- 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 ... the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data… more
- Centene Corporation (Columbus, OH)
- …to leadership and/or customers + Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a ... business intelligence and visualization tools including Microsoft PowerBI. Experience with HEDIS , NCQA, Medicare Star Rating System, QRS, or other quality measures… more
- Ventura County (Ventura, CA)
- …years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must ... the Senior Medical Management Nurse is responsible for performing utilization review , case management, and quality improvement functions to ensure that members… 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: * ... business. * Upon request, releases records electronically for admitted patient's payor concurrent review of records. * Upon request, releases electronic copies of… more