• Senior HEDIS Medicaid

    Humana (Tallahassee, FL)
    …evaluation of variable factors. Humana's Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in ... caring community and help us put health first** The Senior Data Manager supports all aspects of...make an impact** **Responsibilities:** + Become an expert in HEDIS and Medicaid specifications, processes, and schedules… more
    Humana (11/22/24)
    - Related Jobs
  • Senior Program Delivery Specialist

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Senior Program Delivery Specialist / Professional strategically identifies, develops, and implements ... towards value-based relationships and/or improved quality metrics. Florida The Senior Program Delivery Specialist/ Professional + Develops programs designed to… more
    Humana (11/23/24)
    - Related Jobs
  • Senior Quality Improvement Professional

    Humana (Tallahassee, FL)
    …us put health first** Humana Gold Plus Integrated is seeking a Senior Quality Improvement Professional who implements quality improvement programs for Illinois ... Medicare/ Medicaid (MMP) and supports the Quality Assurance and Performance...annual program description, work plan, and annual evaluation. The Senior Quality Improvement Professional works with a multidisciplinary team… more
    Humana (11/22/24)
    - Related Jobs
  • Senior Quality Improvement Professional

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Senior Quality Improvement Professional is an integral part of the Florida Quality Improvement ... customers to complete fast-paced and time sensitive projects. The Senior Quality Improvement Professional will ensure The Florida Agency...role is expected to research, gather information and analyze data in an expedited timeframe and use QI tools… more
    Humana (10/31/24)
    - Related Jobs
  • Senior STARS Improvement Consultant

    Humana (Tallahassee, FL)
    …help us put health first** The Humana Florida Team is seeking a Senior STARS Improvement Consultant/ Professional who will work directly with the Stars Improvement ... for managing critical features of large scale projects. Florida The Senior STARS Improvement Consultant/ Professional + Critical thinker who has initiative… more
    Humana (11/23/24)
    - Related Jobs
  • Sr Analyst, Medical Economics - REMOTE

    Molina Healthcare (FL)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
    Molina Healthcare (11/16/24)
    - Related Jobs
  • Advanced Practice Provider - bilingual…

    Conviva (Tampa, FL)
    …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating multiple centers across ... and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination...in the local primary care "on-call" program of Conviva Senior Primary Care. + Assures personal compliance with licensing,… more
    Conviva (11/13/24)
    - Related Jobs
  • Conviva-Primary Care Physician

    Conviva (Boca Raton, FL)
    …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating multiple centers across ... and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination.... Active and unrestricted DEA license . Medicare and Medicaid Provider Number . Minimum of two to five… more
    Conviva (11/06/24)
    - Related Jobs
  • Advanced Practice provider (APP) - Conviva

    Conviva (Orange City, FL)
    …level of medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including ... Leadership. + Meets with RMD about quality of care, review of outcome data , policy, procedure and records issues. + Participates in potential growth opportunities… more
    Conviva (11/22/24)
    - Related Jobs
  • Primary Care Physician - Conviva Pompano East,…

    Conviva (Pompano Beach, FL)
    …level of medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including ... with RMD about quality of care, review of outcome data , policy, procedure and records issues. + Participates in...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
    Conviva (11/07/24)
    - Related Jobs