- 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
- Robert Half Accountemps (Minneapolis, MN)
- Description Robert Half is currently hiring seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting ... in January 2025. **Must have previous HEDIS or relevant experience to be considered!** Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
- Centene Corporation (Tulsa, OK)
- …given to applicants with either an RN or LPN licensure, and either HEDIS or risk adjustment experience. **Position Purpose:** Support the development and maintenance ... industry preferred. Additional Details: * Department: MED-Quality Improvement * Team Focus: HEDIS Risk Adjustment Pay Range: $54,000.00 - $97,100.00 per year Centene… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include ... conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks...Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for… more
- Centers Plan for Healthy Living (Garden City, NY)
- …collect, and secure clinical documentation from Primary Care Physician (PCP) and/or Specialist (s) as indicated by HEDIS measures. + Review assigned medical ... HEDIS Reviewer 990 Stewart Ave, Garden City, NY...plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction,… more
- Molina Healthcare (Ypsilanti, MI)
- …review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. The Senior Specialist will be asked to perform ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
- Robert Half Office Team (Minneapolis, MN)
- Description We are currently hiring for seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting in ... January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
- Providence (OR)
- …empower them._** **Providence Health Plan is calling a Principal Clinical Informatics Specialist RN who will:** + Combine advanced clinical nursing skills with ... understand current state workflows + Educate providers on the HEDIS (R) measure specifications + Possess strong technical knowledge of...current state workflows fit (or do not fit) into HEDIS (R) metrics + Serve as an Informatics subject matter… more
- Robert Half Office Team (Helena, MT)
- Description We are currently hiring for seasonal HEDIS support with a large Fortune 500 Healthcare company in the Helena MT and surrounding area! This position will ... In this role you will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role is essential for ensuring… more
- Centene Corporation (Austin, TX)
- …and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities. + Develop QI, NCQA and HEDIS projects with delegated ... vendors to support accreditation maintenance and HEDIS reporting. + Coordinate assigned NCQA and ... HEDIS reporting. + Coordinate assigned NCQA and HEDIS work plan activities. + Assist with delegation oversight… more
- Molina Healthcare (MI)
- **_JOB TITLE: Sr. Specialist , Quality Improvement RN (REGISTERED NURSE)_** **_For this position we prefer someone with 5 - 7 years hospital clinical experience and ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
- Molina Healthcare (AZ)
- …accreditation surveys and federal/state QI compliance activities. **A background in quality/ HEDIS is very important for this position. Please have that experience ... updated on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or more of these quality… more
- Molina Healthcare (Flint, MI)
- …for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience ... on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one or more of...with 1 year experience in health plan quality improvement ( HEDIS ), managed care or equivalent experience. + Demonstrated solid… more
- Molina Healthcare (Tacoma, WA)
- …is important for this position. Please include any experience in Quality/ HEDIS on your application. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… 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
- Centene Corporation (Sacramento, CA)
- …including data management, data reporting needs, and project management. + Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and ... initiatives including but not limited to: access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …sites to support this growth. We are currently hiring a Document Imaging Specialist based in Worcester. The Document Imaging Specialist ensures health record ... records and retired record logs. + Coordinate and manage requests for HEDIS reviews, including scheduling reviewers, maintaining records of patients reviewed and… more
- Molina Healthcare (Seattle, WA)
- …education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these ... + Support internal Quality and VBC-related activities. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance… more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Title: Accounting Specialist II** **Location: Rancho Cucamonga CA (Hybrid)** **Duration: 6 months** **Pay Range : $24/hr. - 25.90/hr (On W2)** Find joy in serving ... experience!** Under general leadership within the Finance Department, the Accounting Specialist II will complete a variety of specialized duties to support… more
- Robert Half Office Team (Minneapolis, MN)
- …industry, based in Minneapolis, Minnesota. The role will primarily involve HEDIS data collection efforts, including extensive provider outreach and data management ... * Conduct a significant amount of provider outreach via phone calls for HEDIS data collection efforts. * Manage and update data organized within Excel spreadsheets,… more