- Molina Healthcare (Columbus, OH)
- …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of ... more
- Molina Healthcare (Columbus, OH)
- …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Works with the Manager to monitor accuracy of ... more
- 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/ ... more
- Insight Global (Philadelphia, PA)
- …) Strong computer skills Ability to occasionally travel to local providers Previous HEDIS review experience or experience with Utilization Review , Quality, ... more
- US Tech Solutions (May, OK)
- …to assist in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical ... more
- Healthfirst (NY)
- …accredited institution + Clinical license: LPN, RN, LMSW or LCSW + Multiple years of HEDIS review experience for both Medicaid and Medicare lines of business + ... more
- CVS Health (Columbia, SC)
- …in the designated outreach services - Supports effective medical record capture for HEDIS (R) medical record review and abstraction of supplemental data - Public ... more
- LA Care Health Plan (Los Angeles, CA)
- …enters data on HEDIS forms (tool) and over reads medical record review performed by vendors. All received medical record information is abstracted and entered ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the ... more
- AmeriHealth Caritas (Newtown Square, PA)
- …. ;** This is a remote position. ; Previous experience with full HEDIS Road Map and life cycle, SQL skills and previous management experience.; **Responsibilities:** ... more
- Molina Healthcare (Columbus, OH)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... more
- Molina Healthcare (Charleston, SC)
- …Improvement functions (eg, reporting for key performance measurement activities, including HEDIS , state-based measure reporting and medical record review ). + ... more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS ... more
- AmeriHealth Caritas (Greenville, NC)
- …on delegate's performance against contract requirements and specifications for items such as HEDIS measures. + Review delegation agreements and provide input to ... more
- ConnextCare (Pulaski, NY)
- …Organization (ACO) contracts, and Social Care Networks Contracts + Complete/Coordinate system wide HEDIS Insurance chart audits + Review Gaps in Care and follow ... more
- Sharp HealthCare (San Diego, CA)
- …in risk management reviews. + Assists in pharmacy utilization management, catastrophic case review , outreach programs, HEDIS reporting, site visit review ... more
- University of Miami (Miami, FL)
- …preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge ... more
- AmeriHealth Caritas (LA)
- …initiatives. + Supports the quality improvement department with annual medical record review activities including HEDIS , and Clinical Practice Guidelines by ... more
- Queen's Health System (Honolulu, HI)
- …records via secured file transfer protocol (FTP) sites for quality and payor review of records ( HEDIS /Risk Adjustment/RAC). II. TYPICAL PHYSICAL DEMANDS: * ... more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina's HEDIS /Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working ... more