- Commonwealth Care Alliance (Boston, MA)
- 011370 CCA-Population Health Strategy **Position Summary:** Reporting to the Manager of HEDIS or her/his delegate, the HEDIS Abstraction & Review ... quality controls for the HEDIS Medical Record Review . HEDIS ratings are one tool used...preferred + Medical Record Audit experience preferred (medical record review and capturing/ documenting appropriate clinical information… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …He/she will assist the Program Manager in the training of all temporary HEDIS review staff and will provide direct supervision of temporary staff as needed ... HEDIS Medical Record Specialist will assist the Program Manager in preparing for the annual HEDIS ...training and education to physician and provider offices regarding HEDIS and clinical data abstraction requirements; +… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... 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
- Elevance Health (Mason, OH)
- **Business Information Consultant Sr ( HEDIS )** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles ... Health PulsePoint office locations. The **Business Information Consultant Sr ( HEDIS )** is responsible for coordinating and consolidating various impact analyses… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …up to date knowledge and understanding of technical specifications for all HEDIS measures. Leads collaborative review of mapping documentation for annual ... a Subject Matter Expert to management and other departments.** **Leads collaborative review of mapping documentation for annual HEDIS Specification update… more
- Dignity Health (Bakersfield, CA)
- …is remote/work from home** **within California** **.** **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple ... for projects that are consistent with the organization's strategic goals. The Manager , Clinical Quality Improvement will oversee the day-to-day management of… more
- VNS Health (Manhattan, NY)
- …support critical Quality Improvement functions (eg, Performance Improvement Projects, including HEDIS , state-based measure reporting and medical record review ). ... OverviewLeads and manages all aspects of data for the HEDIS /STARS/QARR/QIP functions, which includes but are not limited to, data collection and submission, quality… more
- Fallon Health (Worcester, MA)
- …and staff within Fallon Health to facilitate the design and implementation of clinical quality improvement activities and to support HEDIS submissions. In ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...**Compliance & Audit (40%)** * Serves as the Project Manager of the External Quality Review Organization… more
- Elevance Health (Seven Fields, PA)
- …quarterly, annual and ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal written correspondence in ... and outreach interventions, provider education and outreach interventions, medical record review , focus studies and surveys. + Conducts quality of care… more
- HCA Healthcare (Salt Lake City, UT)
- …provides satisfaction and personal growth, we encourage you to apply for our Manager Care Quality opening. We promptly review all applications. Highly qualified ... integrity. We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, offers… more
- Adelante (Phoenix, AZ)
- …Senior Quality Immunizations Program Analyst, Senior Quality Data Analyst, the Quality Improvement Manager and Safety and Clinical Risk Manager EXPECTATIONS ... in collaboration with SQIDA + Collaborate with Quality Improvement Manager to create, review progress and update...+ Collect and analyze data related to: + UDS, HEDIS + Quality metrics + Clinical audits… more
- CareFirst (Owings Mills, MD)
- …of the Director of Government Programs Pharmacy Services. The Medicaid Pharmacy Manager is also responsible for providing clinical expertise relative to ... the pharmacy benefit programs, participating in designing, developing, and implementing clinical programs to promote a quality cost-effective medication use and… more
- Elevance Health (Los Angeles, CA)
- …for working with the regional head of quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement, NCQA ... Information Set ( HEDIS ) improvement action plans, year round medical record review , and over read processes. + Monitors and reports quality measures per state,… more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …all relative clinic forms, quality/ HEDIS measures, lab and x-ray reports and review of the Patient Manager and Medication confirmation process and any ... month program that prepares students to take the Certified Clinical Medical Assistant (CCMA) test through the National Health...non-compliance should be reported immediately to the supervisor / manager . + Assists providers with GYN exams, I &… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. ... in risk management reviews. + Assists in pharmacy utilization management, catastrophic case review , outreach programs, HEDIS reporting, site visit review … more
- Molina Healthcare (AZ)
- …quality management compliance activities. Please make sure to include any healthcare/ HEDIS /quality metric experience on your resume. We are moving quickly to ... and results to identify opportunities for improvement. * Monitors and collaborates with Manager and Director to address any gaps in processes that may require… more
- Johns Hopkins University (Baltimore, MD)
- …on data analytics projects and initiatives from the Business Analytics and Clinical Data Program Manager . **Specific Duties & Responsibilities** _Ambulatory ... on improving operations and communication amongst the practices. + Participate in the review of PQRS, HEDIS , Value Based Purchasing and other population health… more
- CenterWell (Mesa, AZ)
- …Medical Director is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical history and medical ... time dedicated to administrative duties related to oversight of clinical provision of care in their area. + .Requires...perspective of the market. + Assist in Ongoing Chart Review monitoring. + Assist with recruitment and interviewing as… more
- CenterWell (Columbia, SC)
- …histories in electronic medical records software + Phone Triage using critical clinical judgement. + Delivering results to patients as providers direct. + Performing ... screened for TB. + Excellent customer service + Strong clinical background + The ability to adapt and work...+ Experience with Electronic Medical Records + Experience with HEDIS + Knowledge of primary care medicine requirements (state… more
- CenterWell (The Villages, FL)
- …put health first** As a Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop lifelong well-being and health. The ... are multiskilled health professionals responsible for performing administrative and clinical tasks in our primary care facilities while delivering outstanding… more
Related Job Searches:
Clinical,
Clinical Review,
HEDIS,
HEDIS Manager,
Manager,
Manager Clinical Review,
Review