Clinical Quality Management Analyst
Gateway Health Plan — Wilmington, DE
Data analysis and HEDIS measures. This job is responsible for working with appropriate departments in the areas of compliance, process improvement and member...
Director of Quality Improvement
Minuteman Health, Inc. — Boston, MA
Maintains and oversees NCQA accreditation as well as HEDIS and CAPHS. Description of Company:....
HEDIS MRR Nurse
MEDISYS SOLUTIONS, LLC — King of Prussia, PA
HEDIS experience a plus, not required. _Seeking Registered Nurses for 2017 HEDIS season, ideal nurse candidates will have_....
Clinical Quality Manager - HEDIS - QARR
Healthfirst — New York, NY
Monitor provider-specific HEDIS report cards. Contact provider offices to request and review charts in support of HEDIS & QARR reporting processes....
Quality Improvement - Manager
WellCare — Chicago, IL
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....
Quality Improvement Project Manager - Senior
WellCare — Tampa, FL
Knowledgeable of JCAHO, NCQA, HEDIS and CAHPS requirements. Performs activities to comply with annual HEDIS data collection and analysis, preparing...
Director, Quality ArchCare Advantage
ArchCare — New York, NY
3 years direct experience leading or performing HEDIS reporting activities; Previous experience leading or performing HEDIS, CAHPS, and Medicare Stars program...
Memorial Hermann — Houston, TX
Experience with HEDIS and CAHPS preferred. Closely monitor HEDIS measures and if results not within performance requirement, immediately review current program...
Imperial Beach Community Clinic — San Diego, CA
GENERAL DESCRIPTION: Referral Coordinator will utilize Allscripts EMR system and Automated Recall tracker system to track referrals and results in order to
Quality Improvement Project Manager
WellCare — Tampa, FL
Intermediate Other Knowledgeable of JCAHO, NCQA, HEDIS and CAHPS requirements. Performs activities to comply with annual HEDIS data collection and analysis,...
Care Management Coordinator RN- Ambulatory - Ambulatory Care Management
Maricopa Integrated Health System — Phoenix, AZ
Must be able to demonstrate knowledge of Ambulatory disease state management practices and pathways, current payor contracts, Milliman Care Guidelines, HEDIS...
Senior DataStage Developer - Eden Prairie, MN
UnitedHealth Group — Eden Prairie, MN
And other healthcare data for quality programs like HEDIS. As a Senior DataStage Developer with the Optum Data Management (ODM) division, you will be part of a...
Process Improvement Consultant / Project Manager
UnitedHealth Group — Hartford, CT
HEDIS, Stars,healthcare, claims, Medicare, insurance, six sigma, Black Belt, quality,process improvement, Claims, Appeals, telecommute, telecommuter,...
Nurse Navigator, ManCare Network, FT, 8:00a-4:30p
Baptist Health South Florida — Coral Gables, FL
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding. The Nurse Navigator acts as liaison between patients,....
Health Data Analytics Summer Internship
Teacher Retirement System of Texas — Austin, TX
Note: This position is a full-time, limited term assignment. The internship program dates are June 5 through August 18, 2017. The *Health Data Analytics
HEDIS/Utilization Review Nurse
Maxim Healthcare Services — Albuquerque, NM
Experience with HEDIS required. 3 years of HEDIS abstracting clinical information experience. The HEDIS measures are used to assist in measuring quality of...
Provider Relations Rep Syracuse
Fidelis Care — Syracuse, NY
Knowledge of various quality programs, including measures associated with QARR and HEDIS. PROVIDER RELATIONS REP JEFFERSON AND LEWIS COUNTIES....
Quality Performance Specialist Non-Clinical
AmeriHealth Caritas — Southfield, MI
This position is responsible for the coordination and ongoing monitoring of QI program objectives, including the delivery of performance improvement projects...
Senior ETL Developer - Minnetonka, MN
UnitedHealth Group — Minnetonka, MN
And other healthcare data for quality programs like HEDIS. UnitedHealth Group is a company that's on the rise....
Quality Improvement Abstractor
Maxim Healthcare Services — St. Louis, MO
Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred....