• 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)
    - Save Job - Related Jobs - Block Source
  • HEDIS Quality Management Consultant

    Actalent (Des Moines, IA)
    Job Title: HEDIS Quality Management Consultant Job Description Support the Quality Management team during the upcoming HEDIS season by reviewing, abstracting, ... and documenting medical records based on NCQA and HEDIS technical specifications. Perform claims research, provider outreach, and create medical record requests.… more
    Actalent (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Paducah, KY)
    …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in 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. + Leads meetings with vendors… more
    Molina Healthcare (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Sr. Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (OR)
    …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 (10/05/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Hedis Nurse- RN Required- 100% Remote

    Actalent (Dallas, TX)
    Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis, and presentation of healthcare data. The HEDIS Nurse ... will be responsible for managing all aspects of the HEDIS (Healthcare Effectiveness Data and Information Set) process, including data collection, verification, and… more
    Actalent (11/02/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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. (11/07/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Clinical Quality Program Manager

    Elevance Health (Indianapolis, IN)
    JR132653 HEDIS Clinical Quality Program Manager **Location:** This position requires you to reside within 50 miles (and 1 hour commute) of any open, relevant ... to work from your local office location a minimum of 1 day/week. The ** HEDIS ** **Clinical Quality Program Manager** is responsible for serving as a liaison with and… more
    Elevance Health (10/25/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Quality LPN

    Robert Half Accountemps (San Antonio, TX)
    Description We are seeking a HEDIS Quality LPN to join our team based in San Antonio, Texas. The HEDIS Quality LPN focuses on HEDIS operations and data ... opportunity. Responsibilities: * Assist in medical records review to identify Star/ HEDIS opportunities for the medical staff. * Perform data collection and… more
    Robert Half Accountemps (10/18/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Retrieval Specialist

    Robert Half Office Team (Minneapolis, MN)
    Description We are 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 Office Team (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Hedis Specialist

    TEKsystems (Santa Barbara, CA)
    Looking for a Hedis Specialist with SPECIFIC experience! Pay: $32-$33/HR Must have: + Previous HEDIS medical record review or auditing of medical record ... (MUST). Description: * Collaborate and continuously coordinate with the HEDIS project team, to assure a successful outcome of...to assure a successful outcome of the project and HEDIS Compliance Audit * Conduct HEDIS -related research… more
    TEKsystems (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Nurse Auditor, HEDIS *Remote

    Providence (Beaverton, 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
    Providence (10/30/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Nurse Chart Abstractor

    Robert Half Accountemps (San Antonio, TX)
    Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about healthcare and improving service delivery ... clinical data to improve the collection and organization of data based on HEDIS specifications. They will also be responsible for assessing the quality and… more
    Robert Half Accountemps (10/19/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Business Information Developer Consultant…

    Elevance Health (Roanoke, VA)
    …of an Extraordinary Team** **Title** : Business Information Developer Consultant - HEDIS Analytics **Location:** Candidates must reside within 50 miles or 1-hour ... and tracks, identifies issues, reviews, and analyzes data for contracts. + Maintains HEDIS timelines used to support the Medicare project plan and manages all… more
    Elevance Health (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Business Change Director-Star/ HEDIS

    Elevance Health (Atlanta, GA)
    **Business Change Director-Star/ HEDIS Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within 50 ... The **Business Change Director-Use Case Lead for Stars & HEDIS ** is responsible for collaborating with business stakeholders and...assets to drive downstream use cases for Stars & HEDIS . This role will ensure that we are correctly… more
    Elevance Health (11/02/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Chart Reviewer

    Robert Half Office Team (San Antonio, TX)
    …collection for specific markets. * Conduct medical record review and abstraction for HEDIS and HEDIS -like measures. * Assist Quality SDS/PSV Operations staff ... the team to identify pursuit leads for additional medical records. * Utilize HEDIS software correctly after successful completion of training. * Assist in the review… more
    Robert Half Office Team (10/18/24)
    - Save Job - Related Jobs - Block Source