• Sr. Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (TX)
    …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
    Molina Healthcare (11/22/24)
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  • Sr Mgr, HEDIS Measures Team

    CVS Health (Kansas City, MO)
    …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...perform on various quality metrics across several quality-of-care domains. HEDIS reporting is a requirement for NCQA Accreditation, CMS… more
    CVS Health (11/13/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
    Centers Plan for Healthy Living (11/06/24)
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  • HEDIS Quality Associate - Hedis

    Health First (Rockledge, FL)
    …Customer Service and Stewardship by contributing to Health First Health Plans HEDIS activities that support regulatory compliance, CMS STARS, NCQA Accreditation and ... individual will assist in coordination of data collection of HEDIS and state- mandated quality metrics specification, abstraction, data...at the Health plan and reports to Supervisor of HEDIS . * Maintain current knowledge of HEDIS more
    Health First (09/04/24)
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  • HEDIS Specialist

    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
    Actalent (11/09/24)
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  • Business Information Developer Consultant…

    Elevance Health (St. Louis, MO)
    **Business Information Developer Consultant - HEDIS Analytics** **Location:** This position will work a hybrid model (remote and in office one to two days per week). ... Wallingford, CT or Louisville, KY. The **Business Information Developer Consultant - HEDIS Analytics** is responsible for developing and executing more complex data… more
    Elevance Health (10/29/24)
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  • HEDIS Quality LPN

    Robert Half Accountemps (Houston, TX)
    Description We are seeking a HEDIS Quality LPN to join a fully remote team. The HEDIS Quality LPN focuses on HEDIS operations and data collection. The ... opportunity. Responsibilities: * Assist in medical records review to identify Star/ HEDIS opportunities for the medical staff. * Perform data collection and… more
    Robert Half Accountemps (11/21/24)
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  • HEDIS Quality Coordinator

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ( HEDIS ... in person or via electronic medical records systems, to ensure compliance with HEDIS measures. Additionally, this position will make outbound calls to members to… more
    DOCTORS HEALTHCARE PLANS, INC. (11/20/24)
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  • Coding Quality Auditor, HEDIS *Remote

    Providence (OR)
    …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of… more
    Providence (11/16/24)
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  • HEDIS Retrieval Specialist

    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
    Robert Half Accountemps (11/10/24)
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  • Clinical Nurse Auditor, HEDIS *Remote

    Providence (WA)
    …must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits for the ... using objective specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits, which include review of outpatient medical… more
    Providence (10/30/24)
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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 ... 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
    Insight Global (10/01/24)
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  • Care Coordinator (non-RN) - Lakewood Medical…

    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
    Truman Medical Centers (11/22/24)
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  • Sr Analyst, HEDIS /Quality Reporting…

    Molina Healthcare (MI)
    …compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES** ... In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS /Quality Reporting develops and provides reports and cost-benefit analysis tools… more
    Molina Healthcare (10/20/24)
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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 ... making, collaboration with partners across the enterprise and support of the HEDIS program and related activities. This will require building and maintaining strong… more
    Humana (11/22/24)
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  • Remote - HEDIS Nurse

    Actalent (Columbia, SC)
    Immediate hiring for "Remote HEDIS Nurses" in US ! Job Description: + Lead data collection and abstraction for company quality measures, including HEDIS , CMS, ... custom measurements. + Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards + Review… more
    Actalent (11/24/24)
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  • HEDIS Nurse (Remote)

    Actalent (Austin, TX)
    Actalent is currently hiring for Remote HEDIS Nurses (RN/LPN)! Job Description: + Lead data collection and abstraction for company quality measures, including ... HEDIS , CMS, CHIPRA and/or any other custom measurements. +...+ Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards… more
    Actalent (11/22/24)
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  • HEDIS Coordinator

    Actalent (Pembroke Pines, FL)
    Actalent is Hiring a team of HEDIS Coordinators Responsibilities: + Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including ... knowledge of the National Committee on Quality Assurance (NCQA). + HEDIS requirements preferred. Skills: Quality improvement, data, audit, data abstraction, chart… more
    Actalent (11/20/24)
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  • HEDIS Nurse- REMOTE

    Actalent (Austin, TX)
    …* Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare ... results to HEDIS standards and/or custom * Review medical records and abstract data for HEDIS and other measure sets * Track and report on issues and outcomes… more
    Actalent (11/09/24)
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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 ... in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification… more
    US Tech Solutions (11/06/24)
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