Clinical Programs Lead: Quality & HEDIS Strategy
Elevance Health
Elevance Health is seeking a Clinical Program Development Manager to oversee clinical program development for population-based quality measures. The role involves managing vendor contracts and developing tools to support cost-effective care. The ideal candidate will have a BA/BS in a relevant field and at least 5 years of experience in health care data analysis and clinical program development, focusing on improving member experience and compliance with regulations. #J-18808-Ljbffr Elevance Health
- Title : Clinical Program Development Manager Location : Mason, OH Hybrid... ...population-based clinical quality measures, including HEDIS within a clinical area and... ...annual plan detailing the strategies, programs and tools to be implemented. Leads program development activities...HEDISQualityTemporary workWork at officeLocal area2 days per week1 day per week
- ...Senior Director, Quality Ratings & Network Performance About... ...will be responsible for leading strategic initiatives to enhance... ...and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and... ...the execution of provider strategies to improve quality outcomes...HEDISQuality
$78.4k - $107.8k
...Job Summary Clinical Competency, Remediation... ...Competency & Quality Nurse is a Center... ...Director of Physician Strategy. Must reside in... ...Patient Management Program Onboarding &... ...Stars CoE Program Leads; coordinate with Education... ...Advantage Stars, HEDIS, CAHPS, and CMS...HEDISQualityBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$149.8k - $206.1k
...with specialists. Participate in clinical quality improvement programs. Work with interdisciplinary teams... ...numbers. Familiarity with HEDIS quality indicators and Medicare guidelines... ..., a Humana company: CenterWell is a leading healthcare services business focused...HEDISQualityReliefMonday to Friday$149.8k - $206.1k
...with specialists. Participate in clinical quality improvement programs. Work with interdisciplinary teams... ...numbers. Familiarity with HEDIS quality indicators and Medicare guidelines... ..., a Humana company: CenterWell is a leading healthcare services business focused...HEDISQualityDaily paidFull timeApprenticeshipReliefMonday to Friday- ...Medical Directors to support clinical leadership across a... ...focused on driving quality, supporting providers,... ...partners, to advance clinical strategy, improve outcomes, and... ...aligned with UDS, HEDIS, and value-based metrics... ...Demonstrated ability to lead clinicians and drive measurable...HEDISQualityNight shiftWeekend work
- ...Family Nurse Practitioner Program As a part of a... ...establishing and maintaining clinical partnerships,... ...related committees Leads the FNP Town Hall meetings... ...program and curricula quality improvement... ...a variety of teaching strategies and learning activities...QualityFull timeImmediate start
- ...Overview Reporting to the Clinical Manager, the Advanced... ...documentation of visits, and high-quality patient care delivery to Grace... ...the home, Value Based Care, HEDIS and Stars, documentation and... ...commute with our commuter benefits program. Mileage Reimbursement:...HEDISQualityTemporary workLive inWork at officeLocal areaRemote work
- ...Description Job Description Job Title: Clinical Quality Specialist Reports to: Director,... ...Quality Nurse in overseeing the HEDIS quality collection, submission, reporting... ...Support internal Chronic Care Improvement Program initiatives as needed. Participate in...HEDISQualityWork at office
- ...Riley Hospital for Children as a Clinical Quality Improvement (QI) Consultant.... ...of patient care. You will lead and support continuous quality... ...Tuition reimbursement programs Student loan forgiveness opportunities... ..., electronic health records, HEDIS software, or other...HEDISQualityMonday to FridayDay shift
- ...As a Clinical Lead Faculty and faculty member of an Extended Campus, the primary responsibility... ...is the implementation of the academic programs in the lab and simulation setting.... ...expertise to produce thousands of high-quality graduates ready to enter the workforce...Quality
- ...Methodist Hospital Position: Quality Improvement Consultant... ...works independently and leads specific work groups to analyze gaps in clinical care and identify... ...training and education programs for staff and physicians... ...electronic health records, HEDIS software) preferred....HEDISQualityWork at officeLocal areaMonday to FridayShift work
- ...Clinical Quality Improvement Specialist Date: May 16, 2026 Location:... ...part of the Quality Management Program. This position contributes to... ...on assigned programs (ex: HEDIS, MIPS, PCMH, pay for performance... ...measure targets Leads internal customers through implementation...HEDISQualityFull timeLocal areaShift work
$43k - $56.2k
...is an onsite outpatient clinic located in Indianapolis... ...of MA school/training program and a Certified/Registered... ...including knowledge of HEDIS, CPT/ICD coding, and... ...company: CenterWell is a leading healthcare services... ...do. The result is high-quality healthcare that is accessible...HEDISQualityTemporary work- ...a full-time Registered Nurse in the Surgery department. The role includes coordinating nursing program activities and overseeing staff related to patient care and clinical standards. Preferred candidates will have OR experience and demonstrate strong leadership skills...Full timeDay shift
$62.7k - $100.4k
...based organizations to improve quality and meet the needs of the... ...effective interventions based on clinical standards and best practices... ...from an accredited nursing program is required Advanced degree... ...Strong understanding of Quality, HEDIS, disease management,...HEDISQualityWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$43k - $56.2k
...is an onsite outpatient clinic located in Indianapolis... ...of MA school/training program and a Certified/Registered... ...including knowledge of HEDIS, CPT/ICD coding, and... ...company: CenterWell is a leading healthcare services... ...do. The result is high-quality healthcare that is accessible...HEDISQualityFull timeTemporary workApprenticeship$125k - $150k
...access, and meaningful clinical work for Medicare-age individuals... ...innovative care programs across multiple states,... ...for the performance, quality, and oversight of Nurse... ...- ISNP directly leads a team of contract mobile... ...populations ~ Familiarity HEDIS/STARs measure and care...HEDISQualityOngoing contractContract workRemote workMonday to Friday- A leading software implementation firm is seeking a Senior Software QA Analyst to enhance quality strategies and outcomes. The ideal candidate will have 6-10+ years of QA experience in manual and exploratory testing, a strong grasp of risk analysis, and exceptional communication...Quality
$97.9k - $133.5k
...course of action. You will report to the Lead Data Engineer. You will ingest... ...will contribute to shape departmental strategy and make decisions regarding... ...Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake...HEDISQualityFull timeTemporary workApprenticeshipWork at officeRemote work- A leading agricultural organization in Indiana is seeking a QA Manager to lead and manage... ...and implement a comprehensive QA strategy, ensuring alignment with organizational... ...and 7+ years of experience in software quality assurance with proven leadership capabilities...QualityWork at office
- ...Federal Clinical Quality Improvement Support Nurse (DHA CQM Program) Fully Remote-United States Job Type Full-time Description Overview Tanaq Management... ...Health Agency (DHA). Provide expertise in leading and managing quality/performance improvement....QualityFull timeContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
$97.75k
Clinical Quality Manager Clinic Damien Center Values Dignity-Collaboration... ...The Clinical Quality Manager leads the planning, implementation,... ...Pharmacy Performance Improvement program. Facilitate clinical Quality... ...Data System (UDS) and HEDIS measures in compliance with HRSA...HEDISQualityFull timeContract workTemporary workWork at officeLocal areaRemote workFlexible hours$58k
...risk members Help Health Plan members achieve their goals, empowerment and improved quality of life for their behavioral and physical health issues Work with NCQA guidelines and HEDIS measures Qualifications LCSW, LMFT, LMHC, LPC, Ph.D, or RN Driver’s license/ car...HEDISQuality$110k
...and 22 beds for Partial Hospitalization Program/Intensive Outpatient Treatment. Take... ...Nursing/Health Services Department, ensuring quality psychiatric and general nursing care for... ...levels and applying flexible staffing strategies. Coordinating infection control...QualityFlexible hours- A healthcare consulting firm located in Indianapolis is seeking an experienced program manager to coordinate quality initiatives and regulatory reporting for Medicaid programs. The role requires a minimum of 3-5 years in a healthcare setting, strong project management skills...Quality
- ...Facility: Ascension Medical Group Clinic Department: CT... ...opportunity Ascension is a leading nonprofit Catholic health system... ...-being: Employee Assistance Program, counseling and peer support,... ...implemented and tracked for high-quality outcomes. What minimum...QualityLocal areaRemote workMonday to Friday
- A logistics company located in Indiana is seeking a detail-oriented individual to support safety programs, manage quality documents, and assist with audits. The ideal candidate will have experience in logistics or safety administration and familiarity with safety inspections...QualityWork at office
- A public health agency in Indianapolis is seeking a Program Coordinator for the Division of Vital Records. The successful candidate will manage day-to-day program needs, focusing on data-driven policy related to vital records. Responsibilities include outreach to data providers...QualityFull timeWork at office
$46 per hour
...patients for post discharge assessments of clinical symptoms, barriers to medication... ...about fixing what's broken to improve care quality and health outcomes for everyone. We believe... ...Familiarity with Population Health and HEDIS quality gaps in care preferred Well versed...HEDISQualityFull timeCurrently hiringRemote workMonday to FridayFlexible hoursWeekend work
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