- Elevance Health (Houston, TX)
- …analytics, operations teams to execute on targeted interventions to improve behavioral health HEDIS and other quality outcomes. + Develops tools, ... and insightful analytics to improve the delivery of care. ** Behavioral Health Clinical Quality Program...operations across functional areas strongly preferred. + **Experience with behavioral health HEDIS and specifically… more
- CVS Health (Austin, TX)
- …and implement Quality Improvement Initiatives (QIAs) aligned to priority behavioral and mental health performance measures and member satisfaction. Develop ... Bring your heart to CVS Health . Every one of us at CVS ...(providers, specialists).Required Qualifications + 3-5 years managed care and/or quality improvement experience + 3-5 years project management experience… more
- CVS Health (Austin, TX)
- …without having a direct reporting relationship with dependent partners. . Must understand how quality programs such as NCQA and HEDIS affect the Plan. . The ... operations, including UM, CM, Care program development and implementation, SDOH programs, Behavioral + Physical Health integration, and the importance of… more
- Conviva (Dallas, TX)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Medical Assistant is the first point...and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain… more
- CenterWell (Fort Worth, TX)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** CenterWell is a Subsidiary of Humana, seeking...and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain… more
- Conviva (Boerne, TX)
- … record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... NAHP, NAHT, NCCT, NHA or AAH. + Experience with HEDIS and ICD/CPT coding + Experience with Electronic Medical...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Conviva (Alice, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral ... Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based...(English and Spanish) is a plus * Knowledge of HEDIS quality indicators **Additional Information:** * Guaranteed… more
- CenterWell (Brownsville, TX)
- …of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators ... Provider Number + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary +… more
- Conviva (Boerne, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral ... Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Harlingen, TX)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... with logjams and workflow issues. + Oversight of provider quality and development of workflows to help close gaps...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- Conviva (Corpus Christi, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral ... (English and Spanish) is a plus * Knowledge of HEDIS measures and quality indicators * Experience...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Houston, TX)
- …of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators preferred **Additional Information** + Guaranteed base salary + ... of care. + Follows level of medical care and quality for patients and monitors care using available data...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Houston, TX)
- …Medicare guidelines and coverage * Bilingual is a plus * Knowledge of HEDIS quality indicators preferred **Additional Information:** * Guaranteed base salary + ... of care. * Follows level of medical care and quality for patients and monitors care using available data...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Austin, TX)
- …leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- The Cigna Group (Dallas, TX)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + Strongly preferred experience… more
- Centene Corporation (Austin, TX)
- …28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive ... to provide care coordination to lower acuity members with acute and chronic health care needs. Provides education and support in assisting members to achieve optimal… more
- Molina Healthcare (Dallas, TX)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Case Manager, Care Manager, Community Engagement, Public Health , Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, equity… more
- CenterWell (Houston, TX)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Medical Assistant is the first point...Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and… more
- CenterWell (Brownsville, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators. **Additional Information** + Guaranteed base salary + ... impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more