Hedis Review Nurse $120,000 jobs

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Medical Director - Northern California - 103243SY
Anthem, Inc. 564 reviews - Sacramento, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...
Sponsored by Anthem, Inc. - 5 days ago
RN, Registered Nurse - Vice President, Quality Improvement
Infinity MedStaff - Sacramento, CA
Responsible for all activities related to National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set...
Sponsored by NurseJobsNationwide.com - 3 days ago
Director Medical Management Medicare
AmeriHealth Caritas 56 reviews - Philadelphia, PA
2 years’ experience in case management and utilization review preferred. Includes focusing staff efforts to contribute to STAR and Hedis measures....
Sponsored by AmeriHealth Caritas - 3 days ago

Director Medical Management Medicare

AmeriHealth Caritas 56 reviews - Philadelphia, PA
2 years’ experience in case management and utilization review preferred. Includes focusing staff efforts to contribute to STAR and Hedis measures....

Director of Clinical Quality and High Reliability

Providence Health & Services 152 reviews - Everett, WA
Ensure nurses, medical assistants and/or other clinical support personnel are appropriately oriented, trained, and demonstrate competency within their scope of...

Medical Director - Northern CaliforniaSY

Anthem, Inc. 564 reviews - Sacramento, CA - +1 location
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

Associate Director of Quality Management

Medical Staffing Network Care Management - New York, NY
Registered Nurse License in the State of New York. Please be advised that we are only considering nurses with the following:....

East Central Regional Medical Director

Humana 898 reviews - Dublin, OH
Oversee Quality Improvement Department with QI Director as direct report and monitor QI Nurses on HEDIS/STARS metrics improvement with PCP offices and IPAs....

Medicaid Health Plan President

MDStaffers.com - Charleston, WV
Oversight and participation in medical management, including hospital census review, medical staffing, seasonality issues, constant and detailed communications...

Medical Director - Unicare/Medicaid - WVSY

Anthem, Inc. 564 reviews - Charleston, WV
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

Medical Director - Illinois

Meridian Health Plan 39 reviews - Chicago, IL
Offer clinical guidance to the Utilization Management nurses and other staff. Review “clean” files and prepare exception report prior to Credentialing Committee...

Physician (Chief of Medicine/Emergency Department)

Department of Veterans Affairs 948 reviews - Dublin, GA
The ED Director/Chief of Medicine will work in a team setting with other physicians, nurse managers, registered nurses and support staff assigned to perform...

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Company with Hedis Review Nurse $120,000 jobs
564 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.