- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …the HEDIS reporting season, the HEDIS Medical Record Specialist will abstract medical records , schedule and conduct site visits to procure ... meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist...record reviewers with the collection and abstraction of HEDIS medical records + Work… more
- Elevance Health (Grand Prairie, TX)
- HEDIS Compliance Audit Specialist / Manager (JR140903) **Location:** Alternate locations in addition to the posted locations may be considered. This position ... live within 50 miles of one of our Elevance Health PulsePoint locations. The ** HEDIS Audit Quality Manager** is responsible for managing all HEDIS Audit… more
- Medical Mutual of Ohio (OH)
- **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local ... our members achieve their best possible health and quality of life. **Responsibilities** ** Medical Record Retrieval Specialist ** Supports the company's risk… more
- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing ... medical claims, identifying appropriate medical ...medical terminology and provider specialties. + Experience with medical claims systems or HEDIS processes. +… more
- Centene Corporation (Carson City, NV)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... Plan, provider network, delegated vendors to support NCQA and HEDIS activities. + Develop QI, NCQA and HEDIS...by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA… more
- CenterWell (Independence, MO)
- …+ Applicable State licensure in field of study (RMA/ CMA) + Experience with Electronic Medical Records + Experience with HEDIS + Experience with formularies, ... our caring community and help us put health first** The Certified Medical Assistant Rx Specialist is the first point of contact for patient care. The Certified… more
- AmeriHealth Caritas (Dublin, OH)
- …for input and direction In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical ... of the Quality Management team, the Senior Quality Performance Specialist - Senior is responsible for the oversight, design,...the clinical quality review process of member concerns and medical records utilizing of care standards aimed… more
- Molina Healthcare (AZ)
- …mortalities. * Organizes and manages quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, ... quality management compliance activities. Please make sure to include any healthcare/ HEDIS /quality metric experience on your resume. We are moving quickly to… more
- Beth Israel Lahey Health (Wakefield, MA)
- …for identified patient populations. 5. Extracts data from Optum and practice electronic medical record to support LCPN reporting and monitoring of quality ... improvement initiatives such as LEAN or Six Sigma a plus + Knowledge of electronic medical records ; eClinical Works, Athena, GE Centricity or Epic a plus **As a… more
- Beth Israel Lahey Health (Boston, MA)
- …analysis and maintain databases. **Preferred Qualifications:** + Familiarity with electronic medical records . + A mature, energetic, and confident individual ... department, or provider relations, and a familiarity with standard quality measures, eg, HEDIS . + Familiar and proficient with medical terminology. + Experience… more
- Molina Healthcare (AZ)
- **Molina Healthcare of Arizona** is hiring for a **Housing Specialist ** in the greater **Phoenix /Maricopa County** area. This role will be a combination of ... member into the community. + Maintains accurate daily log records , monthly outcome reports, and files for each client....: Must have valid driver's license with good driving record and be able to drive within applicable state… more
- UCLA Health (Los Angeles, CA)
- …and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP) to ensure documentation ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will...related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational… more
- Centene Corporation (New Orleans, LA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... all clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures + Evaluate the analysis and responses on all quality… more
- Stanford Health Care (Redwood City, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Quality Specialist is responsible for coordinating, monitoring, and improving clinical care redesign ... skills to influence clinical processes, systems, and outcomes. The Quality Specialist will identify opportunities for unit or service line improvements based… more
- Centene Corporation (Jefferson City, MO)
- …Work or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in ... Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ...of findings in identified databases and ensure accuracy in medical records for data collection, DE and… more
- CVS Health (Hartford, CT)
- …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...from initiation through completion. + Acts as a top-level specialist in project management, providing experience-based guidance and mentorship… more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …Arcadia, One Health Portal, Health Plan Finder, etc., and Proprietary Software for Electronic Medical Records , and Retinal Camera, etc. + The Employee must be ... Sea Mar's network of services includes more than 90 medical , dental, and behavioral health clinics and a wide...record . + Assist with obtaining patient notes and records from hospitals and other doctors' offices. + Maintains… more
- ChenMed (New Orleans, LA)
- …may include:_** + Maintains the confidentiality of patients' personal information and medical records . + Reviews patients' personal and appointment information ... others + Working knowledge of medical insurance and/or knowledge of electronic medical record EMR systems + Knowledge of ChenMed Medical products,… more
- CenterWell (Savannah, GA)
- …Registered Health Information Technician (RHIT) certification, Certified Electronic Health Records Specialist (CEHRS), Certified Medical Staff ... our caring community and help us put health first** The HIMS/Referral Coordinator ( Medical Records Clerk) assembles and maintains patients' health information in… more
- LifePoint Health (Las Cruces, NM)
- …for accurate documentation and maintenance of provider information within electronic medical record . Ensure the collection and maintenance of contracts ... are appreciated for who you are not just what you can do. Memorial Medical Center is a 199-bed hospital offering a spectrum of care, including diagnostic,… more