- Centene Corporation (Tulsa, OK)
- …care industry preferred. Additional Details: * Department: MED-Quality Improvement * Team Focus: HEDIS Risk Adjustment Pay Range: $54,000.00 - $97,100.00 per ... to applicants with either an RN or LPN licensure, and either HEDIS or risk adjustment experience. **Position Purpose:** Support the development and… more
- Robert Half Accountemps (Minneapolis, MN)
- …follow up of requests within database tools - Performs medical record reviews for risk adjustment , HEDIS (R) and HEDIS (R)-like measures via remote ... Description Robert Half is currently hiring seasonal HEDIS support with a large Fortune Healthcare 500...contract role starting in January 2025. **Must have previous HEDIS or relevant experience to be considered!** Interested? Apply… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding ... or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse (RN) or clinical… more
- Robert Half Office Team (Minneapolis, MN)
- …follow up of requests within database tools + Performs medical record reviews for risk adjustment , HEDIS (R) and HEDIS (R)-like measures via remote ... Description We are currently hiring for seasonal HEDIS support with a large Fortune Healthcare 500...contract role starting in January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply… more
- Robert Half Office Team (Helena, MT)
- …follow up of requests within database tools + Performs medical record reviews for risk adjustment , HEDIS (R) and HEDIS (R)-like measures via remote ... Description We are currently hiring for seasonal HEDIS support with a large Fortune 500 Healthcare...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
- Molina Healthcare (Las Vegas, NV)
- …Specialist , Provider Quality contributes to one or more of these quality improvement/ risk adjustment functions: + Implements key quality and population health ... and monitoring for key performance measurement activities. **Experience in Quality/ HEDIS is important for this position. Please highlight this...strategies and risk adjustment , alongside providers and with direction… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the supervision of the Quality Manager, the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members ... clinicians, leadership and support staff. The Senior Population Health Specialist leads cross-functional activities throughout the organization to support population… more
- Molina Healthcare (Seattle, WA)
- …Quality and HEDIS measures. + Proficient with data and reports + Knowledge of risk adjustment + 1 year of experience in Medicare and in Medicaid. + ... education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these… more
- Sanford Health (Worthington, MN)
- …accreditation and regulatory agency standards preferred. Quality, medical coding, and/or risk adjustment experience is preferred. Currently holds an unencumbered ... of the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the quality… more
- Kelsey-Seybold Clinic (IA)
- …-Physician) or CPC (Certified Professional Coder) or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills** Required: Analytical. High ... of 10+ hours ICD-10-CM training or AAPC ICD-10-CM Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist… more
- System One (Baltimore, MD)
- …line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment , participating in internal audits for ... Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance...Medical Record Review Project + Medical Record Retrieval for Risk Adjustment , internal Supplemental Data Audit (PSV)… more
- Randstad US (Dallas, TX)
- …electronic, and/or on-site data collection for Healthcare Effectiveness Data and Information Set ( HEDIS ) and Risk Adjustment (RA) purposes. This individual ... support occupations + referenceAB_4652558 job details The Medical Record Retrieval Specialist will be responsible for medical record collection including telephonic,… more