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© All Rights Reserved. ApplyBlast.com
Healthfirst
The Clinical Quality Manager collaborates with members and providers to ensure appropriate services and improve the quality of care, with a specific focus on HEDIS, QARR, and Medicare Advantage Star measures. This role involves reviewing medical records and billing codes, conducting provider education, and supporting regulatory affairs to enhance preventive services and chronic disease management. The position requires strong analytical and presentation skills to facilitate initiatives and document interactions within appropriate systems.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.
16% below the average for this role
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