- Centene Corporation (FL)
- …Purpose:** Supervise and facilitate successful interventions to meet behavioral health HEDIS and Pay for Performance measures. Partner with health plans and ... clinical leadership to identify and implement interventions to increase HEDIS rates in behavioral health measures. + Develop and...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
- The Cigna Group (Philadelphia, PA)
- Must reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC certified) We value our talented employees, and whenever possible strive to ... Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding Specialist for Hospitals… more
- The Cigna Group (St. Louis, MO)
- …like, obtaining medical records, Healthcare Effectiveness Data and Information Set ( HEDIS ) measures, Risk Management and services that impact Cigna's overall STARs ... ratings. The individual will lead and support negotiations with suppliers to secure competitive prices, improve delivery, and achieve favorable terms to Cigna. Understanding of business process, legal contracts, and financial acumen is desired. This resource… more
- Centene Corporation (St. Louis, MO)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Hybrid Position: Provider visits in the Southern IL area** **Position Purpose:** ... sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record… more
- PeaceHealth (Longview, WA)
- **Description** PeaceHealth is seeking a Payer Program Specialist - Care Mgmt for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at ... and data presentations of data for population health management programs ( HEDIS , Medicare STARS, CCO metrics, quality management/improvement). + Performs chart… more
- Centene Corporation (Carson City, NV)
- …state of Nevada** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical ... and management. + Develops targeted activities to improve Star Ratings, HEDIS , CAHPS, HOS, provider satisfaction and other identified performance measures. +… more
- Centene Corporation (Tucson, AZ)
- …HBR (Health Benefits Ratio) analyses, Health Information data Information Set ( HEDIS ) analyses, and create reports for provider Review provider performance by ... paid time off plus holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will be adjusted based on an… more
- Centene Corporation (Tempe, AZ)
- …HBR (Health Benefits Ratio) analyses, Health Information data Information Set ( HEDIS ) analyses, and create reports for provider Review provider performance by ... paid time off plus holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will be adjusted based on an… more
- AmeriHealth Caritas (Philadelphia, PA)
- …The Personal Care Connector (PCC) is a high-touch, highly effective service specialist responsible for supporting the daily operations of Medicare Member Services ... Providers by metric and performance requirements, identifies members with Care Gaps/ HEDIS -related health conditions, and assists them in accessing care through Plan… more