- Molina Healthcare (GA)
- …Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of...review of records submitted by providers and the annual HEDIS medical record review. + Participates in meetings with… more
- CVS Health (Kansas City, MO)
- …and affordable. **Position Summary** The Healthcare Effectiveness Data and Information Set ( HEDIS ) is one of the most widely used healthcare quality data sets ... in the country. HEDIS calculates how health care organizations perform on various...perform on various quality metrics across several quality-of-care domains. HEDIS reporting is a requirement for NCQA Accreditation, CMS… more
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
- Health First (Rockledge, FL)
- …Customer Service and Stewardship by contributing to Health First Health Plans HEDIS activities that support regulatory compliance, CMS STARS, NCQA Accreditation and ... individual will assist in coordination of data collection of HEDIS and state- mandated quality metrics specification, abstraction, data...at the Health plan and reports to Supervisor of HEDIS . * Maintain current knowledge of HEDIS … more
- Actalent (New York, NY)
- Remote Behavioral Health Specialist Looking for a fully remote HEDIS role this HEDIS season? Apply now! Job Description Position Purpose: Supervise and ... facilitate successful interventions to meet behavioral health HEDIS and Pay for Performance measures. Partner with health plans and regional clinical leadership to… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ( HEDIS ... in person or via electronic medical records systems, to ensure compliance with HEDIS measures. Additionally, this position will make outbound calls to members to… more
- Robert Half Accountemps (Houston, TX)
- Description We are seeking a HEDIS Quality LPN to join a fully remote team. The HEDIS Quality LPN focuses on HEDIS operations and data collection. The ... opportunity. Responsibilities: * Assist in medical records review to identify Star/ HEDIS opportunities for the medical staff. * Perform data collection and… more
- Providence (OR)
- …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of… more
- Providence (WA)
- …must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits for the ... using objective specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits, which include review of outpatient medical… more
- Insight Global (Philadelphia, PA)
- Job Description A client of Insight Globals is looking for HEDIS (Healthcare Effectiveness Data and Information Set Nursing) RNs or LPNs for a remote contract ... This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for...This person will be responsible for Quality Check of FDC/ HEDIS nurses. This person will use healthcare data and… more
- Truman Medical Centers (Kansas City, MO)
- …for positions and apply.** Care Coordinator (non-RN) - Lakewood Medical Center HEDIS team 101 Truman Medical Center **Job Location** UH Lakewood Medical Center ... coaching and consulting to outside organizations. **Job Description** **The HEDIS Care Coordinator functions as an integral part of...Care Coordinator functions as an integral part of the HEDIS team and is responsible for partnering with external… more
- Molina Healthcare (MI)
- …compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES** ... In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS /Quality Reporting develops and provides reports and cost-benefit analysis tools… more
- Humana (Columbus, OH)
- …variable factors. Humana's Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic ... making, collaboration with partners across the enterprise and support of the HEDIS program and related activities. This will require building and maintaining strong… more
- Actalent (Austin, TX)
- Actalent is currently hiring for Remote HEDIS Nurses (RN/LPN)! Job Description: + Lead data collection and abstraction for company quality measures, including ... HEDIS , CMS, CHIPRA and/or any other custom measurements. +...+ Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards… more
- Actalent (Austin, TX)
- …* Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare ... results to HEDIS standards and/or custom * Review medical records and abstract data for HEDIS and other measure sets * Track and report on issues and outcomes… more
- US Tech Solutions (May, OK)
- …outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the ... in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification… more
- Actalent (Philadelphia, PA)
- Remote HEDIS LPN Abstractor Description: Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or ... Responsibilities: + Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards + Review… more
- Adecco US, Inc. (Woonsocket, RI)
- Adecco is currently assisting a National Pharmaceutical client for a Remote HEDIS Admin Assistant. Shift: Monday - Friday, 8 hours a day between the hours of 8am to ... obtain medical records. + Document such activity. + Assist HEDIS team with day to day operations. + Handle...day to day operations. + Handle incoming calls from HEDIS abstractors and providers, print samples/location pull lists for… more
- Centene Corporation (Tallahassee, FL)
- …of business partners. Training will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to ensure training curriculum and ... content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote. Candidates will be...as required **Highly Preferred Skills:** + 3+ years of HEDIS experience + 2+ years as a LPN or… more
- Insight Global (Philadelphia, PA)
- Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... from onsite visit, assigned remote charts Highlighting member demographics & HEDIS evidence using Adobe Acrobat Reader Reviewing Overreads for any corrections… more