Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Position Purpose: The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities. This role independently interprets regulatory and audit requirements, leads complex
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
Applicants for this job have the flexibility to work remote from home anywhere in the United States. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the
Anticipated End Date:2026-09-30 Position Title:HEDIS Audit Quality Manager (State and NCQA) Job Description: HEDIS Audit Quality Manager (State and NCQA Audits) Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and
Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine
Position Purpose: Takes a lead role in the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position serves as the primary owner for assigned HEDIS measures and leads complex quality improvement initiatives
Review Nurse This is a contract assignment that will start right away and end on April 30th 2024 Summary Description: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness
Director Of Product Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep
Remote Clinical Pharmacist HEDIS Medication Adherence Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine
Contract Assignment This is a contract assignment that will start right away and end on June 28th 2024 Remote in TX Must Live in TX SUMMARY DESCRIPTION: RN or LPN with clinical experience and will work
Job Opportunity This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is
Position Purpose: Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with providers. Use existing resources to collaborate with
Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to
Job DetailsJob Location: Any Location Remote US - Oklahoma City, OK 73102Position Type: Full TimeEducation Level: 4 Year DegreeJob Shift: DayWHO WE ARE:GlobalHealth is a fast growing Medicare Advantage HMO health insurer. We aspire to be
Job DetailsJob Location: Any Location Remote US - Oklahoma City, OK 73102Position Type: Full TimeEducation Level: High School or EquivalentTravel Percentage: OccasionalJob Shift: DayJob Category: Customer ServiceWHO WE ARE:GlobalHealth is a fast-growing Medicare Advantage HMO health
Why Join Grace at Home? Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs,
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people
Job Description: Manager, Market Performance The Manager, Market Performance is responsible for the day-to-day execution of operational workflows that drive value-based care results. The manager influences through others, ensuring that market-specific initiatives—like member outreach, gap closure,
JOB DESCRIPTION Job Summary Leads and directs team responsible for medical economics analysis activities including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities and improve financial performance. Collaborates with health plans