• HEDIS Reviewer II

    US Tech Solutions (May, OK)
    Job Title: HEDIS Reviewer II Location: Remote Duration: 7 months Job Description: This position interprets relevant clinical criteria through review of ... Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required… more
    US Tech Solutions (08/28/24)
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  • Health Information Management Clerk II

    Queen's Health System (Honolulu, HI)
    …of records via secured file transfer protocol (FTP) sites for quality and payor review of records ( HEDIS /Risk Adjustment/RAC). II . TYPICAL PHYSICAL DEMANDS: ... business. * Upon request, releases records electronically for admitted patient's payor concurrent review of records. * Upon request, releases electronic copies… more
    Queen's Health System (09/19/24)
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  • Care Coordinator

    HCA Healthcare (Fort Lauderdale, FL)
    …+ Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical office processes + Self-motivated ... encourage you to apply for our Care Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
    HCA Healthcare (09/14/24)
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  • Provider Network Specialist II

    Centene Corporation (Omaha, NE)
    …detailed HBR (Health Benefits Ratio) analyses, Health Information data Information Set ( HEDIS ) analyses, and create reports for provider Review provider ... performance by both quantitative metrics and qualitative factors + Create and communicate milestone documents, dashboards and success or improvement metrics + Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving… more
    Centene Corporation (08/02/24)
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  • RN Outpatient Clinics (Primary Care, Medicine,…

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    …tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other ... skills prior to, during, and after specimen collection, ensuring to review pertinent information with the patient. Maintains specimen integrity by using… more
    Veterans Affairs, Veterans Health Administration (08/03/24)
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  • Physician - Chief Medical Officer - Primary Care

    Veterans Affairs, Veterans Health Administration (Orangeburg, SC)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Contract Buy Out Program: This position ... such as SAIL (Strategic Analytics for Improvement and Learning) and HEDIS (Healthcare Effectiveness Data and Information Set); Develop and administer performance… more
    Veterans Affairs, Veterans Health Administration (07/16/24)
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  • Deputy Associate Chief of Staff for Primary Care

    Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The incumbent serves as the Deputy ... by reviewing and analyzing VA performance measures including but not limited to HEDIS , eQM, SHEP and SAIL. VA offers a comprehensive total rewards package. VHA… more
    Veterans Affairs, Veterans Health Administration (09/14/24)
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  • Physician - Oncology

    Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities **This is an OPEN CONTINOUS ANNOUNCMENT ... quality improvement projects, committee assignments, EPRP activities, lean activities, ORYX, HEDIS , SAIL measures, etc. Demonstrates ability to function within the… more
    Veterans Affairs, Veterans Health Administration (08/31/24)
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  • Physician - Oncologist

    Veterans Affairs, Veterans Health Administration (Columbia, SC)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The facility provides care to ... quality improvement projects, committee assignments, EPRP activities, lean activities, ORYX, HEDIS , SAIL measures, etc. Demonstrates ability to function within the… more
    Veterans Affairs, Veterans Health Administration (07/16/24)
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