- State of Indiana (Indianapolis, IN)
- …with three plus three to five years of previous HEDIS or healthcare quality experience with a clinic, hospital, or health plan. Experience with Quality ... HEDIS & Quality Advisor Date Posted:...program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for… more
- CVS Health (Princeton, NJ)
- …in the office (Tuesday, Wednesday and Thursday) in Princeton, NJ Position Summary The Behavioral Health Quality Management Supervisor is responsible for ... behavioral health quality management and quality ...Monitoring HEDIS and Performance Measures related to Behavioral Health , identifying opportunities for improvement and… more
- Elevance Health (Hanover, MD)
- …Responsible for all KPIs in the contract related to Quality . + Leads Health Employer Data Information Sets ( HEDIS ) reporting and the development of action ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...experience in a Managed Care Organization preferred. + Population health management and/or clinical quality program development… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Centene Corporation (Springfield, IL)
- …goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members' current functional level and, in ... assigned + Complies with all policies and standards **Education/Experience:** Master's degree in behavioral health and an unrestricted license as a LCSW, LMFT or… more
- Centene Corporation (Springfield, IL)
- …goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members' current functional level and, in ... Home & Community Based waivers 1 x 90 days). **Education/Experience:** Master's degree in behavioral health and an unrestricted license as a LCSW, LMFT or LPC,… more
- Highmark Health (Charleston, WV)
- …and outcomes strategic plan development + Experience with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management ... skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on,...Experience in Lean, Six Sigma, TQI, TQC or other quality management certification + Experience in health … more
- Highmark Health (Dover, DE)
- …years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS , and/or health related field in lieu of bachelor's degree ... and implements process improvements related to the potential of quality medical care and service to members and to...experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS , and/or health related field **LICENSES AND… more
- CVS Health (Frankfort, KY)
- … Management includes, but is not limited to, QM Programs/Infrastructure, behavioral health QM, credentialing, delegation and regulatory accreditation support, ... industry and quality management. Preferred Qualifications + Certified Professional in Health Quality (CPHQ) or other certification a plus. Education +… 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
- Centene Corporation (Jefferson City, MO)
- …Work or related field. required:** 5+ years managed care experience related to HEDIS OR GPRO record review, quality improvement, medical coding or, transferable ... eligible experience. preferred 2+ years Designing, developing and implementing STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety… more
- AmeriHealth Caritas (Manchester, NH)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... quality improvement plan into all departments and facilitating HEDIS , CAHPS and NCQA accreditation activities. Implements and supports...+ Minimum of 3 years in clinical or service quality improvement/ health care delivery preferred. +… more
- CVS Health (Springfield, IL)
- … Management includes, but is not limited to, QM Programs/Infrastructure, behavioral health QM, credentialing, delegation and regulatory accreditation support, ... experience and population outcomes. Using innovation, integration, and data, links the quality management activities to business goals. Health Care Quality… more
- Highmark Health (Charleston, WV)
- …to regularly contact. These include physicians, practice administrators, specialists, behavioral health providers, ancillary service providers, hospital ... including NCQA accreditation, and the creation of an accurate HEDIS data set. + Assist in the development of...health care management roles, and involvement with formal quality and/or utilization management programs are required + 5… more
- CenterWell (Leesburg, FL)
- …Assists with EKG, wound care, and ear lavage + Assists with documentation of HEDIS quality measures + Experience documenting in the patient's electronic medical ... into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Kissimmee, FL)
- …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 VSP Medical Assistant assists physicians and...into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and ... in 1978, is a community-based organization committed to providing quality , comprehensive health , human, housing, educational and...to ensure the collection of all relative clinic forms, quality / HEDIS measures, lab and x-ray reports and… more
- LifePoint Health (Brentwood, TN)
- …healthcare delivery network. Our network includes 60 community hospitals, 60 rehabilitation/ behavioral health hospitals, and 250 additional sites of care ... Health Advisor * *Who we are:* At Lifepoint Health , we provide quality healthcare to rural...* * *Responsibilities:* * Deliver comprehensive MIPS, ACO/MSSP, and HEDIS quality reporting for ACO/CIN contracts. *… more
- Beth Israel Lahey Health (Westwood, MA)
- …Analytics, the Health Care Analyst is responsible for providing high quality analyses that answer questions about the most pressing healthcare needs and is ... including medical terminology and standard coding systems (ICD9, ICD10, CPT, MS-DRG, etc.), HEDIS .** **As a health care organization, we have a responsibility to… 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