- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …outreach, customer service or care coordination is required. + Knowledge of HEDIS measures, Medicare/Medicaid quality programs and mediation adherence is ... of this position is to support the health plan's quality and performance goals, with a focus on achieving...This includes conducting outbound calls to members to close HEDIS gaps in care, discussing the importance of medication… more
- Dignity Health (Merced, CA)
- …engagementstrategies to increase participation in Vale Hub programs and initiatives. - Support member quality initiatives to improve HEDIS and Stars ... (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV) **Responsibilities** This position is hybrid.** **Position Summary:** The Quality Coordinator will assist in the promotion… more
- Centene Corporation (Jackson, MS)
- …with committee and sub-committee preparation. + Assist in investigation and resolution of member quality of care complaints. + Audit medical records and monitor ... flexibility. **Position Purpose:** Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes. + Perform duties… more
- Molina Healthcare (Southaven, MS)
- **Job Description** **Job Summary** The EPSDT Coordinator oversees all EPSDT activities for the Health Plan and is responsible for identifying gaps in or barriers to ... assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of… more
- AmeriHealth Caritas (Greenville, NC)
- …services. Discover more about us at www.amerihealthcaritas.com . **Job Summary** As a member of the Population Health and Care Management team, the Care Management ... Oversight Coordinator will interface with delegated provider groups and clinically...against contract requirements and specifications for items such as HEDIS measures. + Review delegation agreements and provide input… more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality . We believe our individual differences, ... observes HIPAA regulations and the Fallon Health Policies regarding confidentiality of member information o Supports Quality and Ad-Hoc campaigns **Care… more
- CenterWell (Las Vegas, NV)
- …environment. + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more....Proficiency Testing** Any Partners associate who speaks with a member in a language other than English must take… more
- ChenMed (Richmond, VA)
- …for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness ... to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote… more