- 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
- 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
- Humana (Columbus, OH)
- …variable factors. Humana's Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic ... making, collaboration with partners across the enterprise and support of the HEDIS program and related activities. This will require building and maintaining strong… more
- 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
- CenterWell (Raleigh, NC)
- …best practice recommendations and develop practice specific strategies designed to improve Medicare quality measures ( HEDIS ) as well as Part D/Patient Safety and ... make decisions that will positively impact improved outcomes for CMS Stars quality measure ( HEDIS , patient safety and patient satisfaction).** **Provide support… more
- 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
- CareFirst (Baltimore, MD)
- …implementing efficiencies. This position will support efforts to improve medication-related Stars and HEDIS quality metrics and support Cost of Care ideation and ... VA area in order to travel into the offices on occasion.** **PURPOSE:** The Quality and Cost of Care Clinical Pharmacist plays critical role in improving and… more
- Molina Healthcare (ID)
- …+ 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
- 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
- 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
- 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
- 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
- CenterWell (Harlingen, 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 (Altamonte Springs, FL)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... + Bilingual in English and Spanish + Experience with HEDIS and ICD/CPT coding + Experience with Electronic Medical...assistance. See Additional Information on testing. Any Humana associate who speaks with a member in a language… more
- Humana (Nashville, TN)
- …groups and internal partners along with supporting and improving financial and quality performance within the contracted working relationship with the health plan. ... Clinical Team, Contracting, etc.) + Educates physician groups on HEDIS , Patient Safety, Patient Experience, financial performance, instills focus on… more
- Conviva (Lake Park, FL)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Assistant experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience… more
- 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 ... Assesses customer satisfaction with services and resolves complaints. + Improves quality results by studying, evaluating, and re-designing processes. + Recommends… more
- 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 (Rockport, TX)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience with Electronic… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …performance measurement and improvement programs.The TeamAs an integral part of the HEDIS HOS Intervention team (HHIT) within Clinical Quality and Compliance, ... members with gaps in care to assure adherence with HEDIS /STARs measures and contact provider offices to schedule appointments...and virtual administrative support to the HHIT and Clinical Quality Team and for any associated improvement events (ex.… more