• Lead Overreader, HEDIS /Quality Improvement…

    Molina Healthcare (Columbus, OH)
    …oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The Lead ... more
    Molina Healthcare (01/21/25)
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  • HealthCare HEDIS Reporting Lead

    AmeriHealth Caritas (Newtown Square, PA)
    …. ;** This is a remote position. ; Previous experience with full HEDIS Road Map and life cycle, SQL skills and previous management experience.; **Responsibilities:** ... more
    AmeriHealth Caritas (03/18/25)
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  • HEDIS Analyst Sr

    AmeriHealth Caritas (Philadelphia, PA)
    …Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the ... more
    AmeriHealth Caritas (03/13/25)
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  • Lead Overreader, HEDIS Abstraction…

    Molina Healthcare (WA)
    …oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The Lead ... more
    Molina Healthcare (02/08/25)
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  • HEDIS Abstractor II (Temporary)

    LA Care Health Plan (Los Angeles, CA)
    HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... more
    LA Care Health Plan (01/09/25)
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  • HEDIS Overreader Registered Nurse

    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 ... more
    Insight Global (12/31/24)
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  • Senior HEDIS Medicaid Data Manager

    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 ... more
    Humana (03/21/25)
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  • Patient Care Advocate - HEDIS

    Actalent (Atlanta, GA)
    …where their services are embedded. + Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA ... more
    Actalent (03/06/25)
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  • HEDIS Reviewer II

    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 ... more
    US Tech Solutions (02/05/25)
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  • HEDIS Registered Nurse or LPNs (Field…

    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 ... more
    Insight Global (12/31/24)
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  • Senior Analytic Data Analyst - FEP HEDIS

    Highmark Health (Columbus, OH)
    …development and deployment of analytics to assist in the betterment of HEDIS Quality performance improvement. The incumbent cleanses, validates, audits, and compares ... more
    Highmark Health (03/13/25)
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  • Sr Medical Records Collector

    Molina Healthcare (Columbus, OH)
    **Job Description** **Job Summary** Molina's HEDIS /Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working ... more
    Molina Healthcare (03/22/25)
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  • Quality Practice Advisor

    Centene Corporation (Oklahoma City, OK)
    …5PM CENTRAL TIME ZONE.** **IDEAL APPLICANT WILL BE A NURSE WITH HEDIS BACKGROUND.** **Position Purpose:** Establishes and fosters a healthy working relationship ... more
    Centene Corporation (02/23/25)
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  • Medical Records Collector (Must reside in NYC…

    Molina Healthcare (Columbus, OH)
    **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to ... more
    Molina Healthcare (02/14/25)
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  • Medicare Advantage Quality Consultant (WNY…

    Highmark Health (Albany, NY)
    …is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to ... more
    Highmark Health (03/21/25)
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  • Manager, Clinical Quality Improvement

    VNS Health (Manhattan, NY)
    …+ Leads the clinical audit team, ensuring compliance with Medicare STARS, HEDIS /QARR, and regulatory requirements. + Develops forms, record abstracts, reports, and ... more
    VNS Health (03/13/25)
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  • Senior Manager, Health Care Quality Mgmt.

    CVS Health (Topeka, KS)
    …and central time zones._ This position is responsible for managing all HEDIS -related primary source verification activities to support all lines of business, and ... more
    CVS Health (03/21/25)
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  • Senior Patient Care Advocate

    Centene Corporation (Columbus, GA)
    …group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports ... more
    Centene Corporation (03/04/25)
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  • Patient Care Advocate

    Centene Corporation (Little Rock, AR)
    …group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports ... more
    Centene Corporation (03/16/25)
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  • Population Health Clinical Quality and Risk…

    Catholic Health Initiatives (Houston, TX)
    …on how to improve clinical and patient outcomes, provides information on HEDIS measures, and ensure feedback is relayed on documenting appropriate medical record ... more
    Catholic Health Initiatives (03/04/25)
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