Hedis Review Nurse $100,000 jobs

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Quality Manager- Government Programs (Cigna Medical Group)

Cigna 662 reviews - Phoenix, AZ
Oversees the CMS Quality Program audit process, HEDIS reporting and ensures that SNP quality and performance measures are being met....
2 hours ago - save job - block - email - more...

Health Care Quality Management Manager

Aetna 336 reviews - Charleston, WV
Dynamic opportunity to join the West Virginia Medicaid leadership team in leading the HEDIS project for the health plan....
3 days ago - save job - block - email - more...

HEDIS Health Care QM Project Manager

Aetna 336 reviews - Morrisville, NC 27560
Candidates are required to have at least 1 to 3 years of experience working with HEDIS measures. Candidates are strongly preferred to have a clinical licensure...
2 days ago - save job - block - email - more...

LSW / MSW Field Case Manager I

Molina Healthcare 99 reviews - Irving, TX
Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN, SIU, LSW, LBSW, LCSW, LMSW, MSW, CCM, ANNC, MDS, CPHQ, CHPN, PHN, CPHM,...
2 days ago - save job - block - email - more...

Director of Care Coordination

Meridian Health Plan - Michigan - +1 location
Reviews and recommends appropriate action based on weekly and monthly clinical and production reports. Ensure Care Coordination departmental policies and...
15 days ago - save job - block - email - more...

Medical Director, Clinical Informatics

Evolent Health 3 reviews - Arlington, VA
The Clinical Informatics team seeks a clinician with experience both in medical data analysis and clinical practice to support our Clinical Rules Engine quality...
14 days ago - save job - block - email - more...

Senior Coordinator, Performance Improvement

NWRPCA - Seattle, WA
on OFIs identified with the practice, as well as managing onsite auditing for potential quality issue (PQI) resolution or scheduling HEDIS medical...
30+ days ago - save job - block - email - more...

Medical Director – Long Term Care/Skilled Nursing Facility

Molina Healthcare 99 reviews - Long Beach, CA
• Reviews quality referred issues, focused reviews and recommends corrective actions. • Attends or chairs committees such as Credentialing, P&T, UM Ops, as...
22 days ago - save job - block - email - more...

Utilization Review Nurse Manager | Managed Care

Edge Recruitment Solutions - New York, NY
We seek a Certified Case Manager with previous management experience and solid experience in HEDIS reporting for the role of Nurse Manager | Health Care...
Defense Talent Network - 8 days ago - save job - block - email - more...

Health Manager I (Pinellas County)

Molina Healthcare 99 reviews - Tampa, FL
• Work within the scope of the nurse practice act to provide education and assistance to non-licensed staff within health management team....
9 days ago - save job - block - email - more...

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