- Health First (Rockledge, FL)
- …data entry, and Performance improvement activities at the Health plan and reports to Supervisor of HEDIS . * Maintain current knowledge of HEDIS and ... Customer Service and Stewardship by contributing to Health First Health Plans HEDIS activities that support regulatory compliance, CMS STARS, NCQA Accreditation and… more
- Molina Healthcare (Ypsilanti, MI)
- …of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and / or Quality Reporting. Quality Intervention / QI ... would be valuable to uncover process gaps or limitations. HEDIS / Quality Reporting + Performs the lead role...the medical record collection process. + Assists Manager and Supervisor (s) in training and takes the lead role in… more
- Health First (Rockledge, FL)
- …with knowledge of Risk Adjustment, CMS and HHS HCC Models and basic understanding of HEDIS . o 2 years ICD 10-CM auditing experience. * Work Experience in lieu of ... intermediate understanding of Healthcare Effectiveness Data and Information Set ( HEDIS ). * Knowledge/Skills/Abilities: No additional *PHYSICAL REQUIREMENTS* * Majority… more
- VNS Health (Bronx, NY)
- …of Patient -Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications + Master's degree of ... care experience or two years managerial experience, preferred. + Demonstrated knowledge of Hedis and QARR quality measures, ICD- 10 and CPT coding for reimbursement… more
- University of Miami (Miami, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, Supervisor - General Internal Medicine - Full Time ... The Supervisor , Advance d Practice Providers supervises advance d practice...Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred… more
- Molina Healthcare (New York, NY)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor (s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Transitional Care Services Job Category: Clinical Department: Health Education Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Supervisor of Transitional Care Services (TCS) is responsible for supervising the TCS… more
- Dignity Health (Bakersfield, CA)
- …include Paid Time Off and Sick Leave. **Responsibilities** The Provider Relations Supervisor will report directly to the Director of Physician Network Contracting. ... The Provider Relations Supervisor is responsible for overseeing the Provider Relations team...+ Strong understanding of Managed Care Operations (ie, Quality, HEDIS , HCC, etc.) + Two (2) years' experience in… more
- ChenMed (Memphis, TN)
- …sanitized and visually appealing. + Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. + Supports ... PCP scheduling by ensuring appropriate blocks are in place and double/over/under booking does not occur. Ensures scheduling gaps are attended to and closed in a timely manner. + Reviews ENS notifications and ensures patients receive follow up from their Care… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …the Care Team Huddle to ensure the collection of all relative clinic forms, quality/ HEDIS measures, lab and x-ray reports and review of the Patient Manager and ... documented as required. Any area of non-compliance should be reported immediately to the supervisor / manager. + Assists providers with GYN exams, I & D's, and other… more
- Johns Hopkins University (Baltimore, MD)
- …+ Document collaboration with internal and external sources. + Routinely communicate with supervisor and case managers in a timely and appropriate manner. + Act as ... mentor to patients and gives their feedback to supervisor . + Act as a liaison and advocate for...resource. _Facilitates the achievement of Value Based Purchasing and HEDIS measures for patients with Long COVID and Post-Intensive… more
- Sharp HealthCare (San Diego, CA)
- …medical occurrences.Participates in clinical projects as directed by the lead, supervisor , manager or SCMG Administration. + Department Efficiency and Effectiveness ... and exam preparations for work area. Cost conscious in usage.Notifies lead, supervisor , or manager or key user of any repairs or maintenance needed… more
- Sharp HealthCare (San Diego, CA)
- …occurrences.Participates in clinical projects as directed by the lead, supervisor , manager, or SCMG administration. + Department Efficiency and EffectivenessProvides ... for work area. Cost conscious in usage. Notifies lead, supervisor , manager or key user of any repairs or...of quality initiatives per internal and external guidelines: AMP, HEDIS /STARS, CIN, risk adjustment, etc. + Communication and Teamwork… more
- HCA Healthcare (Campbell, CA)
- …levels. + Identify potential system programming issues and reports issues to supervisor . + Provide technical support and training for claims processors. + Recognize ... + Knowledge of ICD-9, CPT, HCPC, and Revenue Coding required + Knowledge of HEDIS , DOC, HCFA and NCQA requirements + Strong communication skills + Ability to work… more
- St. Luke's Health System (Boise, ID)
- …execution of initiatives. + Subject matter expert in performance measures ( HEDIS , quality, utilization, cost, care coordination, etc.), as well as performance ... mentoring to a subordinate group. May act as a lead or a functional supervisor . + Other duties as assigned. Minimum Qualifications: + Education: Bachelor's degree or… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …team building and motivational skills. + Evaluate work performance of the MA supervisor and medical assistant staff as per organizational policy. + Implement nursing ... centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA trainings (Infection… more
- The Cigna Group (Nashville, TN)
- …coding is supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures + Query providers regarding missing, unclear ... with established departmental goals + Take direction and guidance from Coding Supervisor and Population Health leadership + Maintain a 95% quality audit accuracy… more