• HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    … is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan ... HEDIS Reviewer 990 Stewart Ave, Garden...Specialist(s) as indicated by HEDIS measures. + Review assigned medical records in...of data collection, medical record review , and data extraction. NCQA and HEDIS more
    Centers Plan for Healthy Living (11/06/24)
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  • Sr. Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (NY)
    …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...Duties** + Performs the coordination and preparation of the HEDIS medical record review more
    Molina Healthcare (11/10/24)
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  • Consultative Partner HEDIS Nurse

    Corewell Health (Grand Rapids, MI)
    HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical ... and abstraction is performed remotely and involves electronic medical records , requires capturing and securing documentation,...Hire Preferred + 2 years of previous experience with HEDIS Medical Record Review more
    Corewell Health (11/16/24)
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  • HEDIS Coordinator

    US Tech Solutions (PA)
    **Job Description:** + Review and abstract relevant data from medical records to ensure compliance with HEDIS measures, clinical information and ... with Providers and clinical staff to obtain the necessary medical records Conduct quality checks on abstracted...Demonstrated expertise, medical record collection, medical terminology Should have knowledge of HEDIS ,… more
    US Tech Solutions (11/16/24)
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  • HEDIS Chart Reviewer

    Robert Half Office Team (San Antonio, TX)
    …* Handle data entry and collection for specific markets. * Conduct medical record review and abstraction for HEDIS and HEDIS -like measures. ... The role requires strong skills in data collection and medical record review . It is...training. * Assist in the review of medical records to identify Star/ HEDIS more
    Robert Half Office Team (10/18/24)
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  • HEDIS Quality Associate - Hedis

    Health First (Rockledge, FL)
    …** *Stewardship: * * Accurately review , abstract, data enter and overread HEDIS data from qualified medical records per established guidelines and ... reduction and other areas as assigned. * Perform continuing medical record evaluation and follow-up education as...variations in data and processes. * Ability to evaluate medical records and data with attention to… more
    Health First (09/04/24)
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  • HEDIS Quality LPN

    Robert Half Accountemps (San Antonio, TX)
    …offers a short-term contract employment opportunity. Responsibilities: * Assist in medical records review to identify Star/ HEDIS opportunities for the ... coding practices. * Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS...HEDIS /Star measures. * Support quality initiatives by requesting medical records from providers' offices as needed.… more
    Robert Half Accountemps (10/18/24)
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  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
    US Tech Solutions (11/06/24)
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  • HEDIS Nurse- REMOTE

    Actalent (Austin, TX)
    …vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom * Review medical records and abstract data for HEDIS and ... and vendors Additional Skills & Qualifications * Recent experience with HEDIS , NCQA, Quality Initiatives/Standards. * Previous HEDIS abstraction/overread… more
    Actalent (11/09/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . The Senior Specialist will be asked ... lead role in the coordination and preparation of the HEDIS medical record review...and member interventions and incentive efforts as needed through review of medical records documentation.… more
    Molina Healthcare (10/20/24)
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  • Sr Analyst, HEDIS /Quality Reporting…

    Molina Healthcare (MI)
    …for key performance measurement activities, including HEDIS , state-based measure reporting and medical record review ). + Collaborates and / or assists in ... QI compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES**… more
    Molina Healthcare (10/20/24)
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  • Lead Analyst, Quality Analytics & Performance…

    Molina Healthcare (WI)
    …data. + 4+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line ... rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting...Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates.… more
    Molina Healthcare (11/09/24)
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  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    Job Title: HEDIS Reviewer II Location: Remote Duration:...collection and review of medical records to abstract clinical information for HEDIS ... Job Description: This position interprets relevant clinical criteria through review of medical records , annotates...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
    US Tech Solutions (10/18/24)
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  • Bilingual Medical Assistant - Port Arthur…

    CenterWell (Port Arthur, TX)
    …read, write, and speak in both languages** + Experience with Electronic Medical Records software + Experience with HEDIS + Active Medical Assistant ... symptoms and gathering and inputting information into the electronic medical records system, taking vital signs, giving...Alert: Please be aware that applicants selected for leader review may be asked to provide a social security… more
    CenterWell (11/14/24)
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  • Coding Quality Auditor, HEDIS *Remote

    Providence (OR)
    …Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of outpatient medical records , hospital records , clinical ... 3+ years' experience with extracting clinical data points from medical records + 3+ years' experience with... medical knowledge/terminology in a medical record + 2+ years of HEDIS experience… more
    Providence (11/16/24)
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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...regular, timely feedback as well as the formal performance review process to ensure high-quality deliverables and ongoing colleague/team… more
    CVS Health (11/13/24)
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  • Clinical Nurse Auditor, HEDIS *Remote

    Providence (WA)
    …and Data Information Set ( HEDIS ) program + Conduct Audits, which include review of outpatient medical records , hospital records , clinical ... **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical...prior to performing chart abstractions + Maintain all collected records in a confidential manner + Perform all duties… more
    Providence (10/30/24)
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  • HEDIS Retrieval Specialist

    Robert Half Accountemps (Minneapolis, MN)
    …and performs follow up of requests within database tools - Performs medical record reviews for risk adjustment, HEDIS (R) and HEDIS (R)-like measures via ... will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period....Performs provider outreach, verifying and confirming provider demographics & medical record requests, both by telephone and… more
    Robert Half Accountemps (11/10/24)
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  • HEDIS Nurse Chart Abstractor

    Robert Half Accountemps (San Antonio, TX)
    …of new data processes to improve overall HEDIS measures. Responsibilities: + Review and abstract selected medical records according to specific ... Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about...understanding of medical terminology and principles of medical record keeping. + Exceptional attention to… more
    Robert Half Accountemps (10/19/24)
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  • HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    …position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
    Insight Global (10/01/24)
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