quality initiatives and activities including clinical indicators reporting, focus studies, and HEDIS reporting. Serves... in developing clinical management guidelines. Ensures medical management activities are contracted, reviewed and reported. Supports...
a working knowledge of HEDIS and other managed care/insurance standards. Identifies and seeks solutions for any clinical... with Clinical Quality Nurse Managers and Quality Departments on the development and implementation of quality improvement projects...
level providers, nurses, and other medical staff by performing administrative and clinical duties under the direction... of physician. This role reports to the nurse manager or designee, who is responsible for administrative supervision and orientation...
on semi-routine assignments. The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital... including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. Bilingual proficiency in English and Spanish...
including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. Bilingual proficiency in English and Spanish... providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health...
. Typically works on semi-routine assignments. The Medical Assistant 2 performs clinical duties such as discussing symptoms... Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. Bilingual proficiency...
on clinical visits taking place in our clinical hub and in the community. This position will report to the Operations Manager... various office and clinical duties to keep our healthcare practice running efficiently. Our Medical Assistant will work...
Certified Clinical Behavioral Health Clinic (CCBHC) planning grant/demonstration program. The successful candidate will ideally... is preferred. Knowledge of HEDIS measures, Medicaid and CMS is preferred. Claims data experience is preferred. Familiarity...
multiple locations and that focus on HEDIS, contracted or other determined behavioral health clinical quality metrics... to behavioral health programming in the market. In partnership with the Market Medical Director and the Manager of Behavioral Health...
integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis..., collaborating with members and those involved with members' care including clinical nurses and treating physicians. The Regional...
in a value-based. Under the supervision of the Quality Manager, the Population Health Specialist (PHS) supports collaboration... and supervised by the Director of Quality. Serves as the liaison with patients, families to physicians, clinical staff, inclusive...
- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD... in a value based relationship environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators...
each person’s talents and strengths. In consultation with the Population Health Manager, the Population Health Team Lead... for Population Health team. Conduct performance management and assist Population Health Manager with hiring, staff development...
management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating... with members and those involved with members’ care including clinical nurses and treating physicians. The Regional Registered Nurse...
each person’s talents and strengths. In consultation with the Population Health Manager, the Population Health Team Lead... for Population Health team. Conduct performance management and assist Population Health Manager with hiring, staff development...
each person’s talents and strengths. In consultation with the Population Health Manager, the Population Health Team Lead... for Population Health team. Conduct performance management and assist Population Health Manager with hiring, staff development...
each person’s talents and strengths. In consultation with the Population Health Manager, the Population Health Team Lead... for Population Health team. Conduct performance management and assist Population Health Manager with hiring, staff development...
each person’s talents and strengths. In consultation with the Population Health Manager, the Population Health Team Lead... for Population Health team. Conduct performance management and assist Population Health Manager with hiring, staff development...
on test/pilot outcomes. Develops targeting criteria or customer segmentation based on analytical insights, clinical inputs.... Develops methodology to measure clinical, utilization and financial outcomes of a program/initiative. Conducts in-depth...
and evaluate health and wellness programs for federal agencies. Develop programs to improve HEDIS scores.... Minimum Qualifications: Requires BA/BS and minimum of 3 years clinical experience; or any combination of education and experience...