- Medical Mutual of Ohio (Brooklyn, OH)
- …and perform pre-employment substance abuse and nicotine testing._ **Title:** _Manager, HEDIS & Quality Improvement Analytics_ **Location:** _OH-Brooklyn_ ... HEDIS ) functions including planning, data collection and submission, quality control, and reporting and analysis to meet all...STARS, CAHPS and HOS) to identify actionable opportunities for quality improvement . Serves as a quality… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with the collection and abstraction of HEDIS medical records + Work on HEDIS quality improvement activities including clinical gaps in care, provider ... true colors to blue. Overview The Performance Measurement and Improvement (PMI) department within Blue Cross Blue Shield of...HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS … more
- Elevance Health (Wallingford, CT)
- …+ Lead and manage key projects across teams and partner organizations related to HEDIS and quality improvement , ensuring efficiency and alignment with ... **Business Information Consultant ( HEDIS Quality )** **Location:** This position will...inclusive of metric development, tracking, and identification of process improvement plans with measurable results is preferred. Please be… more
- Robert Half Accountemps (Houston, TX)
- …individuals with expertise and experience in many areas of risk adjustment and quality improvement , including HEDIS (R), CAHPS and Accreditation. Our goal ... Description Do you have HEDIS experience? Join a Fortune 500 Healthcare company...systems. Responsibilities: + Performs duties as assigned by Operations Manager , or Director for market specific annual data collection… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …plans. Manages the day-to-day activities and staff of the health plan's clinical quality improvement operations, including HEDIS and provider quality ... . Develops, implements and analyzes outcomes of all Clinical Quality Improvement programs and processes delivered to... program and staff to include the activities of HEDIS , Medicare Stars, and Provider Quality . .… more
- Adelante (Phoenix, AZ)
- …Senior Quality Immunizations Program Analyst, Senior Quality Data Analyst, the Quality Improvement Manager and Safety and Clinical Risk Manager ... outcomes, decrease medical cost and increase revenue Collaborate with Quality Improvement Manager to: +...meetings + Independently develop and implement Quality Improvement Plans + Develop UDS, HEDIS &… more
- Praxis Health (OR)
- …of improving healthcare outcomes. This critical leadership role will spearhead our quality improvement initiatives across primary care clinics and payer ... You'll Do: + Lead and manage a team of HEDIS reviewers with clear goals and performance metrics. +...clear goals and performance metrics. + Develop and implement quality improvement projects using innovative tools and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …to provider groups and internal stakeholders.** **Assists in data gathering for quality improvement and in-depth analyses and recommendations that improve care ... groups and internal stakeholders.** **Identifies actionable opportunities in data through quality improvement and in-depth analyses and recommendations that… more
- LA Care Health Plan (Los Angeles, CA)
- …or Health Informatics Experience Required: At least 6 years of experience in HEDIS , quality improvement , risk adjustment analytics, research, or related ... Manager , Clinical Quality Analytics Job Category:...entities and stakeholders to drive quality ratings improvement for CAHPS, HOS, HEDIS , Medication Adherence… more
- Molina Healthcare (Columbus, OH)
- …as needed. * Knowledge of HEDIS measurement and reporting * Knowledge of quality measurement * Knowledge of process improvement * Knowledge of quality ... * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages the activities of the… more
- HCA Healthcare (Salt Lake City, UT)
- …the** **ACO and CIN network providers and practices in successfully meeting quality improvement initiatives** **, monitoring standards of care, and managing ... and integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's ... * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk… more
- Dignity Health (Bakersfield, CA)
- …position is remote/work from home** **within California** **.** **Position Summary:** The Manager , Clinical Quality Improvement , is responsible for leading ... results for projects that are consistent with the organization's strategic goals. The Manager , Clinical Quality Improvement will oversee the day-to-day… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Molina's HEDIS / Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in ... of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs the coordination and… more
- Elevance Health (FL)
- …of company HEDIS performance. Implements strategies that meet clinical, quality , and network improvement goals through positive working relationships with ... The **Behavioral Health Provider Quality Manager ** is responsible for leading...delivered to Carelon BH members. Drives BH provider performance improvement year over year through education and data. This… more
- Molina Healthcare (Kenosha, WI)
- …and/or program managers and is accountable for a complex portfolio of data- improvement activities supporting Molina's Risk & Quality Solution's (RQS) program ... * 8+ years of program and/or project management experience in risk adjustment and/or quality * 4-6 years of experience supporting HEDIS engine activity, risk… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... and federal/state QI compliance activities. **Experience with health plan quality / HEDIS is important for this position. Please...QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions… more
- Molina Healthcare (AZ)
- …degree in Clinical Quality , Public Health or Healthcare. **Preferred Experience** + HEDIS reporting or collection + CAHPS improvement experience + State QI ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...QI interventions and/or compliance activities in consultation with the Manager , Director, and / or AVP of the department.… more
- Centene Corporation (Sacramento, CA)
- …years of managed care or medical group experience, provider relations, quality improvement , claims, contracting, utilization management, or clinical operations. ... in the strategic implementation of new initiatives for performance improvement . + Serve as primary contact for providers and...in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. + Present… more