- HarmonyCares (Forest Hills, NY)
- …and identify areas for improvement leading to superior Quality ( HEDIS ) performance Frequently review clinician capacity and productivity performance. Partner ... with Site Medical Directors to develop countermeasures and support their implementation when provides are off track Work collaboratively with Regional Medical Director (RMD) to identify opportunities for care improvement Assists with service inquiry,… more
- Conviva Senior Primary Care (Tampa, FL)
- …relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Additional Information: . B ase salary + bi-annual ... incentive . Excellent benefit package - health insurance effective on your first day of employment . CME Allowance/Time . Occurrence Based Malpractice Insurance . Relocation and sign-on bonus options . 401(k) with Employer Match . Life Insurance/Disability .… more
- CenterWell Senior Primary Care (Fort Worth, TX)
- …environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Additional Information Guaranteed base salary + bi-annual ... bonus Excellent benefit package - health insurance effective on your first day of employment CME Allowance/Time Occurrence Based Malpractice Insurance Relocation and sign-on bonus options 401(k) with Employer Match Life Insurance/Disability Paid Time… more
- Conviva Senior Primary Care (Corpus Christi, TX)
- …environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Additional Information: Guaranteed base salary + bi-annual ... bonus incentive Minimal Call Comprehensive benefit package - health insurance is effective on your first day of employment CME Allowance/Time Occurrence Based Malpractice Insurance Generous Relocation Assistance Up to $100k sign-on bonus for Rockport, TX… more
- Optum (Houston, TX)
- …patients Working knowledge of Medicare Advantage Risk plans Understanding of HEDIS measurements and delivering value-based care Compensation for this specialty ... generally ranges from $229,50 to $378,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and… more
- Optum (Dallas, TX)
- …care and clinical excellence. The organization exceeds the 90th percentile in most HEDIS measures, is among the top provider groups nationally in patient experience ... and provides care at a cost well below market competitors. Reliant is also committed to the provider experience and understands that the best path to better patient care is by ensuring that providers and staff are happy, engaged, and productive. The Central… more
- DAP Health (Cathedral City, CA)
- …been established. Meets the organization's Clinical Performance Measures (UDS and HEDIS measures). Contributes to DAP's Patient Centered Medical Home (PCMH) program, ... a model of primary care delivery designed to strengthen the patient/clinician relationship, focus on the person and patient self-management and engagement, by providing comprehensive and coordinated care in a culturally and linguistically sensitive manner.… more
- Universal Health Services, Inc. (Edinburg, TX)
- …referral network Support our Physicians to complete Value Based Care and HEDIS Measures. Support patients via in-Person consult, Telemedicine visits, and sponsored ... health events. Champion a comprehensive, coordinated model of care for Medicare-aged population on a Medicare Advantage Plan and Medicaid population. Champions the Attestation process by collaborating with STHS physicians, managed care resources, and STHS… more
- Sanitas Medical Center (Fort Lauderdale, FL)
- …and evaluate physicians, nurse practitioners, and physician assistants. Ensure completion of HEDIS and quality metrics, appropriate risk adjustment coding , and care ... coordination. Oversee performance improvement initiatives and participate in peer review processes. Support recruitment, onboarding, and professional development of medical providers. Maintain compliance with OSHA, ACHA, infection control , and emergency… more
- Monogram Health (Fort Myers, FL)
- …Medicare Advantage and managed Medicaid populations Experience with NCQA, HEDIS , Medicaid, Medicare, quality improvement, medical utilization management, and risk ... adjustment Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states. MD (Medical Doctor) or DO degree from an accredited medical school BC or BE in an… more
- Actalent (Des Moines, IA)
- Job Title: HEDIS Nurse ConsultantJob Description We are seeking a dedicated HEDIS Nurse Consultant to support our annual Healthcare Effectiveness Data and ... Information Set ( HEDIS ) reporting. This role involves abstracting medical record data,...data, conducting medical record reviews, and ensuring compliance with HEDIS audit standards. The successful candidate will work remotely… more
- Actalent (Des Moines, IA)
- Remote HEDIS Nurse Consultant Description HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, ... preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's files to support annual Healthcare Effectiveness Data… more
- Molina Healthcare (Santa Fe, NM)
- …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
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Sr. HEDIS Coordinator position in the Quality Improvement department. This is a full time position working Monday ... Pittsburgh or surrounding area to be considered! The Sr. HEDIS Coordinator will assists with the management of ...HEDIS Coordinator will assists with the management of HEDIS Coordinator activities in addition to performing the day-to-day… more
- Providence (CA)
- …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
- CVS Health (Charleston, WV)
- …heart, each and every day. **Position Summary** Subject Matter Expert in HEDIS improvement work; may interact with providers, stakeholders and members to facilitate ... + Partner cross functionally to deliver tools supporting the HEDIS team. + Communicate with stakeholders on key ...HEDIS team. + Communicate with stakeholders on key HEDIS activities. + Conducts outreach with complex provider partners… more
- Humana (Frankfort, KY)
- …health outcomes, patient experience, and plan operations. The AVP, Stars HEDIS Improvement and Operations is responsible for overseeing the implementation, ... management, and continuous improvement of the Healthcare Effectiveness Data and Information Set ( HEDIS ) initiatives as part of the CMS Stars Program. This role will… more
- US Tech Solutions (Canton, MA)
- …a large-scale project involving the retrieval of electronic medical records during the HEDIS reporting period. Under the guidance of the Quality Nurse Reviewer, you ... and supporting project goals. **Key Responsibilities:** + Gain expertise in HEDIS terminology, workflows, and hybrid clinical measures through internal training. +… 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
- US Tech Solutions (Canton, MA)
- …months (with possibility for extension)** **Overview:** We are seeking a ** HEDIS Data Entry Administrator** to support a large-scale project involving the ... from medical records using MS Excel. + Input medical record status into the HEDIS database. + Contact non-responsive providers and document call statuses. + Fax … more
