...with cross-functional teams to identify areas for improvement and develop action plans to address gaps in quality measures such as HEDIS, Stars, CAHPS, and HOS.
Leads clinical quality workgroups for continuous targeted quality improvement.
Maintains applicable Quality...
HEDIS
Local area
...Preferred Qualifications
Three years inpatient clinical experience preferred
State regulatory experience preferred
URAC/NCQA and HEDIS exposure an asset
Mental, Physical and Environmental Demands:
Inside working conditions.
No environmental hazards....
HEDIS
Local area
...approved services.
Performing member outreach calls for care management to include data collection for special projects such as HEDIS, STAR measures, and member health plan events.
Assisting the member with accessing translation services when needed and requested...
HEDIS
Hourly pay
Work experience placement
Local area
Remote job
Night shift
$79.04k - $87.36k
...provider's treatment plan.
Identifies gaps in the care of the patient and ensure that gaps are closed in alignment with NCQA-PCMH, HEDIS, and Health Plan requirements.
Executes effective interventions to reduce inappropriate ER visits or length of hospital to...
HEDIS
Full time
...Perform member outreach calls in collaboration with Quality Improvement projects, and Care Coordination activities related to Medicare HEDIS and STAR Ratings.
Generate and create reports as needed.
Other duties as assigned by supervisor and/or manager.
Responsible...
HEDIS
Local area
Remote job
...direction of the Health Plan Quality programs and has responsibilities for the development, implementation, monitoring and evaluation of HEDIS, NCQA, PCMH and Medicare Stars programs. The Director will serve as an internal expert, consultant and resource to support plan...
HEDIS
Full time
Shift work
