- 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 ... that purpose. Job Summary The Healthcare Effectiveness Data and Information Set ( HEDIS ) Abstractor II reviews medical records to ensure completeness, compliance with… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the ... the medical charts meet the standards as outlined by HEDIS specifications (understanding provider chase logic). Assist as needed...needed in the creation and support of the Roadmap, HEDIS audit, and various HEDIS reports including… more
- Molina Healthcare (Sioux City, IA)
- …team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... minimum over read standards. **Job Duties** + Coordinates 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
- Molina Healthcare (AZ)
- …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
- Commonwealth Care Alliance (Boston, MA)
- 011370 CCA-Population Health Strategy **Position Summary:** Reporting to the Manager of HEDIS or her/his delegate, the HEDIS Abstraction & Review Specialist will ... support quality controls for the HEDIS Medical Record Review. HEDIS ratings are one tool used to assess Commonwealth Care Alliance's performance in a set of… more
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary Job Description The HEDIS Reviewer and Auditor - Health Plan is responsible for conducting comprehensive reviews ... complete reporting for the Healthcare Effectiveness Data and Information Set ( HEDIS ). This role involves identifying and analyzing data trends, extracting clinical… more
- Molina Healthcare (MI)
- …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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist will assist the Program Manager in preparing ... for the annual HEDIS submission. During the HEDIS reporting season, the HEDIS Medical Record Specialist will abstract medical records, schedule and conduct… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …specifications for the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) lifecycle processes for all lines of business (Commercial, Marketplace, ... Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey… more
- 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 ... This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for...This person will be responsible for Quality Check of FDC/ HEDIS nurses. This person will use healthcare data and… more
- Elevance Health (Atlanta, GA)
- …Elevance Health location. **Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company ... strategy, commitments, and goals.** PRIMARY DUTIES: + Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and product… more
- Truman Medical Centers (Kansas City, MO)
- …for positions and apply.** Care Coordinator (non-RN) - Lakewood Medical Center HEDIS team 101 Truman Medical Center **Job Location** UH Lakewood Medical Center ... coaching and consulting to outside organizations. **Job Description** **The HEDIS Care Coordinator functions as an integral part of...Care Coordinator functions as an integral part of the HEDIS team and is responsible for partnering with external… more
- Elevance Health (Columbus, OH)
- **Process Improvement Director- HEDIS ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director- HEDIS ** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- US Tech Solutions (PA)
- …and abstract relevant data from medical records to ensure compliance with HEDIS measures, clinical information and treatment history Validate and verify the accuracy ... of abstracted data to ensure it meets quality standards and aligns with HEDIS specifications Work with Providers and clinical staff to obtain the necessary medical… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Manages all aspects of Healthcare Effectiveness Data and Information Set ( HEDIS ) functions including planning, data collection and submission, quality control, and ... and analyses of quality measurement results (including, but not limited to HEDIS , STARS, CAHPS and HOS) to identify actionable opportunities for quality improvement.… 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
- 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 ... from onsite visit, assigned remote charts Highlighting member demographics & HEDIS evidence using Adobe Acrobat Reader Reviewing Overreads for any corrections… more
- US Tech Solutions (Canton, MA)
- **Overview:** We are seeking a ** HEDIS Coordinator** to support a large-scale project involving the collection and tracking of electronic medical records. The ideal ... from medical records using MS Excel. + Input medical record status into the HEDIS database. + Contact non-responsive providers and document call statuses. + Fax … more
- Highmark Health (Columbus, OH)
- …advanced analytics solutions to drive improvements in clinical quality and HEDIS performance. The ideal candidate will possess hands-on experience with the ... in Healthcare Industry + 1 year in Clinical Quality ( HEDIS ) Analytics + 1 year in Research and Development...year in Consulting + 1 year in Clinical Quality ( HEDIS ) Analytics + 1 year in Research and Development… more
- Elevance Health (Mason, OH)
- …workplace model with PulsePoint sites used for collaboration, community, and connection The ** HEDIS Research Analyst** is responsible for serving as an expert in ... HEDIS data analysis, reporting and formulating recommendations, and providing...and statistical software is strongly preferred. + Knowledge of HEDIS technical specification and interpretation is highly preferred. +… more
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