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930 Jobs

  • Clinical Outcomes Quality Lead Nurse - 240519

    Independence Blue Cross, LLC - Philadelphia, Pennsylvania
    ... Outcomes Quality Lead RN position will be responsible for ongoing management of the HEDIS project.  The ... of care trends of concern to the Manager of Quality Analytics, Quality Director and or Plan Medical ...
  • HEDIS Reviewer

    Centers Plan for Healthy Living - Garden City, New York
    ... : A minimum of three (3) years of experience in the health care industry, in HEDIS and/or quality ... direction of the Director of Quality Management. Responsibilities include, but are not limited to ...
  • Quality Improvement Project Manager

    Centene Corporation - Tallahassee, Florida
    ... management experience in managed care with advanced knowledge of HEDIS and NCQA. Proficiency required in ... interventions to increase HEDIS, CAHPS and designated health measures for the Plan. Adhere to NCQA ...
  • Quality Improvement Project Manager

    Centene Corporation - Tallahassee, Florida
    ... management experience in managed care with advanced knowledge of HEDIS and NCQA. Proficiency required in ... interventions to increase HEDIS, CAHPS and designated health measures for the Plan. Adhere to NCQA ...
  • HEDIS Specialist

    Centene Corporation - Tallahassee, Florida
    ... health care setting. Knowledge of key behavioral or physical health related HEDIS & performance measures ... interventions to meet behavioral health HEDIS and Pay for Performance measures. Partner with health plans and ...
  • Quality Improvement Project Manager

    Centene Corporation - Phoenix, Arizona
    ... Public Health or related field preferred. 4+ years of quality improvement or project management ... increase HEDIS, CAHPS and designated health measures for the Plan. Adhere to NCQA standards and work ...
  • Patient Care Advocate

    Actalent - Syracuse, New York
    ... to care. Conducts telephonic outreach and health coaching to members to support quality ... function of the department. Skills: HEDIS, managed care, quality improvement, RN, LPN, Social worker ...
  • Associate Quality Practice Advisor

    Centene Corporation - ST LOUIS, Missouri
    ... and Federal standards for HEDIS. Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS ...
  • Vice President, Clinical Operations - Remote

    UnitedHealth Group - Eden Prairie, Minnesota
    ... For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring ...
  • Sr Clinical Quality RN - Hybrid in Eastern MI Markets

    UnitedHealth Group - Ann Arbor, Michigan
    ... Health Plan Quality Director Coordinates and performs onsite clinical evaluations through medical ... experience (chart review, compliance, HEDIS, investigation, etc.) Health care and insurance industry ...
  • Sr Clinical Quality RN - Hybrid in Eastern MI Markets

    UnitedHealth Group - Monroe, Michigan
    ... Health Plan Quality Director Coordinates and performs onsite clinical evaluations through medical ... experience (chart review, compliance, HEDIS, investigation, etc.) Health care and insurance industry ...
  • Sr Clinical Quality RN - Hybrid in Eastern MI Markets

    UnitedHealth Group - Detroit, Michigan
    ... Health Plan Quality Director Coordinates and performs onsite clinical evaluations through medical ... experience (chart review, compliance, HEDIS, investigation, etc.) Health care and insurance industry ...
  • Sr Clinical Quality RN - Hybrid in Eastern MI Markets

    UnitedHealth Group - Sandusky, Michigan
    ... Health Plan Quality Director Coordinates and performs onsite clinical evaluations through medical ... experience (chart review, compliance, HEDIS, investigation, etc.) Health care and insurance industry ...
  • Sr Clinical Quality RN - Hybrid in Eastern MI Markets

    UnitedHealth Group - Adrian, Michigan
    ... Health Plan Quality Director Coordinates and performs onsite clinical evaluations through medical ... experience (chart review, compliance, HEDIS, investigation, etc.) Health care and insurance industry ...
  • Sr Clinical Quality RN - Hybrid in Eastern MI Markets

    UnitedHealth Group - Port Huron, Michigan
    ... Health Plan Quality Director Coordinates and performs onsite clinical evaluations through medical ... experience (chart review, compliance, HEDIS, investigation, etc.) Health care and insurance industry ...
  • Sr Analyst, HEDIS/Quality Reporting - Perinatal Programs/Disparity Calculations/SQL - Remote in Michigan

    Molina Healthcare - United States
    ... /SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS/Quality Reporting develops and provides reports and cost-benefit analysis tools to meet QI ...
  • HEDIS Coordinator

    Somatus - McLean, Virginia
    ... , quality assurance team, HEDIS Quality Manager, and IT to collect data and maintain the various health plan ... , and update management on all HEDIS processes and results. Work with providers and internal ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - COLUMBUS, Georgia
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - CHICAGO, Illinois
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - SOUTH PORTLAND, Maine
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - SEVEN FIELDS, Pennsylvania
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - WOBURN, Massachusetts
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - MANCHESTER, New Hampshire
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - NASHVILLE, Tennessee
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - Winston Salem, North Carolina
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - HOUSTON, Texas
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - ROCKY HILL, Connecticut
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - CINCINNATI, Ohio
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - SEVEN HILLS, Ohio
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
  • Behavioral Health Clinical Qual Prog Manager

    Elevance Health - JACKSONVILLE, Florida
    ... behavioral health HEDIS and other quality outcomes. Develops tools, resources, materials, trainings ... field; a minimum 4 years of health care quality or data analysis experience ; or an equivalent ...
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