• HEDIS Quality Associate

    Health First (Rockledge, FL)
    …office environments. **Job:** **Medical Coding* **Organization:** **HF Administrative Plan Inc* **Title:** * HEDIS Quality Associate - Hedis * ... programs. The individual will assist in coordination of data collection of HEDIS and state- mandated quality metrics specification, abstraction, data entry,… more
    Health First (09/04/24)
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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. (11/07/24)
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  • HEDIS Clinical Trainer

    Centene Corporation (Tallahassee, FL)
    …measures. Liaise to ensure training curriculum and content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote. Candidates ... workplace flexibility. **Position Purpose:** Provide hands-on training to corporate quality staff and line of business partners. Training will...as required **Highly Preferred Skills:** + 3+ years of HEDIS experience + 2+ years as a LPN or… more
    Centene Corporation (10/24/24)
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  • Director, Quality and Accreditation…

    CareFirst (Baltimore, MD)
    Quality Improvement and Population Health staff, analysts and HEDIS operational staff, including vendor relationships supporting quality . Ensures ... the implementation and ongoing execution of cross-functional Quality Improvement initiatives improves HEDIS performance, customer satisfaction & members … more
    CareFirst (10/18/24)
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  • Quality Improvement Abstractor

    Centene Corporation (Columbia, SC)
    …workplace flexibility. **Position Purpose:** Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other ... activities with health plans and vendors when required + Perform other quality initiatives as necessary **Education/Experience:** Associate 's degree in related… more
    Centene Corporation (09/01/24)
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  • Associate Operations Director - Conviva

    Conviva (El Paso, TX)
    …Ensure optimal patient outcomes and company initiatives including but not limited to Quality , HEDIS / STARs, AHCA, financial management and employee and patient ... us put health first** Conviva is seeking a dedicated, compassionate, and experienced Associate Operations Director - who is interested in growing with the company… more
    Conviva (10/29/24)
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  • Associate Medical Director - UM PT

    Independent Health (Buffalo, NY)
    …perks, benefits and commitment to diversity and inclusion. **Overview** The Associate Medical Director, Utilization Management is responsible for assisting the ... of these programs, with focus on clinical accuracy and appropriateness. The Associate Medical Director (AMD) will assist the Medical Director in the efforts… more
    Independent Health (10/18/24)
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  • Lead Analyst, Data Quality Analytics…

    Molina Healthcare (OH)
    …+ 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality , finance, and health plan ... requested on all things data related **Job Qualifications** **REQUIRED EDUCATION:** Associate degree or equivalent combination of education and experience **REQUIRED… more
    Molina Healthcare (11/07/24)
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  • Regional Associate Director Health System…

    Bayer (Detroit, MI)
    …outcomes and may not align to evidence-based guidelines. Key foundations are:* HEDIS measurements* Quality metrics* Real world evidence* Establish evidence-based ... minds to make a real difference, there's only one choice.** **Regional Associate Director Health System & Population Health (Detroit, Michigan)** The Regional … more
    Bayer (11/05/24)
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  • Associate Medical Director

    Conviva (Tampa, FL)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... caring community and help us put health first** The Associate Medical Director serves as a health-care professional and...with logjams and workflow issues. + Oversight of provider quality and development of workflows to help close gaps… more
    Conviva (10/29/24)
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  • Associate Medical Director-Georgia

    CenterWell (Stone Mountain, GA)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... caring community and help us put health first** The Associate Medical Director serves as a health-care professional and...with logjams and workflow issues. + Oversight of provider quality and development of workflows to help close gaps… more
    CenterWell (10/30/24)
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  • Medical Assistant - Clinical Value…

    Penn State Health (Hershey, PA)
    …specialists as needed. **KNOWLEDGE, SKILLS & ABILITIES:** + Knowledgeable of healthcare quality programs including Medicare, HEDIS Metrics, and Merit Based ... is currently funded for 2 years. The Population Health Clinical Value Associate is integral in supporting Population Health activities. Population Health strives to… more
    Penn State Health (10/06/24)
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  • Clinic Manager - Conviva

    Conviva (Rockport, TX)
    …ensure optimal patient outcomes and company initiatives including but not limited to Quality , HEDIS / STARs, AHCA, financial management and employee and patient ... Assesses customer satisfaction with services and resolves complaints. + Improves quality results by studying, evaluating, and re-designing processes. + Recommends… more
    Conviva (11/05/24)
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  • Provider Network Credentialing Specialist

    Health First (Rockledge, FL)
    …credentialing policies and regulatory agencies including the National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS) ... and meets all regulatory and accreditation requirements and works with on-site NCQA, HEDIS and CMS auditors as needed. 2. Provide reports to internal departments for… more
    Health First (10/25/24)
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  • Medical Assistant/Phlebotomist Bilingual…

    CenterWell (Oviedo, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual...assistance. See Additional Information on testing. ​ Any Humana associate who speaks with a member in a language… more
    CenterWell (11/06/24)
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  • Clinic Manager - CenterWell

    CenterWell (Grand Prairie, TX)
    …ensure optimal patient outcomes and company initiatives including but not limited to Quality , HEDIS / STARs, AHCA, financial management and employee and patient ... Assesses customer satisfaction with services and resolves complaints. + Improves quality results by studying, evaluating, and re-designing processes. + Recommends… more
    CenterWell (11/02/24)
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  • Medical Assistant - Conviva Boca Raton

    Conviva (Deerfield Beach, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures. + Maintain established quality ... assignments. Works within defined parameters to identify work expectations and quality standards, but has latitude over prioritization/timing, and works under… more
    Conviva (10/29/24)
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  • HIM Intern

    Corewell Health (Grand Rapids, MI)
    This full-time internship will be supporting the HEDIS (Healthcare Effectiveness Data and Information Set) team for 12 consecutive weeks between January to May Job ... encountered and makes recommendations improvements, as appropriate. Participates in quality monitoring activities/process improvement activities. + Communicates, collaborates, and… more
    Corewell Health (10/30/24)
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  • Medical Assistant - CenterWell

    CenterWell (Longwood, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures. + Maintain established quality ... assignments. Works within defined parameters to identify work expectations and quality standards, but has latitude over prioritization/timing, and works under… more
    CenterWell (11/07/24)
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  • Medical Assistant - Elite Venice - Generous…

    Conviva (Venice, FL)
    …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH + Experience with HEDIS and ICD/CPT coding + Experience with Electronic Medical Records + Experience in a… more
    Conviva (11/05/24)
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