- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, September 9, 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
- Blue KC (MO)
- …financial assistance** **Employee discount program** **Job Description Summary:** The HEDIS Quality Performance Analyst RN provides clinical interpretation of ... medical records for HEDIS (R) reporting. This position involves abstraction of clinical information...abstraction of clinical information from medical records that meet Hedis measure requirement and entering them into the … more
- Centene Corporation (Columbia, SC)
- …workplace flexibility. **Position Purpose:** Supervise and coordinate team ensure HEDIS data accuracy and reporting, including investigations, auditing, and ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
- 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
- Molina Healthcare (Florence, KY)
- …the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review. + Manages ... annual HEDIS data collection activities. Responsibilities include responding to RFP(s)...include responding to RFP(s) as needed, development of the HEDIS measures matrix, HEDIS work plans, and… more
- Elevance Health (Richmond, VA)
- **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
- Providence (MT)
- …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
- 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
- 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
- Providence (OR)
- …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
- 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
- Actalent (Northridge, CA)
- HEDIS Administrative Assistant- Ongoing Contract Description: A fast paced clinic is seeking administrative support for the HEDIS Department. The ideal candidate ... be able to speak English and Spanish, and have the basic knowledge to support HEDIS team with filing, scanning, stapling, etc. Pay: $22/hr Contract: At least 3 month… more
- Robert Half Office Team (Minneapolis, MN)
- …demographics and medical record requests * Perform medical record reviews for risk adjustment, HEDIS and HEDIS -like measures via remote EMR access or onsite * ... weekly schedule onsite or virtually focused on risk and/or HEDIS (R) data collection efforts + Performs duties as assigned...immediately + Performs medical record reviews for risk adjustment, HEDIS (R) and HEDIS (R)-like measures via remote EMR… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …oversight of the Quality Improvement Program, related work plans, quality activities, HEDIS , and STARS. This leader will develop, implement and monitor all quality ... + Demonstrates clinical proficiency with healthcare performance measures including HEDIS , Medicare Stars, Pharmacy Quality Alliance (PQA) and Medicare specific… 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
- Robert Half Accountemps (St. Paul, MN)
- Description Do you have HEDIS experience? Join a Fortune 500 Healthcare company on a fully remote, long term contract opportunity with potential for full time hire! ... many areas of risk adjustment and quality improvement, including HEDIS (R), CAHPS and Accreditation. Our goal is to achieve...immediately + Performs medical record reviews for risk adjustment, HEDIS (R) and HEDIS (R)-like measures via remote EMR… more
- Centene Corporation (Tallahassee, FL)
- …of business partners. Training will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to ensure training curriculum and ... content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote. Candidates will be...as required **Highly Preferred Skills:** + 3+ years of HEDIS experience + 2+ years as a LPN or… more
- US Tech Solutions (May, OK)
- Job Title: HEDIS Reviewer II Location: Remote Duration: 7 months Job Description: This position interprets relevant clinical criteria through review of medical ... Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required… more
- Centene Corporation (Jefferson City, MO)
- …+ Complies with all policies and standards + Preference of HEDIS Operations **Education/Experience:** Bachelor's degree in related field or equivalent experience. ... 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Pay Range: $67,400.00 - $121,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health… more
- Geisinger (Danville, PA)
- …Details Work schedule will coordinate with Eastern time zone Healthcare, HEDIS , vendor management and SQL experience preferred Employee Value Proposition: This ... role would be welcomed to a fast paced team that is actively working to evolve the efficiency and effectiveness of healthcare payor operations. We partner closely with our business and clinician partners to ensure the best use of our technology now and into… more
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