Hedis Review Nurse $100,000 jobs

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Registered Nurse HEDIS Manager Clinical Quality
Blake & Associates Medical Recruiting - Iselin, NJ
Seeks HEDIS Manager Clinical Quality with 2+ to 5 years of experience. Responsibilities: The HEDIS Manager... internal and external HEDIS quality review activities... $110,000 a year
Sponsored by TheLadders.com - 1 day ago
Care Coordination Team Lead
Meridian Health Plan 25 reviews - Detroit, MI
Include: Review predictive model report of each member assigned to their team. Review with care... assigned to team Ensure HEDIS is addressed with all...
Sponsored by Miracle Workers - 14 days ago

Clinical Quality Program Consultant

Humana 662 reviews - Cincinnati, OH
The role will participate and contribute to readiness reviews and audits. This role requires a strong understanding of the healthcare industry and works to...
16 hours ago - save job - block - email - more...

Health Care Quality Management Manager

Aetna 344 reviews - Charleston, WV
Dynamic opportunity to join the West Virginia Medicaid leadership team in leading the HEDIS project for the health plan....
22 days ago - save job - block - email - more...

Director of Quality Improvement

Gold Coast Health Plan 2 reviews - Camarillo, CA
Develops targeted activities to improve HEDIS, CAHPS, provider satisfaction and other identified performance measures....
CareerBuilder - 1 day ago - save job - block - email - more...

Complex Case Manager

Meridian Health Plan 25 reviews - Michigan
The Complex Case Manager is responsible for the identification of members for Complex Case Management, Resource Coordination and Episodic Case Management...
15 days ago - save job - block - email - more...

Utilization Manager - Part-time / Flexible Texas, Austin and...

Centene Corporation 148 reviews - Houston, TX
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care...
19 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...
30+ days ago - save job - block - email - more...

Senior Coordinator, Performance Improvement

Community Health Plan of Washington 9 reviews - Vancouver, WA - +1 location
on OFIs identified with the practice, as well as managing onsite auditing for potential quality issue (PQI) resolution or scheduling HEDIS medical...
CareerBuilder - 1 day ago - save job - block - email - more...

Director of Quality Improvement and Program Management

BMC HealthNet Plan and Well Sense - Boston, MA
Reviews and edits documentation (e.g. request for proposals) on behalf of the Senior Director of Clinical and Quality Management as directed....
Boston Medical Center HealthNet Plan - 9 days ago - save job - block - email - more...

HEDIS Health Care QM Project Manager

Aetna 344 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...
22 days ago - save job - block - email - more...

President Medicaid Health Plan

Jon Fabri Associates - Waukesha, WI 53186
Lead strategic planning and development of the health plan business plan, quarterly reviews and course corrections.... $215,000 a year
12 days ago - save job - block - email - more...
President of Health Plan of Wisconsin-Medicaid Business
Medstaffing - Waukesha, WI
hospital census review, medical staffing, seasonality issues, constant and detailed communications with the medical director and nurse leader and monthly...
Sponsored by TheLadders.com - 18 days ago
Vice President, Field Health Services
WellCare Health Plans, Inc. 21 reviews - Louisville, KY
market Quality Improvement plan to achieve target HEDIS results. Manages and develops direct reports who... Ability to create, review and interpret treatment...
Sponsored by National Senior Living Providers Network - 23 days ago

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