- Elevance Health (Norfolk, VA)
- JR132653 HEDIS Clinical Quality Program Manager **Location:** This position requires you to reside within 50 miles (and 1 hour commute) of any open, ... to work from your local office location a minimum of 1 day/week. The ** HEDIS ** ** Clinical Quality Program Manager** is responsible for serving as a… more
- University of Virginia (Charlottesville, VA)
- …stakeholders to develop relevant in-person and online educational trainings on priority HEDIS quality measures, complex diagnosis documentation for improved risk ... clinical information. + Engage in periodic review of program data reflecting performance and outcomes. + Serve as...performance. + Maintains thorough knowledge and understanding of the HEDIS quality measures, their nuances and the… more
- Somatus (Mclean, VA)
- …not limited to): multi-payer total cost of care ($PMPM) management, NCQA HEDIS quality measures, etc. + Serve as a clinical subject matter expert and ... direct and advance enterprise-wide efforts to improve measurable value ( quality , safety, experience, access, cost) of healthcare provided to...resource for clinical program and training teams. + Analyze, interpret and apply… more
- Molina Healthcare (VA)
- **JOB DESCRIPTION** **Job Summary** The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be ... act as intern managers along the way. Senior Whole Health by Molina's Quality Improvement function supports new and existing healthcare quality improvement… more
- Elevance Health (Virginia Beach, VA)
- …Ratings, Exchange Quality Rating System (QRS) Ratings, and support FEP Quality Improvement Program (QCR). + Develops and executes health disparity reduction ... **Title:** Staff VP, Accreditation & Quality Programs **Location:** Within 50 miles of a...procedures, and negotiating the survey process, as well as HEDIS /CAHPS procedures, and standards with NCQA + Staying abreast… more
- CenterWell (Norfolk, VA)
- …of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary + annual ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (Richmond, VA)
- …standards. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under ... facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be...screened for TB. + Excellent customer service + Strong clinical background + Strong sense of engagement to be… more