• Hedis Specialist

    TEKsystems (Santa Barbara, CA)
    Looking for a Hedis Specialist with SPECIFIC experience! Pay: $32-$33/HR Must have: + Previous HEDIS medical record review or auditing of medical record ... (MUST). Description: * Collaborate and continuously coordinate with the HEDIS project team, to assure a successful outcome of...to assure a successful outcome of the project and HEDIS Compliance Audit * Conduct HEDIS -related research… more
    TEKsystems (11/02/24)
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  • HEDIS Revenue Cycle Management…

    TEKsystems (Tampa, FL)
    Position Summary: The Revenue Cycle HEDIS Specialist will be responsible for building and maintaining collaborative and productive relationships within the ... organization relating to revenue cycle management, managing revenue cycle projects, driving performance in operations related to reimbursement and providing direction and oversight of processes impacting cash collections. Job Responsibilities: * Serves as a… more
    TEKsystems (10/29/24)
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  • HEDIS Retrieval Specialist

    Robert Half Office Team (Minneapolis, MN)
    Description We are currently hiring seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting in ... January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
    Robert Half Office Team (11/05/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    …collect, and secure clinical documentation from Primary Care Physician (PCP) and/or Specialist (s) as indicated by HEDIS measures. + Review assigned medical ... HEDIS Reviewer 990 Stewart Ave, Garden City, NY...plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction,… more
    Centers Plan for Healthy Living (11/06/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. The Senior Specialist will be asked to perform ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
    Molina Healthcare (10/20/24)
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  • Retrieval Specialist

    Robert Half Office Team (Helena, MT)
    Description We are currently hiring for seasonal HEDIS support with a large Fortune 500 Healthcare company in the Helena MT and surrounding area! This position will ... In this role you will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role is essential for ensuring… more
    Robert Half Office Team (11/05/24)
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  • Accreditation Specialist

    Centene Corporation (Austin, TX)
    …and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities. + Develop QI, NCQA and HEDIS projects with delegated ... vendors to support accreditation maintenance and HEDIS reporting. + Coordinate assigned NCQA and ... HEDIS reporting. + Coordinate assigned NCQA and HEDIS work plan activities. + Assist with delegation oversight… more
    Centene Corporation (11/02/24)
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  • Sr Specialist , Quality Interventions/QI…

    Molina Healthcare (AZ)
    …accreditation surveys and federal/state QI compliance activities. **A background in quality/ HEDIS is very important for this position. Please have that experience ... updated on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or more of these quality… more
    Molina Healthcare (10/10/24)
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  • Specialist , Provider Engagement (Remote…

    Molina Healthcare (Flint, MI)
    …for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience ... on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one or more of...with 1 year experience in health plan quality improvement ( HEDIS ), managed care or equivalent experience. + Demonstrated solid… more
    Molina Healthcare (10/18/24)
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  • Specialist , Quality Interventions/QI…

    Molina Healthcare (West Seattle, WA)
    …is important for this position. Please include any experience in Quality/ HEDIS on your application. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
    Molina Healthcare (10/04/24)
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  • Senior Population Health Specialist

    Beth Israel Lahey Health (Wakefield, MA)
    …the supervision of the Quality Manager, the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members ... clinicians, leadership and support staff. The Senior Population Health Specialist leads cross-functional activities throughout the organization to support population… more
    Beth Israel Lahey Health (11/02/24)
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  • Senior Provider Engagement Specialist

    Molina Healthcare (Seattle, WA)
    …education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these ... + Support internal Quality and VBC-related activities. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance… more
    Molina Healthcare (10/27/24)
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  • Provider Network Credentialing Specialist

    Health First (Rockledge, FL)
    *POSITION SUMMARY* The Provider Network Credentialing Specialist is responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing ... 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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  • Document Imaging Specialist

    Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
    …sites to support this growth. We are currently hiring a Document Imaging Specialist based in Worcester. The Document Imaging Specialist ensures health record ... records and retired record logs. + Coordinate and manage requests for HEDIS reviews, including scheduling reviewers, maintaining records of patients reviewed and… more
    Edward M. Kennedy Community Health Center, Inc. (08/15/24)
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  • Temporary Accounting Specialist II

    ManpowerGroup (Rancho Cucamonga, CA)
    **Title: Accounting Specialist II** **Location: Rancho Cucamonga CA (Hybrid)** **Duration: 6 months** **Pay Range : $24/hr. - 25.90/hr (On W2)** Find joy in serving ... experience!** Under general leadership within the Finance Department, the Accounting Specialist II will complete a variety of specialized duties to support… more
    ManpowerGroup (10/15/24)
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  • Quality Improvement Specialist (Hybrid)

    VNS Health (Manhattan, NY)
    …actions. Identifies performance and process improvement opportunities to improve HEDIS /QARR, Star ratings and Incentive programs, as applicable. Assists management ... and initiatives across all product lines, including but not limited to NCQA HEDIS , NYSDOH QARR, Quality Scorecard, IPRO Projects, and CMS Quality Projects. *… more
    VNS Health (10/15/24)
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  • Coding Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    **Coding Education Specialist (AHIMA or AAPC certified) -** **Philadelphia, PA or Nashville TN** We value our talented employees, and whenever possible strive to ... Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding Specialist for Hospitals… more
    The Cigna Group (09/20/24)
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  • Population Health Specialist

    Beth Israel Lahey Health (Westwood, MA)
    …Under the supervision of the Quality Manager, the Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members ... leaders, practices, clinicians and hospital leadership. The Population Health Specialist is the primary point of contact with and...& Abilities:** + Strong knowledge of and experience with HEDIS ambulatory quality measures a must. + Ability to… more
    Beth Israel Lahey Health (11/07/24)
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  • Quality Improvement Specialist

    Trinity Health (Mishawaka, IN)
    …**Shift:** Day Shift **Description:** **JOB SUMMARY** The Quality Improvement Specialist assists in the continuous quality improvement and organizational excellence ... of Select Health Network. The Quality Improvement Specialist will have the primary responsibility of coordination assistance...+ Understands and stays up to date with current HEDIS measures. + Performs other duties consistent with purpose… more
    Trinity Health (10/08/24)
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  • Medicare Quality Specialist Pharmacy

    Corewell Health (Grand Rapids, MI)
    Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and CAHPS by making member ... + 2 years of retail pharmacy experience + Knowledge of CMS Stars, HEDIS , CAHPS, Drug Adherence, and Member Experience + Experience with Medicare Advantage +… more
    Corewell Health (11/01/24)
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