- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle +...and manage project plans, timelines, and deliverables + Oversee HEDIS operations, including data submission, audits, and hybrid chart… more
- Molina Healthcare (OH)
- …quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key ... within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the… more
- Fallon Health (Boston, MA)
- …provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...for MassHealth programs such as the personal care attendant program , adult foster care, group adult foster care, and… more
- Molina Healthcare (WA)
- **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement ... activities to maintain compliance with quality program requirements and reporting and monitoring for...are documented during the year + Works with the Manager and/or Director to maintain up-to-date addendums to quality… more
- ERP International (Camp Pendleton, CA)
- …Possess a current AHA OR ARC BLS Healthcare Provider certification. **Specific Quals for Program Manager / Senior Strategist** * Knowledge of the military ... **Overview** ERP International, LLC is seeking a **Public Health Educator/ Senior Strategist** for a full-time position in the **Health...checks and Command no show rates. * The PHP Program Manager shall develop an overarching training… more
- LA Care Health Plan (Los Angeles, CA)
- …purpose. Job Summary The Technical Application Manager II reports to the Senior Manager Information Technology IT Solutions Delivery. This role acts as the ... Technical Applications Manager II Job Category: Information Technology Department: IT...Act as liaison between IT Solution Delivery team and Program /Project Managers for all Enterprise Initiatives. Manage and prioritize… more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex… more
- CenterWell (Phoenix, AZ)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice… more
- UCLA Health (Los Angeles, CA)
- Description The NCQA and CMS Star Rating Program Manager will lead initiatives to drive the Medicare Advantage Plan's success in NCQA Health Plan Accreditation ... to monitor progress and optimize resources. + Report on program progress to senior leadership, ensuring goals...program requirements + Knowledge and use of CAHPS, HEDIS , and HOS surveys and data measures + Proven… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... on fostering strong clinical and programmatic collaboration, effectively communicating program performance to delegated providers, and supporting the implementation… more
- CenterWell (Jacksonville, FL)
- …Administrator (CA) is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients at ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific… more
- CVS Health (Concord, NH)
- …new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products in ... the budget of the Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional areas may include operations,… more
- CenterWell (New Smyrna Beach, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement...Insurance** This role is part of Humana's Driver safety program and therefore requires an individual to have: +… more
- CenterWell (Orlando, FL)
- …implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Stars Improvement, Clinical Professional 2 work assignments are ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (North Charleston, SC)
- …development, implementation and management oversight of the company's Medicare/Medicaid Stars Program . The Quality RN Professional work assignments are varied and ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (Clarksville, IN)
- …put health first** CenterWell (TM) represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, ... to them - we can help them lead happier, healthier lives. CenterWell Senior Primary Care (TM) provides proactive, preventive care to seniors, including wellness… more
- CenterWell (Jacksonville, FL)
- …staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder ... experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver high-quality primary… more
- CenterWell (Seneca, SC)
- …services within the Center. + Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Ensures personal compliance with ... Improved Patient Care:** responsible, internally, for completing/closing all quality metrics ( HEDIS , STARS, EDAPS) for their panel of patients. + **Participate and… more
- CenterWell (Port Saint Lucie, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards. ... Assistant diploma or certificate of completion from a Medical Assisting program + Current CPR certification **Preferred Qualifications** + Bilingual in English… more
- CenterWell (San Antonio, TX)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... to make an impact** **Required** * Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and… more