor cost sharing initiatives +… more
- CenterWell (Garland, TX)
- …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... patient outcomes and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and patient retention. Must… more