• Senior Medicaid HEDIS

    Humana (Tallahassee, FL)
    …understanding in Medicaid programs, HEDIS and NCQA requirements. The Senior Data and Reporting Professional: + Collects, analyzes, and validates HEDIS ... caring community and help us put health first** The Senior Data and Reporting Professional generates regular...for managing and analyzing data specifically around HEDIS and quality initiatives for Medicaid . This… more
    Humana (10/05/24)
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  • RN Senior Stars Improvement

    Humana (Tampa, FL)
    …contributes to the development, implementation, and management of the company's Medicare/ Medicaid Five-Star Quality Rating System. The Senior Stars Improvement, ... Star Rating categories - including but not limited to HEDIS , Patient Safety, and Patient Experience. Senior ...Able to effectively interpret and communicate metrics and analytical data that leads to favorable outcomes. + Relationship building… more
    Humana (08/30/24)
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  • Senior Analyst, Client Analytics - 2+ years…

    Evolent Health (Tallahassee, FL)
    …Be Doing:** The Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We ... have a unique mix of health care domain and data expertise enabling analytics offerings relevant to our stakeholders' needs. We are advocates for creating patient… more
    Evolent Health (09/20/24)
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  • Sr Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (South Florida, FL)
    …**Preferred Experience** + 1 year of experience in Medicare and in Medicaid . + Experience with data reporting, analysis and/or interpretation. **Preferred ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
    Molina Healthcare (09/14/24)
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  • Advanced Practice Provider - Conviva

    Conviva (Safety Harbor, 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 (09/15/24)
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  • Conviva-Primary Care Physician- bilingual…

    Conviva (West Palm Beach, FL)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country in multiple centers across eight ... and quality for patients and monitors care using available data and chart reviews. * Assists in the coordination...Medicine preferred * Active and unrestricted DEA license * Medicare/ Medicaid Provider Number * Fluent in Spanish * Minimum… more
    Conviva (10/02/24)
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  • Primary Care NP/PA - Conviva - South

    Conviva (Daytona 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 ... Leadership. + Meets with RMD about quality of care, review of outcome data , policy, procedure and records issues. + Participates in potential growth opportunities… more
    Conviva (09/30/24)
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  • Primary Care NP/PA - Conviva - Port Orange,…

    Conviva (Port Orange, FL)
    …of medical care and quality for patients and monitors care using available data and chart reviews.** Assists in the coordination of patient services, including but ... Leadership.** Meets with RMD about quality of care, review of outcome data , policy, procedure and records issues.** Participates in potential growth opportunities… more
    Conviva (09/27/24)
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  • Physician - Conviva West Oakland

    Conviva (Lauderdale Lakes, 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 (09/12/24)
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  • Conviva - Physician

    Conviva (Fernandina 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 AMD about quality of care, review of outcome data , policy, procedure and records issues. * Participates in...for TB **Preferred Qualifications:** * Medicare Provider Number * Medicaid Provider Number * Minimum of two to five… more
    Conviva (09/04/24)
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