• Remote HEDIS Coordinator

    Actalent (Miami, FL)
    Job Title: HEDIS Coordinator Responsibilities: + Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including investigation, ... 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 Quality Coordinator

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …Plans is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ... ( HEDIS ) annual medical record collection project by retrieving and...via electronic medical records systems, to ensure compliance with HEDIS measures. Additionally, this position will make outbound calls… more
    DOCTORS HEALTHCARE PLANS, INC. (11/28/24)
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  • Care Coordinator (non-RN) - Lakewood…

    Truman Medical Centers (Kansas City, MO)
    …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Care Coordinator (non-RN) - Lakewood Medical Center HEDIS team ... training, coaching and consulting to outside organizations. **Job Description** **The HEDIS Care Coordinator functions as an integral part of the HEDIS more
    Truman Medical Centers (11/22/24)
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  • Quality Improvement Coordinator (Fully…

    Actalent (Hilo, HI)
    Actalent is in search of a Quality Improvement Coordinator to support our HEDIS case review program. This is a fully remote role for any applicant that is living ... Big Island of Hawaii. Position Summary: The Clinical Quality Improvement Coordinator I is responsible for analyzing, developing, implementing, and monitoring… more
    Actalent (11/28/24)
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  • Health Informatics and Metrics Project…

    Sea Mar Community Health Centers (Seattle, WA)
    …COVID-19 and flu vaccine organization Health Informatics and Metrics Project Coordinator - Posting #27157 Hourly Rate: $26.44 Position Summary: Full-time Health ... Informatics and Metrics Project Coordinator position available at Sea Mar's administrative office in Seattle, WA. This position works under the direction of the… more
    Sea Mar Community Health Centers (11/26/24)
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  • HIMS/Referral Coordinator

    CenterWell (Savannah, GA)
    …our caring community and help us put health first** The HIMS/Referral Coordinator (Referral and Scheduling Coordinator ) schedules and pre-registers patients for ... and providers outside of the primary care physician's office. The HIMS/Referral Coordinator (Referral and Scheduling Coordinator ) performs varied activities and… more
    CenterWell (11/14/24)
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  • Behavioral Health Coordinator , Orange,…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator is responsible for providing coordination of behavioral health services ... enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of...Portal (SPP) and will communicate with the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as needed,… more
    Community Based Care of Brevard, Inc. (10/17/24)
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  • HIMS/Referral Coordinator

    CenterWell (Denham Springs, LA)
    …our caring community and help us put health first** The HIMS/Referral Coordinator (Medical Records Clerk) assembles and maintains patients' health information in ... position. This position requires you to work on-site. The HIMS/Referral Coordinator (Medical Records Clerk) ensures all forms are properly identified, completed,… more
    CenterWell (11/21/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's employed and ... educating the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and provides guidance to the Care… more
    Covenant Health Inc. (10/23/24)
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  • Quality and Population Health Coordinator

    LA Care Health Plan (Los Angeles, CA)
    Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps.… more
    LA Care Health Plan (10/30/24)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Sacramento, CA)
    …data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and ... claims research. + Manage large volumes of documents including copying, faxing and scanning incoming mail **Education/Experience:** High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care… more
    Centene Corporation (11/27/24)
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  • Practice Transformation Coordinator

    Corewell Health (Southfield, MI)
    …entry, and data evaluation. + Responsible for training staff regarding HEDIS measures, quality improvements principles and standards, conducting PDSA, Cycle Time ... analysis, Process Mapping, Gap analysis, and facilitate quality improvement. + Works with ACO data staff to develop reporting procedures that will guide the management of processes and to improve compliance with specified metrics needed to meet program goals.… more
    Corewell Health (11/24/24)
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  • Physician - Primary Care (Patient Aligned Care…

    Veterans Affairs, Veterans Health Administration (Great Falls, MT)
    …Loan Repayment): Learn more. EDRP Authorized: Contact ###@va.gov, the EDRP Coordinator for questions/assistance NOTE: Former EDRP participants ineligible to apply ... with diabetes, hypertension, heart disease and mental health disorders ( HEDIS ) with the goal to reduce your PACT metrics...to reduce your PACT metrics and obtain excellence of HEDIS metrics. c. Excellence in ORYX (Joint Commission) measures.… more
    Veterans Affairs, Veterans Health Administration (11/27/24)
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  • Nurse Practitioner Bilingual Spanish - CenterWell

    CenterWell (Sun City, AZ)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + quarterly… more
    CenterWell (11/25/24)
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  • Advanced Practice provider (APP) - Conviva

    Conviva (Orange City, FL)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + quarterly bonus… more
    Conviva (11/22/24)
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  • Nurse Practitioner

    CenterWell (Savannah, GA)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Use your skills to make an impact** **Additional Information:** +… more
    CenterWell (11/22/24)
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  • Nurse Practitioner / Physician Assistant - VSP/PRN…

    CenterWell (Sun City, AZ)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Bilingual is a plus. **Additional Information** + Guaranteed… more
    CenterWell (11/19/24)
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  • Care Navigator

    Covenant Health Inc. (Knoxville, TN)
    …The Care Navigator works under the guidance of the RN Care Coordinator and Quality Leadership to provide collaborative care management services.Primarily work from ... resources to assist in care coordination efforts. + Demonstrates knowledge of HEDIS , HCCs, and Medicare Risk Adjustment and their impact on pay-per-performance… more
    Covenant Health Inc. (11/16/24)
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  • Vendor Relationship Manager

    Healthfirst (FL)
    …audit templates to validate data + Serve as a project coordinator to lead projects/vendor configurations as assigned, develop project plans, support ... Assist and lead implementation strategies to improve vendor engagement strategies for HEDIS and STARS Quality Initiatives. + Participate in Request for Proposal… more
    Healthfirst (10/31/24)
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  • Primary Care Physician

    ChenMed (Cincinnati, OH)
    …for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more
    ChenMed (10/26/24)
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